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Running head: DIABETES MANAGEMENT.

Diabetes Management among the Elderly

Binish K. Jacob

University of West Florida.

Running head: DIABETES MANAGEMENT.

Diabetes Management among the Elderly

            Diabetes has been for a long time remained a deadly disease among citizens of the United States. Based on the statistics by the American Diabetes Association (2010), about 7.8% of the American population has diabetes. The association also estimates that about 12.2 million (23.1%) people in the age bracket of 60 years and above have diabetes. The association notes that diabetes was the seventh leading cause of deaths among the citizens of America. It is also a leading cause of diseases like heart diseases, blindness, kidney diseases, stroke, high-blood pressure, neuropathy, and amputation (Wilson, 1997). These statistics show that diabetes is a major risk to the lives of most Americans hence its management is very core.

According to the statistics mentioned above, the effect of diabetes in the elderly is very high as compared to other age groups. The high infection rate among the elderly is linked to increasing number of elderly people in the American population, the lifestyles the elderly engage in that make them highly prone to the disease, and the financial status that affects their feeding behaviors. These together with the little exercises done by the elderly, for instance, dictate the diabetic conditions in this age group. Based on these reasons, it is very important that the management of diabetes in this age group (elderly) be conducted so that the rate at which they are affected can be reduced (Wilson, 1997).

The management of diabetes in the elderly is very challenging since it requires more inputs as compared to management amongst other groups. This can be due to the

 

 

Running head: DIABETES MANAGEMENT.

age of the patients involved. Management to this group requires both the inputs of collective responsibilities of the patients and the society (physicians, family members, and nutritionists). The patients must take the initiative to follow the physician’s instructions as well as taking the right diet as prescribed by the nutritionist. Each party in the society, on the other hand, should play its role in ensuring that the conditions necessary for reducing diabetes rate are in place. The management should also provide guidelines on how those people joining this elderly age-bracket and do not have diabetes, are educated so that they are aware of the preventive measures they need to take in place to contain the disease (Mooradian, et al., 1999).

Learning Objectives

To be able to conclusively answer the management of diabetes among the elderly people in South Florida, the following objectives need to be targeted to help in the analysis of the problem.

  1. i.To investigate the causes of high diabetes rates among the elderly and what makes the elderly more prone to diabetic complications. This objective will bring to light the main causes of diabetes among the elderly that are then used to determine the management course to be taken.
  2. ii.To highlight the courses of action that needs to be taken to combat diabetes among the elderly. The courses to be taken here refer to the

 

 

Running head: DIABETES MANAGEMENT.

specific things to be done to help eliminate or control diabetes among the elderly.

  1. iii.To determine the effects of not managing diabetes in the elderly people as compared to those in the other age groups and assess the severance of the same. This will help bring to light the points of why it is very important to avoid the effects diabetes causes in elderly people by managing it.
  2. iv.To highlight the importance of management of diabetes among the elderly people. This will demonstrate the reasons why it is very important to ensure that our elder people in the society are living diabetes-free lives. It will also make us embrace the age group of the elderly due to their contributions in the society and to the economy.

Content Outline

To be able to address the management of diabetes, I will examine the objectives one by one as explained below.

Objective 1: To establish the causes of diabetes among the elderly (2 weeks)

Self-reported survey on the elderly.

  • Examine feeding habits,
  • Involvement in physical exercise,
  1. (a)Frequency of physical exercise,

Running head: DIABETES MANAGEMENT.

(b).Types of physical activity,

  • Interviews with doctors,
  1. (a)Causes of diabetes
  • Examine economic status of the participants,
  • Establish relationship between diabetes and the above factors to determine the causes.

Objective 2: to establish effective intervention measures (2 weeks).

  • This will be based on results of the causes of diabetes (from results of objective 1 above).
  • Educate on proper feeding habits,
  • Provide the importance of involvement in physical exercises and how often it should be done,
  • Interview with doctors on the probable measures they know could be employed,
  • Interview those with and those without diabetes and compare.

Objective 3: effects of not managing the condition among the elderly (2 weeks).

  • Interview doctors to determine how long the elderly can live with the disease without serious effects,

Running head: DIABETES MANAGEMENT

  • Interview doctors to determine how long other age groups can live with the disease without serious effects,
  • Compare the above two results,
  • Interview those with the disease on the complications associated with diabetes,
  • Research on the risks that an elderly is likely to encounter if he or she has diabetes.

Objective 4: Importance of diabetes management among the elderly (2 weeks).

  • Interviews with the elderly to ascertain benefits of overcoming the condition,
  • Interviews with doctors on benefits of life free of diabetes,
  • Formulate the importance of management of the condition,
  • Interviews with doctors on benefits of life free of diabetes,
  • Highlight the importance of medical care in diabetes management for the elderly.

