Wgu A2 Task 1

Well –integrated Screening and Evaluation for Women across the Nation (WISEWOMAN) is a Centers for Disease Control and Prevention funded program which operates out of 22 sites across the United States. WISEWOMAN programs provides screening for heart disease and stroke risk factors and lifestyle programs for many low-income, uninsured, or under-insured women aged 40–64 years ( CDC, 2015). WISEWOMAN is a direct care service program which has increasingly began serving as a National Diabetes Prevention Program “payer”. With its reach into 20 states, WISEWOMAN provides the platform for low-income women who would not otherwise have access to the National DPP, to participate in the yearlong CDC recognized lifestyle change program. According to the CDC, 16% of WISEWOMAN clients have diabetes, and 14% have prediabetes. This high ratio of diabetic and prediabetes clients, provides an excellent opportunity for diabetes self-management and National DPP programs to partner with WISEWOMAN, to increase access to DSME and lifestyle change programs. This presentation will provide an overview about the WISEWOMAN program, share an update on WISEWOMAN and diabetes partnerships across the country, and suggest best practices for diabetes educators to use to leverage federal resources to pay for the National DPP.

The Hispanic community is a worldwide growing population, so my interest was to research and learn more about their health disparities; in an effort to inform other people about what’s happening now. Once I did the research to determine what my health and other disparities would be in a certain community I was amazed at the results. Hispanics are a susceptible minority group at a higher risk for diabetes because of lack of resources and proper health care. Today, Hispanics and Latinos are facing a dominant health challenge against diabetes mellitus which we need to get under control. Health studies done on a population of individual’s shows Hispanics to be unfairly affected by diabetes and bad glycemic control; compared to non-Hispanic whites

For PYC-652 Advanced Health Assessment, my clinical site will be the Richard A. Roudebush Veterans Affairs Medical Center. This site is located in Indianapolis, Indiana. I will be working with a nurse practitioner who works in one of the primary care clinics located at the hospital.

In 2007, the Rio Grande Valley area doctors and business leaders formed an association called as the Rio Grande Valley Association of Diabetes (RGVAD) which aims to provide the awareness on diabetes to the residents from Hidalgo County. RGVAD provides programs and services that focus specifically for the areas in Hidalgo County and guarantees that all grants created by this association are used by the people or residents of the Rio Grande Valley region.

For hundreds of years, Native Americans have had to face many hardships in their lives. These hardships include drug and alcohol abuse, poverty, and diseases. Due to these reasons, Native Americans have an average life expectancy of 73.7 years; 4.4 years shorter than the average white American (“Indian Health Services…”). Native American communities face huge challenges because of chronic health conditions such as type two diabetes, HIV/AIDS, and mental illness.

Diabetes mellitus type two is a metabolic disorder that is categorized by hyperglycaemia in the context of insulin resistance and relation lack of insulin. It comprises of over ninety percent of people with diabetes around the world. The effect of such illnesses is excess body weight and physical inactivity. More than eighty percent of diabetes deaths occur in third world countries like the Tohono O’odham and the Pima Indians of southern Arizona, more than half of all adults in that population have diabetes and that is within every ten people, there are at least five people who have type two diabetes. Why did it happen? Nearly a century ago, type two diabetes were merely indefinite to those people. In fact, there is only one case of

Food deserts are spaces that are at least a mile or more over from any super markets and/or shopping centers. They are usually located in places where most of the people who live there do not have reliable transportation. Most businesses in food deserts have corner stores and fast food restaurants, but there usually are not any healthy food places or choices in the area. Supermarkets have been harshly judged for leaving out a large population of the Black and Latino population in cities such as Memphis, Los Angeles and Detroit. These cities are desperate for more healthy food besides the many fast food places they have to offer. It is always good to have different choices

