Health Promotion Project To Reduce Gestational Diabetes: Strategies And Recommendations

Introduction and Background

Discuss about the Health Promotion on Gestation Diabetes for Prevalence Factors.
 

Our health promotion project aims to minimize the prevalence of gestation diabetes in pregnant mothers as few cases as possible (Harrison et al. 2013). Our group targeted the pregnant women population who aged 25 years and above and also the families with a history of gestation diabetes complication.  We attempted to evaluate and identify some of the social determinants that contribute to the prevalence of the disease. Some of the social determinants that were assessed in our group include; socioeconomic status, transport, education, physical in activities and nutritional. In our group, we also strategized on the principles of health promotion in the community to approach the matter and determine the services needed (Rajput et al. 2013). Our project also looked at the ways of promoting healthcare programs through the establishment of primary healthcare centers. In my reflection, I will utilize the model of Driscoll reflection to evaluate health promotion in our project and on how it influences my professional perspective in nursing practice development.

My personal experience in developing the health promotion project.

I carried out my evaluation on the areas of the prevalence of the disease in the western Sydney local health district. My research mainly focused on gestation diabetes among the pregnant women aged 25 years and above within the local community. I also examined on the predisposing factors of gestation diabetes. My study based on the population of pregnant women who were at high risk of developing the disease. I found that gestation diabetes develops as a result of intolerance of the glucose and the condition diagnosed to the pregnant women in the Australian local health district. Around 1700 women were found to develop the state every year in Australia. Approximately 12 to 14% of pregnancies in the western Sydney local health district (WSLHD) in Australia diagnosed the disease. It was found the disease prevalence was due to many various factors (Bardenheier et al. 2013). Eating habit and several other social determinants were reported to be the leading cause of the complication. Lack of education, lifestyles and poor diet was the primary cause of the disease.

After sharing my findings with my team member, I then convinced them to explore the health needs of the local district community with the aim of achieving the health preventative and curative care to minimize the development of gestation diabetes among the expectant mothers in the area. The pregnant woman found to be at risk of developing the complication were of maternal age, with gestation weight gain and pre-pregnancy weight. The disease was likely to create in parent and on their siblings believed to have had type 2 diabetes (Jafari-Shobeiri et al. 2015)

Personal Experience and Evaluation of Gestational Diabetes Prevalence

. Some of the disease adventitious circumstances to the mothers are hypertensive disorders pre-eclampsia and both injuries such as bleeding. The condition may cause the child to develop complexities like jaundice, growth restriction, and respiratory distress.

My recommendation after analyzing the main predisposing factors of gestation diabetes in the local health district to undertake reasonable proactive steps to improve and enhance safe and quality healthcare intervention to the people in that community. I have got the knowledge about social stigmatization experienced by the pregnant women in WSLHD and factors associated with gestation pregnancy. There is a need to evaluate the modification of lifestyles of the people of the local district (Moyer, V.A., 2014). To enhance quality life and create quality awareness of the disease among the pregnant women, I had to encourage my fellow team members to promote education on the preventive and prophylactic measures to reduce the disease cases. The acquisition of this knowledge regarding the complexity of the disease in the community healthcare intervention will uplift my experience need for treatment approaches according to the local health district requirement.

My contribution to the team’s healthcare strategies

I came up with a thought of strategizing an activity of promoting the healthcare according to the complexities of the pregnant women in the local district and majored on the health challenges across the community. I proved to my team members that the unhealthy eating habits and lack of physical activities are the common factors contributing to the prevalence of the disease (Evert et al. 2014). 

I thought on the actions to increase the therapeutic intervention to fight the gestation diabetes that affects the pregnant women of Australian local district community (Tertti et al., 2013). I considered that best preventative measures of the disease are to create awareness to all the women of age between 17 to 35 years. I will organize with my team members on how to conduct such education to the local district natives.

I will acquire the knowledge and experience from learning and evaluate the predisposing social factors that result in the disease through education to the people. These social determinant include; eating habits physical activities and psychosocial health. Social, economic status is another factor that affects the people as those with low socioeconomic status suffered most from these chronic diseases. I will try to organize with my multidisciplinary group with the aim of improving the healthcare. I can utter that integration confidentially with community-based intervention to provide healthcare with enhancing the people’s health and reduce the risk of developing chronic diseases. 

