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Nursing, Pages: 3

Preliminary Care Coordination Plan for Managing Type 2 Diabetes with Cardiovascular Risk

Preliminary Care Coordination Plan for Managing Type 2 Diabetes with Cardiovascular Risk

Food Insecurity and Best Practices for Improvement

Food insecurity is a serious public health problem, considering the huge number of people and families involved globally. Hunger is described as the deficiency and irregularity of consistent access to sustenance that can sustain an active, healthy life (USDA, 2022). Being food insecure might result in very serious physiological, psychological, and cultural consequences for the individuals or communities affected.

Physically, food insecurity may lead to malnutrition, a decrease in weight, and a higher possibility of chronic diseases such as diabetes, hypertension, and cardiovascular diseases that have threatening factors and are against well-being (WHO, 2024). Notably, individuals lacking access to appropriate nutrients may not be able to consume the nutrient-dense foods needed for proper growth and development; these conditions may cause the development of future health problems.

Psychosocially, food insecurity can raise the stress level, anxiety, and depression. The everyday concern and the uncertainty of having enough food can lead to significant mental health issues and overall deteriorating the mental well-being of society. According to Pourmotabbed et al. (2020), individuals who are already facing psychological issues are deterred from receiving any benefits because of the social stigma and humiliation associated with food insecurity.

Different cultural groups, including those from diverse socioeconomic backgrounds, geographical locations, and customs, may experience food insecurity in different ways, and they all have different perspectives on the difficulties and effects of having limited access to dependable food sources. For example, some people may experience different personal responses to their situation based on cultural norms or their own lived experiences. The cultural heritage, which includes deeply held values, traditions, and beloved family recipes, is a significant factor in determining how likely an individual is to ask for help or become involved in their community (Dubowitz et al., 2021). It is imperative to take into account the cultural pieces when creating or suggesting policies to expel food insecurity. A multi-faceted approach is necessary to address the issue of food insecurity.

Best Practices For Improvement

Improving Access to Affordable, Nutritious Foods

Examples of interventions are increasing food pantries within community programs, increasing SNAP (Supplemental Nutrition Assistance Program), and promoting health through urban agriculture and community gardens (National Institute on Minority Health and Health Disparities, 2023).

Providing Nutrition Education and Cooking Classes

Educating individuals and families on the significance of a sustained diet, food preparation, and meal planning can help them make healthier decisions (Eicher-Miller et al., 2020).

Addressing the Social Determinants of Health

One way to deal with the root causes that people with low incomes tend to have is to fight poverty, unemployment, and lack of a transportation system (National Institute on Minority Health and Health Disparities, 2023).

Promoting Collaboration between Healthcare Providers, Community Organizations, and Government Agencies

Combining resources and efforts can help obtain better and more effective results in the fight against food insecurity, as indicated by Nigusso and Mavhandu-Mudzusi (2020).

Notably, families and people impacted by food insecurity may have their physical, psychological, and cultural needs met when healthcare practitioners and community groups collaborate using these best practices.

Specific Goals to Address Food Insecurity

To effectively address food insecurity, the following specific goals should be established. The first goal is to increase the number of individuals and families enrolled in food assistance programs, such as SNAP and local food pantries, by 20% within the next 12 months. Secondly, to provide nutrition education and cooking classes to at least 50% of the individuals and families experiencing food insecurity in the community within the next six months. Thirdly, to collaborate with local government agencies and community organizations to establish at least two new community gardens or urban agriculture projects within the next 18 months to improve access to fresh, affordable produce. Further to develop a referral system between healthcare providers and community food resources to ensure that all patients screened for food insecurity are connected with appropriate support services within two weeks of identification. Also, to conduct a comprehensive assessment of the social determinants of health contributing to food insecurity in the community and implement at least three targeted interventions to address these factors within the next 24 months.

By establishing these specific, measurable, attainable, relevant, and time-bound goals, the healthcare team and community partners can work together to effectively address the complex issue of food insecurity and improve the overall health and well-being of the individuals and families affected.

Available Community Resources for a Safe and Effective Continuum of Care

The solution to food insecurity is to bring together all the actors of this process, i.e., health care providers, community-based organizations, and government structures. There are several community resources available that can support a safe and effective continuum of care for individuals and families experiencing food insecurity.

Local Food Banks and Pantries

These entities tend to give food pantries and other similar resources regularly with no charge or a very minimal one to individuals in need.

SNAP (Supplemental Nutrition Assistance Program)

A federal plan enabling the poorest people, including unemployed individuals, to buy groceries on small cash grants.

WIC (Women, Infants, and Children) Program

A program that additionally treats women during pregnancy and motherhood periods and their children up to 5 years old by providing food, nutrition health education, and referrals to necessary healthcare.

Meals on Wheels

A neighborhood-based initiative that provides delicacies to elderly people or people with disabilities who are bedridden.

Community Gardens and Urban Agriculture Initiatives

They give people an opportunity to plant fresh vegetables, which in turn increases the availability of these healthy food options to individuals.

Nutrition Education Programs

The presence of nontraditional cooperative learning institutions, such as community colleges and cooperative extension services, provides different programs in areas where people and families learn the essence of a balanced diet and the skills needed for proper meal preparation within a budget.

Advocacy Organizations

Organizations like Feeding America and the Food Research & Action Center dedicated to raising awareness, influencing policy, and developing solutions to sustain food access are among the principal actors in this fight against food insecurity.

