NURS FPX 4065 Assessment 5 Final Care Coordination Strategy

NURS FPX 4065 Assessment 5

Final Care Coordination Strategy

Student name

Capella University

NURS-FPX4065

Professor’s Name

Submission Date

Final Care Coordination Strategy

Hello everyone! My name is …….. and today I will be speaking about the importance of care coordination in the effective management of pediatric healthcare, in this case, Type 2 diabetes. Care coordination can be applicable in dealing with medical, emotional, and lifestyle issues (Agency for Healthcare Research and Quality, 2024). This evaluation is patient-centered, evidence-based, ethical, and health policy-consistent. It contains depression strategies, physical activity strategies, and glucose control strategies. Community resources and individual timelines will assist in these. The ethical decision-making and policy frameworks will assist in developing a comprehensive, culture-sensitive plan. This evaluation aims to address the needs of young patients and families.  

Patient-Centered Health Interventions and Timelines 

Health Issue I: Poor Glucose Control

Intervention, Community resources, and Timeline

Poor glucose control is one of the major health issues of Type 2 diabetes in children. An intervention addressing this issue would involve frequent monitoring of blood glucose levels and the development of individualised care plans (Chen et al., 2024). Families would learn how to monitor glucose and adjust their dietary habits or physical activities according to the levels. Specialised follow-up can be offered by community resources, including Children’s Health Pediatric Endocrinology Clinics that can provide glucose monitoring and medication management (Kanaley et al., 2022). The local pharmacies could also provide free glucose testing sessions every month, and the schools could cooperate with healthcare providers to offer management during school time. The timeline of implementation of this intervention would begin immediately after the diagnosis, and the first month would be a weekly check-up, followed by monthly check-ups to monitor the progress.

Health Issue II: Lack of Physical Activity

Intervention, Community resources, and Timeline

One of the biggest problems of children with Type 2 diabetes is a lack of physical activity. Exercises also make the body more responsive to insulin and regulate weight. A successful solution would be community-based resources such as the YMCA diabetes prevention program that provides fitness classes to youth with diabetes (Hingle et al., 2020). Schools can include additional physical education in daily programs. Families should be encouraged to participate in outdoor activities together. Parks and recreational centers can offer free or affordable sports leagues to promote consistent physical activity. This plan shall begin in the first two weeks after diagnosis and then progressively increase the activity within three months. The objective is to attain 60 minutes of physical activity a day and promote health in the long term.

Health Issue III: Depression and Emotional Distress

Intervention, Community resources, and Timeline

The children with Type 2 diabetes are usually depressed and emotionally distressed. They should have mental health support as a part of their plan (Koren & Levitsky, 2021). They can be helped through weekly counseling and peer support groups. Such programs as the Juvenile Diabetes Research Foundation (JDRF) Peer Support Program help children to get in touch with other children who have similar experiences (Wong et al., 2025). Community mental health clinics can provide sliding-scale fees. The process of support must start within the first month of diagnosis. Evaluations should be done regularly, every three months, to monitor progress and to make changes as necessary.

Ethical Considerations

It is important to balance ethics in the process of providing pediatric diabetes care. Children are not fully aware of their condition, so key decisions should be made by the caregivers. The parental control needs to be balanced with the independence of the child (Shah et al., 2022). Ethical issues arise when considering the balance between parental authority and the child’s growing independence. As an example, food regulations may conflict with individual preferences or customs. Research has shown that the inclusion of children in decision-making increases compliance without infringing on their cultures (Swaleh & Yu, 2020). The promotion of teamwork assists in developing efficient and culturally competent care plans. 

The other ethical issue is the fair distribution of resources. Health disparities are worsened by the fact that the underserved can be denied access to healthcare. It is essential to be sure that interventions are linguistically accessible and culturally responsive (Joo & Liu, 2020). Ethical considerations will focus on inclusion, including the use of interpreters and nutrition plans adapted to the culture. Outcome and trust are augmented with culturally responsive care (Santiago, 2024). Such considerations will make interventions effective and considerate of the rights and backgrounds of patients 

Health Policy Implications

Health policies play a vital role in the coordination and continuum of care for pediatric Type 2 diabetes. CA promotes preventive care in that it encourages wellness visits and screening to detect diabetes in the early stages (Huguet et al., 2023). The expansion of Medicaid has provided access to healthcare to low-income families, which will ultimately eliminate healthcare gaps. The Individuals with Disabilities Education Act (IDEA) will require schools to offer support to diabetic children (Blanchette et al., 2022). They encourage quality care and maintain healthy children as they continue with school.

The CCM is an enhanced integrated care for type 2 diabetic children. CM promotes the collaboration of doctors, specialists, and community programs (Grudniewicz et al., 2023). Healthy People 2030 objectives are to reduce cases of diabetes and enhance health equity. Community health programs are funded by policies that help in the achievement of these goals. The study by Lawrence et al. (2021) demonstrates that policy-based interventions enhance care coordination and long-term health. Such programs will lead to improved care for diabetic children and lifelong health. 

Priorities While Discussing Care Plans with Patients and Their Families

Blood glucose control, mental health, and cultural factors will be among the priorities of care coordinators. Patients and families should be made aware of the need to monitor blood glucose levels regularly and take medicines (Mathew et al., 2023). They also need to be trained on how to detect the symptoms of depression and the benefits of peer support. Food customs must be respected, and healthier foods should be encouraged. Research by Runtulalo et al. (2024) suggests that families are crucial for treatment success. This way, there will be improved long-term health because the family will be firm in its support.  

• Changes/Revision to the Plan

Evidence-based practice can alter the strategy. In case a child has a problem with exercising, there can be activities that they like, such as dance or swimming, which can enhance participation. The assistance of community health workers can help with cultural dietary changes (Koh et al., 2025). The plan will be patient-focused and effective continuously due to regular evaluations. The modifications should be based on evidence, e.g., modification of interventions when HbA1c objectives are not achieved. This adaptive approach is responsive and individualized care. With plan adaptation, long-term health outcomes will be enhanced. 

Evaluation of Literature on Best Practices

The teaching sessions on Pediatric Type 2 diabetes need to follow best practices and Healthy People 2030 goals. The sessions need to include glucose monitoring, nutrition education, and emotional coping skills. To make it valid, they are compared with the contents of the American Diabetes Association (ADA) guidelines. ADA proposes systematic diabetes self-management education (DSME), such as that which is to be integrated into sessions (Heise et al., 2022). Healthy People 2030 stresses the eradication of health disparities and prevention. Such goals should be incorporated in education sessions through the use of culturally appropriate materials for the underserved population.

• Revisions

Revisions and amendments may be made if the evaluation reveals a lack of participation or understanding. Interpreters or translated documents should be used when families are having difficulties due to language issues. Effective communication will enable the families to be aware of critical health data. There is evidence that patient outcomes and awareness are improved with customized education (Yusof et al., 2025). Regular evaluation of the plan will enable every family to receive adequate assistance. The programs will need to adapt to the community and align with national health goals. Continuous quality improvement will result in care being more effective and accessible to all.

Conclusion

The care plan for pediatric Type 2 diabetes is comprehensive. It offers medical, emotional, and lifestyle assistance to address major issues. Communal resources, ethics, and policies such as Healthy People 2030 will enable care to be equitable and effective. Periodic reviews will keep the plan up to date and address the needs of patients. Adjustments will ensure strategies are in line with best practices. The aim is to enhance blood sugar management, mental health, and long-term well-being of children and their families. Thus, this will encourage sustained health and improved quality of life.

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