Strategies to reduce gestational diabetes prevalence

The contribution of my teams approach in healthcare promotion principles and practices

The formation of therapeutic strategies and policy is crucial for understanding the needs of the local health district. My team members got aware of the information features that dominate the influence pattern of the treatment relationship between the community of the WSLHD and the nurses. My healthcare team understands the need to educate the patient and their relatives on where to get assistance and how to manage the disease in casein issue arises. Afterward, I gained full insight involving the needs of understanding the cultural beliefs and convections towards the treatment of the gestation diabetes.

I felt that the healthcare agencies of Australia have to alter the rules regarding the traveling facilities to enable the people to acquire effective therapeutic services. I think that the psychosocial issue experienced by the pregnant woman with gestation diabetes requires a general practitioner (GP) to help them in managing the disease. As a group, we felt that it is necessary to update the skills through in-service training and encourage the middle-aged women to attend the seminar clinics about diabetic education and dietary advice. The educational services will help to reduce the prevalence of disease among the pregnant woman. The education services include the intervention of blood levels, use of meter, individual’s appointment follow up, time to test and target rage and how to commence to medication.

The recommendation to the women adhere to the guidance of the GP is a helpful practice that would assist them to adopt lifestyle changes (Koivusalo et al. 2016)

. The personal centered care services facilitated the formation of the interpersonal alliance between the local district people and health professional to promote the wellness and health of the community. I then supported the need for building a therapeutic communication with the people with the aim of delivering personal-centered, holistic healthcare intervention and society based on decreasing their burden of the disease and healthcare incongruity.

Conclusion

By getting to know the health requirement of the pregnant women in the WSLHD id highly recommendable for administering patient-centered interventions and community-based circumstances of gestation diabetes outcomes and on reduction pattern. It is essential for nurses to implement assertion based on healthcare principles for the protocol of enhancing psychosocial repercussions of diabetes in pregnant women.

References

Bardenheier, B.H., Elixhauser, A., Imperatore, G., Devlin, H.M., Kuklina, E.V., Geiss, L.S. and Correa, A., 2013. Variation in prevalence of gestational diabetes mellitus among hospital discharges for obstetric delivery across 23 states in the United States. Diabetes Care, 36(5), pp.1209-1214.

Evert, A.B., Boucher, J.L., Cypress, M., Dunbar, S.A., Franz, M.J., Mayer-Davis, E.J., Neumiller, J.J., Nwankwo, R., Verdi, C.L., Urbanski, P. and Yancy, W.S., 2014. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care, 37(Supplement 1), pp.S120-S143.

Harrison, C.L., Lombard, C.B., Strauss, B.J. and Teede, H.J., 2013. Optimizing healthy gestational weight gain in women at high risk of gestational diabetes: a randomized controlled trial. Obesity, 21(5), pp.904-909.

Jafari-Shobeiri, M., Ghojazadeh, M., Azami-Aghdash, S., Naghavi-Behzad, M., Piri, R., Pourali-Akbar, Y., Nasrollah-Zadeh, R., Bayat-Khajeh, P. and Mohammadi, M., 2015. Prevalence and risk factors of gestational diabetes in Iran: a systematic review and meta-analysis. Iranian journal of public health, 44(8), p.1036.

Koivusalo, S.B., Rönö, K., Klemetti, M.M., Roine, R.P., Lindström, J., Erkkola, M., Kaaja, R.J., Pöyhönen-Alho, M., Tiitinen, A., Huvinen, E. and Andersson, S., 2016. Gestational diabetes mellitus can be prevented by lifestyle intervention: the Finnish Gestational Diabetes Prevention Study (RADIAL): a randomized controlled trial. Diabetes Care, 39(1), pp.24-30.

Moyer, V.A., 2014. Screening for gestational diabetes mellitus: US Preventive Services Task Force recommendation statement. Annals of internal medicine, 160(6), pp.414-420.

Rajput, R., Yadav, Y., Nanda, S. and Rajput, M., 2013. Prevalence of gestational diabetes mellitus & associated risk factors at a tertiary care hospital in Haryana. The Indian journal of medical research, 137(4), p.728.

Tertti, K., Ekblad, U., Koskinen, P., Vahlberg, T., and Rönnemaa, T., 2013. Metformin vs. insulin in gestational diabetes. A randomized study is characterizing metformin patients needing additional insulin. Diabetes, Obesity and Metabolism, 15(3), pp.246-251.