Through partnership with such community services, healthcare providers design a comprehensive and effective outcome in care services for people experiencing hunger and hunger among their families. Database and website development will ensure the involvement and familiarity of the health professionals working in the field of homelessness with the members of the organization.

Conclusion

Food insecurity is a multi-dimensional and complex public health concern that requires multiple resources and community support to overcome. Through the purposeful consideration of such factors as the people and family members targeted by this effort, healthcare providers may develop the preliminary care coordination plan, which combines the best practices and resourceful community resources. The introduction of specific and quantifiable changes, together with collaboration among different community organizations, may lead health teams to improve the availability of affordable and nutritious foods, provide nutrition education and aid, and address the root cause of the health challenges that are in relation to the social determinants of health that contribute to food insecurity. Through this comprehensive strategy, healthcare providers can be the main actors in ensuring a safer and better key player to facilitate the continuum of care in their communities.

References

Dubowitz, T., Dastidar, M. G., Troxel, W. M., Beckman, R., Nugroho, A., Siddiqi, S., Cantor, J., Baird, M., Richardson, A. S., Hunter, G. P., Mendoza-Graf, A., & Collins, R. L. (2021). Food Insecurity in a Low-Income, Predominantly African American Cohort Following the COVID-19 Pandemic. American Journal of Public Health, 111(3), 494–497. https://doi.org/10.2105/ajph.2020.306041

Eicher-Miller, H. A., Rivera, R. L., Sun, H., Zhang, Y., Maulding, M. K., & Abbott, A. R. (2020). Supplemental Nutrition Assistance Program-Education Improves Food Security Independent of Food Assistance and Program Characteristics. Nutrients, 12(9), 2636. https://doi.org/10.3390/nu12092636

National Institute on Minority Health and Health Disparities. (2023). Food Accessibility, Insecurity and Health Outcomes. NIMHD. https://www.nimhd.nih.gov/resources/understanding-health-disparities/food-accessibility-insecurity-and-health-outcomes.html

Nigusso, F. T., & Mavhandu-Mudzusi, A. H. (2020). High magnitude of food insecurity and malnutrition among people living with HIV/AIDS in Ethiopia: A call for integration of food and nutrition security with HIV treatment and care Programme. Nutrition and Health, 026010602097185. https://doi.org/10.1177/0260106020971855

Pourmotabbed, A., Moradi, S., Babaei, A., Ghavami, A., Mohammadi, H., Jalili, C., Symonds, M. E., & Miraghajani, M. (2020). Food insecurity and mental health: a systematic review and meta-analysis. Public Health Nutrition, 23(10), 1778–1790. https://doi.org/10.1017/s136898001900435x

USDA. (2022, April 22). USDA ERS – Food Security in the U.S. Www.ers.usda.gov. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/

WHO. (2024, March 1). Malnutrition. Who.int; World Health Organization: WHO. https://www.who.int/news-room/fact-sheets/detail/malnutrition

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Question 

Develop a 3-4 page preliminary care coordination plan for a selected health care problem. Include physical, psychosocial, and cultural considerations for this healthcare problem. Identify and list available community resources for a safe and effective continuum of care.

Preliminary Care Coordination Plan for Managing Type 2 Diabetes with Cardiovascular Risk

Preliminary Care Coordination Plan for Managing Type 2 Diabetes with Cardiovascular Risk

Select: Food Insecurity

Scenario

Imagine that you are a staff nurse in a community care center. Your facility has always had a dedicated case management staff that coordinated the patient plan of care, but recently, there were budget cuts and the case management staff has been relocated to the inpatient setting. Care coordination is essential to the success of effectively managing patients in the community setting, so you have been asked by your nurse manager to take on the role of care coordination. You are a bit unsure of the process, but you know you will do a good job because, as a nurse, you are familiar with difficult tasks. As you take on this expanded role, you will need to plan effectively in addressing the specific health concerns of community residents.

To prepare for this assessment, you may wish to:

  • Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.
  • Allow plenty of time to plan your chosen healthcare concern.

Instructions

Note: You are required to complete this assessment before Assessment 4.

Develop the Preliminary Care Coordination Plan

Complete the following:

Document Format and Length

  • Your preliminary plan should be an APA scholarly paper, 3–4 pages in length.
    • Remember to use active voice, which means being direct and writing concisely; as opposed to passive voice, which means writing with a tendency to wordiness.
  • In your paper include possible community resources that can be used.
  • Be sure to review the scoring guide to make sure all criteria are addressed in your paper.
    • Study the subtle differences between basic, proficient, and distinguished.

Supporting Evidence

Cite at least two credible sources from peer-reviewed journals or professional industry publications that support your preliminary plan.

Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Preliminary Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

  • Analyze your selected health concern and the associated best practices for health improvement.
    • Cite supporting evidence for best practices.
    • Consider underlying assumptions and points of uncertainty in your analysis.
  • Describe specific goals that should be established to address the healthcare problem.
  • Identify available community resources for a safe and effective continuum of care.
  • Organize content so ideas flow logically with smooth transitions; contain few errors in grammar/punctuation, word choice, and spelling.
  • Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.
    • Write with a specific purpose with your patient in mind.
    • Adhere to scholarly and disciplinary writing standards and current APA formatting requirements.