Quality Improvement Proposal.docx - Quality Improvement Proposal Working for a low-income population in the south Bronx New York the community being

Quality Improvement Proposal.docx - Quality Improvement...

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Quality Improvement ProposalWorking for a low-income population in the south Bronx, New York the community being served face many health disparities. Among those health disparities is type 2 diabetes. Diabetes is a chronic disease, which causes “problem with your body that causes blood glucose (sugar) levels to rise higher than normal. This is also called hyperglycemia. If you have type 2 diabetes your body does not use insulin properly. This is called insulin resistance. At first, your pancreas makes extra insulin to make up for it. But, over time it isn't able to keep up and can't make enough insulin to keep your blood glucose at normal levels” ("Type 2," n.d.). Being in the frontline of patient care, many patients come to the clinic with high blood glucose even after being diagnosed for some time. Patients have been given the tools, information and medication to have well-controlled diabetes but yet are seen many times for an acute concern regarding diabetes. Exploring what exactly what diabetic patients understand regarding their disease may decrease acute patients in the clinic. My question for improving diabetic management is, if patients are properly educating about their diabetes management plan, will it decrease acute visits or serious complications of diabetes?The early stages of diabetes cannot cause complications but uncompliant patients with diabetes can cause serious life threatening complications. “Long-term complications of diabetes develop gradually, they can eventually be disabling or even life-threatening” ("Type 2 diabetes - Symptoms and causes," 2019). Some of those complications include heart disease. Living with diabetes can highly increase the risk of heart disease, stroke, high blood pressure and narrowing of blood vessels which is referred to atherosclerosis. Another common complication is nerve damage causing neuropathy. What occurs is tingling and numbness sensation that begins in the tips of toes and/ fingers and can spread upward. This can cause loss of sensation to the limb. In
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