Summary

  • Diabetes prevalence high among elderly and challenging to manage,

Running head: DIABETES MANAGEMENT

  • Identification of causes among elderly,
  • Formulation of effective intervention measures,
  • Highlight importance of diabetes management.

Methodology

To come up with the findings for these objectives, I will need to engage several methods of collecting the data;

To get the causes of the diseases, I will conduct a one-on-one survey among the diabetic elderly and ask them what they found to be the possible cause of the disease the moment they discovered they have the disease. The patients will also answer some questions that will help me determine whether the causes of the disease according to them (elderly) are the reasons that genuinely cause the disease or not. In the questions, they will have to answer their frequency of doing physical exercise and the kinds of the exercise they involved themselves in before they discovered they had the disease. They should also state whether the exercises were extensive or mild. They must also state the estimated amount of calorie intake they took before discovering they had the disease. I also intend to interview doctors of hospitals in the south Florida on the causes of diabetes in the elderly according to their statistics. This is what will be used to determine the causes of the disease in the elderly.

The target will be a representative sample of 50 individuals. The criteria for inclusion in the sample will be;

  • An person aged 60 years and above

Running head: DIABETES MANAGEMENT

  • An individual with diabetic condition

Efforts will be made to have the sample as representative as possible in terms of gender, economic status, age (within the range). This is a qualitative study. The results of the questionnaires will then be analyzed for common themes. The various diet intakes for example will be classified with regard to their calories and either considered as high calories, average calories and low calories. In physical activity, this will be classified as extensive, average, or mild. These results will be examined against the diabetic condition and a correlation sought.

           Courses of action in combating the disease will depend on the causes of the disease identified in the interviews and the survey. Analysis of these data collections tools to identify the causes of the disease will lead to the creation of ways through which the disease can be combated. I shall analyze the causes to come with major causes for diabetes among the elderly. The process is expected to take two weeks. The results of the

data will be fortified with results from interviews from doctors and available literature. It is intended that a list of possible intervention measures will be formulated.

To determine how long the elders can live with diabetes in their bodies without it affecting them, I will do a research from doctors on how long the elderly patients took with the diseases in their bodies before the disease reached fatal climax. I will also determine from the doctors whether an elderly can live with the disease without a doctor’s attention and for what period and under what circumstances. Statistics from hospitals and diabetes bodies on the prevalence rate of the disease among different age groups will be very useful here, on analysis, to determine the prevalence among the

Running head: DIABETES MANAGEMENT

elderly. This whole process, because it involves a small research and analysis of documents, will approximately take two weeks.

On the importance of management of the disease, I will conduct a research on the elderly who suffer from diabetes so that they can explain the advantages they have encountered when they compare their lives during diabetes and after diabetes. I will also get information from doctors in hospitals in south Florida on what good things does a life free of diabetes have to an elderly in comparison to that with diabetes. I will also do a research on the risks an elderly is likely to encounter if he or she has diabetes. This alleviates the importance of the management. The whole of this process is estimated to take at least two weeks. This will be a qualitative study and open ended questionnaires will be used. The responses will be analyzed and common themes on the possible advantages will be identified. This will be fortified with interview results, healthcare professionals and available literature. It is intended that some major physical, economic, social, and health benefits can be identified and listed.

Evaluation Plan

This work aims at bringing out the prevalence of diabetes among the elderly and identifies the causes of the condition in South Florida. Because previous researches showed that the elderly are the most affected, explaining why they are the most affected than other age groups is one of the cores of this work. All these findings are driven towards highlighting the need to manage diabetes among the elderly. The following are the requirements that the study has to deliver:

  • The study has to identify the causes of diabetes among the elderly,

Running head: DIABETES MANAGEMENT

  • The study should devise effective strategies to deal with diabetes,
  • The study should explain why the elderly are most affected as compared to other age groups,
  • The study should identify and show the need for managing the condition.

Unless the above are achieved, then the study will not meet the objectives. Whether the objectives are met or not will involve counterchecking whether the questions to be answered by the research are all answered and answered appropriately.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Running head: DIABETES MANAGEMENT

 

References

American Diabetes Association. (2010). Data from the 2007 National Diabetes Fact Sheet. StopDiabetes.com. Retrieved on 7th October 2010 from http://www.diabetes.org/diabetes-basics/diabetes-statistics/

Mooradian, A., McLaughlin, S., Boyer, C., and winter, J. (1999). Diabetes Care for Older Adults. Diabetes Spectrum Journal, 12(2) 70-77.

American Diabetes Association. Retrieved on 7th October, 2010 from http://journal.diabetes.org/diabetesspectrum/99v12n2/pg70.htm

Wilson, A. (1997). Managing the patient with type II diabetes. Maryland: Aspen Publications, Inc.

 

 

 
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