NURS FPX 4065 Assessment 2 Preliminary Care Coordination Infographic

NURS FPX 4065 Assessment 2

Preliminary Care Coordination Infographic

Student name

Capella University

NURS-FPX4065

Professor’s Name

Submission date

Preliminary Care Coordination Infographic

Childhood type 2 diabetes is becoming a serious health concern, particularly among communities that have inadequate access to primary care services and health promotion interventions. The condition also affects not only physical health but also the psychological condition, relations within the family, and social development (Pappachan et al., 2024). Early-disease management, prevention of complications and promotion of healthy living all require appropriate coordination of care. In this assignment, the author pays attention to determining the strategies to promote health improvement among such populations, the creation of Specific, Measurable, Achievable, Relevant, and Time-bound (SMART) goals in this population, and the evaluation of community resources that can assist in the provision of a safe and effective population continuum.

Analyzing the Selected Health Concern and the Associated Best Practices for Health Improvement

Pediatric type 2 diabetes is an emerging area of concern regarding the population health burden and is especially prevalent in underserved community-based settings where preventative care is not readily accessible (Pappachan et al., 2024). Recent statistics have indicated that the incidence of Type 2 diabetes in US youth aged 10 to 19 rose by about 95 percent between 2001 and 2017, which should be an indication of the necessity to provide specific intervention (Lawrence et al., 2021). The late outcomes of Type 2 diabetes in children can take the form of cardiovascular disease, kidney failure, and vision loss unless they are managed adequately (Serbis et al., 2021). This condition should be addressed and handled as early as possible and with long-term treatment that entails enhancement of physical and psychological health.

Several practices are effective in the management of children according to the research evidence. First, one needs to observe the glycemic control using the HbA1c level test and conduct regular blood glucose measurements in case of need (Mukonda et al., 2025). Second, physical activity in the form of play or sports during the day is helpful in the regulation of insulin sensitivity and weight (Kanaley et al., 2022). Third, family-based nutritional counseling promotes good dietary habits since caregivers are motivated and involved in the planning and instruction of food and meals (Runtulalo et al., 2024). Lastly, structured programs on diabetes self-management education (DSME) help children and their families to acquire the skills and confidence to manage their condition over the long term and improve their health status independently (Heise et al., 2022).

• Physical and Psychosocial Considerations

The pharmacologic treatment of pediatric Type 2 DM includes the administration of such medications as metformin or insulin in case of need, along with monitoring the level of blood glucose and other comorbidities such as obesity/hypertension (Serbis et al., 2021). Psychosocial factors are also crucial because children can feel anxious, frustrated, or even depressed when they have to learn to manage the disease throughout their lives (Bombaci et al., 2024). It should be encouraged to empower the children emotionally through counseling, peer support, and positive thinking. Families should also be advised on how to support their child’s emotional well-being, thereby promoting an interdisciplinary model of care.

• Cultural Considerations

Care coordination in a diverse community environment must be culture-sensitive. The perception of illness, treatment, and dietary modification may be affected by cultural beliefs of a family (Swaleh & Yu, 2020). Therefore, adherence can be influenced by culture, including the consumption of local foods or the inability to trust doctors. It is advisable to consider culture-sensitive nutrition plans, translation of language in case of necessity, and the presence of home health aides familiar with the family. The definition of cultural sensitivity in healthcare presupposes the respect of cultural values and beliefs and a particular manner of communication, which positively influence the level of trust and health outcomes.

SMART Goals

As a means of properly addressing Type 2 diabetes in paediatric patients in a community healthcare setting, it is necessary to set clear and realistic objectives. These objectives must also cover physical, psychosocial, and cultural aspects of the child and the family with respect to the disease. The objectives below are designed to improve long-term health objectives, and all of them are aligned with the SMART goals, which also aim at providing comprehensive family-centred care.

Goal 1: Improve Glycemic Control (Sundberg et al., 2021)

• Specific: To lower the levels of HbA1c in paediatric patients with Type 2 diabetes by an individualized plan of care.
• Measurable: The goal will be to reduce the HbA1c by at least 1 percent relative to the baseline.
• Achievable: Routine blood glucose monitoring and proper medication adherence will help support this.
• Relevant: Better glycaemic control minimises the risks of complications such as kidney or vision problems.
• Time-limited: implement this goal in 6 months of the care coordination plan.

Goal 2: Promote Psychosocial Resilience (Wu et al., 2022)

• Specific: Increase emotional coping abilities of children diagnosed with Type 2 diabetes by providing systematic peer support and counselling.
• Measurable: Monitor the process using self-report scales and therapist measurements, aiming for a 30 percent increase in coping scores.
• Fulfillment: Introduce weekly group work and individual counselling with trained paediatric mental health professionals.
• Relevant: Emotional well-being is addressed and will help in the general management of diabetes and decrease isolation.
• Time-bound: Observe measurable improvements within 12 weeks of initiating psychosocial interventions.

Goal 3: Increase Cultural Engagement in Nutritional Habits (Yusof et al., 2025)

• Specific: Promote culturally appropriate changes in nutrition by engaging families in monthly nutrition classes.
• Measurable: Monitor the rate of participation and do a monthly record of food recall to quantify a 50 percent decrease in processed or sugary food.
• Attainable: Employ community health workers and dietitians who are conversant with the cultural background of the families.
• Relevant: Cultural food preferences will be respected to enhance compliance with healthy eating regimes.
• Time-limited: Obtain specific improvements in dietary patterns in 4 months.

Community Resources

An effective and safe continuum of care of a pediatric patient with Type 2 diabetes is greatly dependent on the community-based resources that can offer continual support that is not limited to the clinic environment. Among the resources, there is the Young Men Christian Association (YMCA) diabetes prevention program that offers age-specific fitness, nutritional education, and physical activities to a group of peers (Andreae et al., 2024). The Children’s Health Pediatric Endocrinology Clinics in most urban and rural facilities provide the children with diabetes follow-up care, including glucose monitoring, medication control, and individual treatment plans (LePage et al., 2020). Such clinics usually collaborate with the school and family and develop a care plan that would best fit the routine of a child and their medical needs.

The psychosocial and cultural aspects are also vital in the management of diabetes in children. The Juvenile Diabetes Research Foundation (JDRF) Peer Support Program is a program that is aimed at matching children who have type 1 diabetes and their families with volunteers who have already been diagnosed with this condition and can provide them with advice and encouragement based on their own experience of going through a similar situation (Mistry et al., 2022). Moreover, Women, Infants, and Children (WIC) Nutrition Services not only provide food vouchers but also nutritional education services, which are culturally appropriate to families (Santiago, 2024). Such programs ensure that the teaching/ learning materials and childcare interventions are culturally acceptable and linguistically friendly to the families, which increases the cooperation and leads to improved outcomes.

Conclusion

Paediatric patients with Type 2 diabetes require an all-encompassing, culturally aware, and family-centred approach to preliminary care coordination in community healthcare. The present paper shall address how the introduction of evidence-based practices, relevant and attainable health goals, and community resources may contribute to the significant enhancement of the well-being of children and their prognosis in the future. Attending to physical and psychosocial needs and respecting cultural differences contributes to increasing the participation of patients and the role of families in the process. Through coordinated long-term care, one can manage to deal with the long-term consequences of Type 2 diabetes in children and avoid the harmful consequences to the population that is affected.

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