Health outcomes in the lower socioeconomic community continue to concern community health workers. Hence, interventions and models to address these issues rely heavily upon specific community characteristics; therefore, as my DPI process seeks to alter the diabetic patient outcomes in a free health clinic, using Pender’s Model may be a valuable tool for success (Nurse Labs, 2021). For example, the concept of the model is that every individual is unique, with experiences and traits that affect actions. Therefore, ultimately, individualized care plans can modify dietary compliance behaviors with nursing interventions. Implementing the ADA guidelines requires the clinician to conduct in-depth consultations with the patient. This process assesses the individual’s health literacy, cultural beliefs, eating habits, and motivation for change. The ADA MNT then encourages a plan that considers the uniqueness of the patient for effectiveness, thus aligning with Pender’s Health Model. Therefore, as the ADA Medical Nutrition Therapy guidelines identify modifiable nursing or dietician behaviors, the final stage of Pender’s program is achieved, as evidenced by improved patient outcomes with a reduction in HbA1c levels.
However, as population health often seeks to alter the community’s health through primary and secondary prevention, Pender’s Model addresses the individual and their role in the bigger picture of goal achievement. In summary, as the diversity of the patient served at the clinic is unique, their cultural, gender, socioeconomic, educational, and support system caveats can either help or derail the “intended actions for promoting health.” Additionally, as the program is still in its modeling phase, ideas from the Rural Health Information Hub are carefully being considered to evaluate the program. The Rural Health Information Hub encourages the consideration of participant data, program processes, and other outcomes with data that strongly supports the Self-management model, as our goal is to develop a patient who is sufficient with diabetic management.
Nurse Labs. (2021). Pendes health Promotion Model. https://nursing-theory.org/theories-and-models/pender-health-promotion
Rural Information Health Hub. (2021). Self-management model – RHIhub diabetes prevention toolkit. Rural Health Information Hub. https://www.ruralhealthinfo.org/toolkits/diabetes/2/self-management
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