DIABETES TYPE 2 IS A MAJOR CONCERN IN THE CLAYTON AND FULTON COUNTY AMONG BLACKS AND HISPANICS AGES 65-75 IN RECENT YEARS. ACCORDING TO THE COUNTY REPORT, THERE IS AN AVERAGE OF 4-5 CASES REPORTED MONTHLY AND ABOUT 45-60 CASES YEARLY FROM 2005-2014. DUE TO MY INVOLVEMENT THIS YEAR AND MY CLASSES WE HAVE BEEN ABLE TO ATTRACT THE ATTENTION OF THE CLAYTON BOARD OF HEALTH (CCBOH). UNLIKE YEARS PASSED THESE PARTICIPANTS DID NOT HAVE ANY TYPE OF SCREENING AND WAS NOT AWARE OF ANY CLINICS IN THE AREA OFFERING ANY TESTING FOR TYPE II DIABETES. IN RESPONSE TO MY EFFORTS THE ADMINISTRATOR OF THE CCBOH HAS DECIDED IT WAS TIME TO MAKE AWARE THE CONTROL AND PREVENTATIVE MEASURES NEEDED TO HELP CONTROL THE INCREASE OF THIS DISEASE AMONGST THE BLACKS AND

would mean that students and workers would be provided with healthy foods such as fruit

The target audience is women over 40 years old, so it is important to try to realize that not all of these women are on social media, many may be on social media networking sites but the idea I would pitch would be a “Mammogram Bus”, which is a bus that drives around the country taking mammograms inside the bus. There are registered nurses and doctors taking care of the women coming in, and it is also confidential. The news coverage would be huge, since people nowadays do not always have the time for waiting for a doctor to test them, however, if they know that the “Mammogram Bus” is coming, it would be more “fun” and the women could take their friends with them as a “lunch meeting” just to take a quick look. The newspapers could write where the “next stop” would be for the bus, so the women around the country know when this “Mammogram Bus” will show up. The online newspapers can also attract more people by having a map that will follow the bus tour around the country to see where it is by using a GPS that is

A study that was conducted by Denny et.al. (2005), determines the differences in the American Indians elders and white elders with the use of five health behaviors like smoking, obesity, diagnosed diabetes, on physical activity and poor general health. This study determined that diagnosed diabetes cases are higher among the American Indians than the white Denny et.al. (2005). they believe the white elderly perceive health better that the America Indians. Denny,et,al.(2005). Also believe that to be able to help this population they should support tribal intervention in effort to reduce death rate due to cardiovascular diseases. After a general view of diabetes among the Natives Indians and the Alaska American, there needs to be a focus on

Purpose: I want to convince my audience to learn about the American Diabetes Association and to make healthy choices from the organization.

The leading cause of death in DeKalb County, Georgia is diabetes. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations (CDC, 2015). When a person has diabetes their body either does not make enough insulin or cannot use its own insulin as well as they should. In DeKalb County, 51.8% females and 48.2% males from 2005 to 2010 had diabetes (DeKalb Medical, 2013). There were 422 deaths from diabetes in this county from 2005 to 2010 (DeKalb Medical, 2013).

I would to express my grateful thanks to my academic supervisors: Dr Jane Ryan from Cardiff and Mrs Zakiya AL Mamari for OSNI for their guidance, encouragement and direction to accomplish my projects. I would also thanks to the technicians of the library for helping me of choosing appropriate books for my projects. Additionally, special thanks of the diabetic staff nurses from the Boucher Poly Clinic and Diabetic and Endocrine Center for providing me with information during my searching for statistics.

Lifestyle intervention have proved to reduce incidence of diabetes, whether or not exist an impaired glucose tolerance (1, 2). Moreover, changes in diet and exercise have shown a positive impact on HbA1c in patients with Diabetes Type 2, as was found in a meta analysis of Chen et al where a significant standardize difference in means of HbA1c (-0.37 P=0.0001)was evident(3).Furthermore, lifestyle interventions have a well known effect over lipid profile, markers of inflammation and a positive impact on body composition, that is, an increase in lean mass and a reduction of fat mass(1).