Background
The two diagnoses, type 2 diabetes mellitus and postpartum depression, can be offered to CL. Evidence-based practice was incorporated to ensure that all suggestions have the potential to significantly benefit the patient. A narrative report is required to communicate the concept map to the patient and her family, ensuring that stakeholders understand their needs, the relevance of the evidence, and outcome evaluation procedures.
Patient Needs Analysis
CL does not have many needs, but they are essential for her and her family. On the one hand, the patient should witness improved physical health. It is reasonable to take measures to normalize her blood glucose level. On the other hand, she needs to address her mental conditions because the current challenges that she is witnessing lead to her worsened mental well-being. The suggested interventions are appropriate for the patient’s beliefs, values, and lifestyle because they neither subject CL to unusual practices nor result in challenges in meeting her day and work schedule.
It is unreasonable to ignore the patient’s economic situation and environmental factors. Since CL is a freelance worker, she needs urgent interventions to ensure that her health conditions do not prevent her from working and do not worsen her economic conditions. Simultaneously, she is living alone, which suggests that her work and maternal responsibilities may be so demanding that she will have less time to care for herself.
Since the patient has Native American relatives, the concept map should address this issue. This culture fosters a strong connection with parents and a deep respect for elders. The case study scenario reveals this statement because CL consulted with her mother and the elders, and they decided that she would not take insulin. That is why the concept map offers multiple interventions to address each diagnosis. Various options are required if the patient’s family opposes any treatment procedures.
Value and Relevance of the Evidence
It is now essential to comment on the value and relevance of the evidence incorporated into the concept map. On the one hand, the sources themselves are credible and reliable. Two of them come from scholarly and peer-reviewed journals, which denotes that the articles by Bajaj (2018) and Darius Tandon et al. (2018) present high-quality and essential data. The third source represents a professional organization, the US Department of Health & Human Services (2021).
Thus, it is reasonable to expect that this institution possesses sufficient expertise to incorporate credible evidence on a relevant health issue. Furthermore, it is worth admitting that the works cited are timely, which implies that up-to-date evidence is used. On the other hand, the sources are suitable for the patient because they specifically address the identified health issues. These articles include proof that can be directly applied to CL’s case. All this information proves that the concept map relies on valuable and relevant data.
Proposed Criteria for Patient Outcome Evaluation
When assessing the effectiveness of any intervention, it is reasonable to identify whether the expected outcomes have been achieved. For type 2 diabetes mellitus, the goal is to lower the blood glucose level to below 100 mg/dL or 140 mg/dL, depending on the diagnostic measure used. It is easy to determine whether the target has been achieved, as the tests provide objective evidence to assess the effectiveness of the intervention. Improving well-being is a subjective factor, meaning that the patient’s self-report can be used to measure it. Thus, the patient’s response can only demonstrate whether the suggested interventions have been effective.
The primary focus for postpartum depression is subjective well-being. The patient should be asked whether the interventions have improved her sleep and overall well-being. These positive changes can also reduce blood glucose levels. Thus, the proposed criteria are appropriate because each focuses on measuring a specific health condition.
Patient and Family Communication Plan
It is also rational to draw sufficient attention to the communication of the concept map. I would start by making the patient understand that type 2 diabetes mellitus is the most probable diagnosis, while postpartum depression is another potential issue. I would carefully indicate that it is impossible to cure type 2 diabetes mellitus, but patients’ correct behaviors can help reach complete or partial remission.
This communication strategy should emphasize the importance of following the recommended interventions to minimize the negative health impacts. I would avoid using specialized terms while communicating with the patient. Additionally, I would approach the task of presenting the concept map to CL’s family with care. Since her relatives significantly impact her health behaviors, I have specifically enriched the map with versatile options.
For example, type 2 diabetes mellitus should be treated with the help of diet, lifestyle change, and education. If these procedures do not lead to improvement, oral antidiabetic agents and injections should be introduced (Bajaj, 2018). This approach guarantees that the patient’s family will not oppose the suggested concept map.
References
Bajaj, S. (2018). RSSDI clinical practice recommendations for the management of type 2 diabetes mellitus 2017. International Journal of Diabetes in Developing Countries, 38(1), 1-115. Web.
Darius Tandon, S., Leis, J. A., Ward, E. A., Snyder, H., Mendelson, T., Perry, D. F., Carter, M., Hamil, J., & Le, H. N. (2018). Adaptation of an evidence-based postpartum depression intervention: Feasibility and acceptability of mothers and babies 1-on-1. BMC Pregnancy and Childbirth, 18(1), 1-9. Web.
US Department of Health & Human Services. (2021). Postpartum depression. Web.