PLEASE USE THE TOPIC AND  INFORMATION IN THE CAPSTONE PART 1 AND 2 BELOW TO CONTINUE PART 3, ALL SECTIONS MUST BE CONNECTED, PLEASE DON’T CHANGE PATIENT AGES OR LOCATIONS, JUST IMPLEMENT PART 3 S A CONTINUATION OF PART 1,2 .

CAPSTONE: PART III 

1. Implementation/Conclusion

– Implement the change you are proposing- This should be a continuation of Part I and Part II

2. Describe the practice change; is it in the community, organizational, clinic setting and so forth

3. Discuss how you would implement and assess the change; this should include time frame, setting, participants, barriers, external and internal factors.

4. How would you evaluate the change process? 

-The change must be measurable

-How would you measure or evaluate? Is there a tool to measure?

5. The literature review must support your change and implementation. Use leadership qualities and skills that will be utilized for successful completion of the project.

6. Discuss who will be invited to the proposal: who are the stakeholders?

-How will you present the information to your stakeholders? 

OVERALL: The conclusion should have your Part I, II, II all put together in a thorough APA format.

 -Use appropriate APA 7th Ed. format along with Syllabus outline

-Scholarly, peer-reviewed, and research articles cited should be within the last five years. 

-This section should be 3 pages long (not including the title and reference page). 

 -Use proper in-text citations with a properly formatted reference list. 

 -All papers must be written in the 3rd person.

AFTER DONE PART 3 IN 3 PAGES

PRESENT AS ONE COHESIVE FINAL CAPSTONE PAPER. USE THE CONTENT FROM CAPSTONE I,II,III COMBINED. YOUR TITLE PAGE SHOULD YOUR REFLECT THE HEALTH PROBLEM. DO NOT WRITE I, II, OR III. 

NOTE: DO NOT PROPOSE A CHANGE THAT REQUIRES IRB APPROVAL OR DIRECT HUMAN SUBJECT INVOLVEMENT.

NO PLAGIARISM MORE THAN 10% 

USE ALL REQUIREMENTS CAREFULLY, THIS IS FINAL ASSIGNMENT COUNTING 30% GRADE

CHECK GRAMMAR

DUE DATE : AUGUST 10, 2023

2- PLESE SEE THE ATTACHED PP TEMPLATE AND COMPLETE ACCORDING THE CAPSTONE PART 1.2.3 INFORMATION GATHERED.

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CAPSTONE PART 1

Poor Glycemic Control in Diabetes Mellitus Type II

Introduction

The practice problem is essential in addressing inadequate glycemic control among individuals aged 65 and above who have been diagnosed with type 2 diabetes and live in a rural community in Miami, Florida. The primary objective is attaining enhanced glycemic control, reduced incidence of diabetes-related complications, low use of healthcare services, and enhanced quality of life among adult patients who have Type 2 diabetes within a span of 12 months (Almutairi, et al., 2020). This matter holds significant significance within the realm of nursing practice, as nurses play a pivotal role in educating and providing support to patients diagnosed with diabetes (Mamo, et al., 2019). 

PICOT

In adults aged 65 and above with type 2 diabetes in a rural community in Miami, Florida (P), does the implementation of a community-based diabetes self-management education program (I) compared to standard care (C) result in improved glycemic control, reduced diabetes-related complications, decreased healthcare utilization, and enhanced quality of life (O) over a 12-month period (T)?

The vulnerable Population

The practice problem that has been identified is of great importance, as it focuses on the issue of inadequate management of blood sugar levels among individuals aged 65 and above who have been diagnosed with type 2 diabetes in a rural community in Miami, Florida.

This case examines adult populations who are above years diagnosed with diabetes 2 and living in rustic areas. This is one of the populations considered to be vulnerable due to a combination of risk factors. These individuals often need help with various obstacles, such as the restricted availability of healthcare services, especially in geographically isolated regions where healthcare facilities may be scarce or situated at a significant distance (Almutairi, et al., 2020). Lower socioeconomic status is a commonly observed risk factor, as it can hinder individuals’ capacity to financially afford crucial medications, routine medical examinations, and essential lifestyle adjustments.

The presence of limited health literacy poses additional challenges, as it impedes individuals’ comp

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CAPSTONE 2

Poor Glycemic Control in Diabetes Mellitus Type II

Review of Literature

The synthesis of primary research studies offers a comprehensive understanding of the issue surrounding suboptimal glycemic control in Type II Diabetes Mellitus, with a particular focus on those aged 65 and older dwelling in the rural area of Miami, Florida. These studies provide scientific evidence directly applicable to the PICOT topic, shedding light on the challenges and potential solutions in managing diabetes within this vulnerable population.

In their study, Almutairi et al. (2020) conducted a comprehensive evaluation of randomized controlled trials (RCTs) evaluating the efficacy of patient activation treatments in helping improve glycemic control and self-management behaviors among people with type 2 diabetes. The authors emphasized the importance of patient education and involvement to help in attaining enhanced glycemic results. In another study, Mamo et al. (2019) investigated the factors associated with suboptimal glycemic management in the adult population diagnosed with type 2 diabetes. According to the authors, Low Socioeconomic factors were among the factors identified as having significant drivers underscoring the necessity of tackling obstacles associated with access and affordability.

In another study by Tefera et al. (2020), the authors investigated the association between diabetic health literacy and glycemic management. The researchers found that health literacy helped attain desirable glycemic outcomes, which stressed the need for health education initiatives. In their study, Anuar et al. (2020) did a comprehensive analysis of the utilization of the Health Belief Model (HBM) in health behavior. Their research contributes to the existing body of knowledge by establishing a theoretical framework that enhances our comprehension of the process of health behavior modification. This paradigm underscores the significance of addressing attitudes and perceptions in the context of diabetic self-management.

Gopaldasani et al. (2019) study also researched the role of peer support in helping control glycemic in a population of people diagnosed with type 2 diabetes. The researchers found that community-based interventions are very important in

First Name Last Name, Title; Professor, Title; Course Name

Department and/or School

Introduction

Proposal and Conclusion

PICOT

Literature Review

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Theory/Framework