Assessment 1 Proposing Evidence Based Change Student Name Capella University Course Name Prof Name July 16 2024 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Change Proposal Summary Report The primary goal of this executive summary is to advocate for a change in the management of peripheral neuropathy among diabetic patients within healthcare organizations in Colorado A comprehensive review of peripheral neuropathy has been conducted including a comparative analysis of its management in non U S healthcare systems The objective is to identify effective strategies and measures in the proposed Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample changes to improve the health outcomes of individuals with diabetes by mitigating complications associated with peripheral neuropathy Executive Summary Proposed Change Peripheral neuropathy presents a significant challenge for individuals with diabetes manifesting as pain sensory loss and paresthesia According to Hicks and Selvin 2019 diabetic peripheral neuropathy DPN affects 50 of diabetics and increases the risk of foot ulcers and leg amputations by 25 Addressing these severe outcomes necessitates vigorous efforts to promote proactive screening and management of diabetes through regular HbA1c monitoring foot assessments and pain management In Colorado s healthcare systems peripheral neuropathy has become a critical issue for diabetic patients leading to foot ulcers numbness pain and leg amputations The substantial impact of diabetic peripheral neuropathy on patients quality of life underscores the need to focus on this area of care Implementing recommended practices such as annual foot assessments as outlined by the American Diabetes Association Professional Practice Panel 2021 and improving glycemic control through lifestyle modifications and pharmacotherapy can alleviate the onset and progression of peripheral neuropathy Alahakoon et al 2020 Desired Outcomes The proposed changes in diabetes management including thorough foot examination foot care and patient education aim to achieve several desired outcomes Prevention of Neuropathy Complications Effective management of diabetes and peripheral neuropathy can prevent complications such as infections delayed healing foot ulcerations and leg amputations Selvarajah et al 2019 Enhanced Sensation Improved glycemic control can enhance sensory responses to physical stimuli reducing the risk of injuries related to peripheral neuropathy Agarwal et al 2019 Improved Mobility and Preservation of Limb Function Lifestyle changes and better glycemic control can enhance mobility balance and coordination reducing the risk of falls and enabling individuals with diabetes to remain active Zilliox Russell 2019 Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample Achieving these outcomes requires adequate resources including financial support and interprofessional collaboration to implement the proposed changes Stakeholders such as healthcare organizations and external resources like Medicare and Medicaid programs are crucial for supporting and facilitating these changes Duru et al 2020 Health Care System Comparative Analysis A comparative analysis of the National Health Service NHS in the United Kingdom and the Australian healthcare system s management of peripheral neuropathy offers valuable insights Both systems emphasize routine foot assessments patient education and preventive measures to address diabetic peripheral neuropathy Adopting similar strategies such as educational events and digital platforms could enhance the effectiveness of diabetes management in Colorado The Rationale for the Proposed Change The proposed changes guided by the NICE guidelines and DFA recommendations aim to improve outcomes for diabetic patients with peripheral neuropathy By effectively preventing and managing peripheral neuropathy diabetic patients can achieve a longer lifespan with preserved mobility reduced risk of lower limb amputation and improved overall quality of life Selvarajah et al 2019 Financial and Health Implications Implementing the proposed changes could have significant financial and health implications Early prevention of peripheral neuropathy can reduce the financial burden on patients and healthcare organizations by avoiding the costs associated with treating advanced neuropathy The cost effective screening and management strategies outlined in the proposal can improve glycemic control decrease hospitalizations and enhance the overall quality of life for individuals with diabetes Rodr guez S nchez et al 2019 Conclusion This summary report highlights the emerging issue of peripheral neuropathy among diabetic patients within Colorado s local healthcare systems By drawing insights from global healthcare models particularly those in the UK and Australia the report proposes changes that could potentially improve both financial and health outcomes for diabetic patients with peripheral neuropathy Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing Email Us Contact bsnwritingservices com Website BSNWritingservices com For Free MSN Sample BSNWritingservices com free Sample References Aalaa M Amini M R Delavari S Mohajeri Tehrani M R Adibi H Shahbazi S Shayeganmehr Z Larijani B Mehrdad N Sanjari M 2022 Diabetic foot workshop A strategy for improving the knowledge of diabetic foot care providers Diabetes Metabolic Syndrome Clinical Research Reviews 16 7 102543 Agarwal P Sharma B Sharma D 2019 Tarsal tunnel release restores sensations in sole for diabetic sensorimotor polyneuropathy Journal of Clinical Orthopaedics and Trauma 11 3 Alahakoon C Fernando M Galappaththy C Matthews E O Lazzarini P Moxon J V Golledge J 2020 Meta analyses of randomized controlled trials reporting the effect of home foot temperature monitoring patient education or offloading footwear on the incidence of diabetes related foot ulcers Diabetic Medicine 37 8 1266 1279 Diabetes Feet Australia n d Diabetes feet australia https www diabetesfeetaustralia org Duru O K