PART-B
Rationale for Selecting Older Adults as Audience
Older adults have been selected because there is a greater prevalence of developing type-2 diabetes condition in this age group. Due to the ageing factor, declination in insulin secretion exposes older people to develop diabetes Likewise, changes in the body composition due to age and decreased physical movement contribute to the insulin resistance. Therefore, through this poster, targeted audience would be able to take preventive measure for managing their blood glucose level and enhances life expectancy.
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Implications for Nursing Care Related to Change in Environment
- Nurse should focus on conducting thorough health assessment to identify the specific needs, preferences and functional status of person This helps in making effective person-centred care plan.
- If patient is getting hospitalised then nurse should check all the medicines which patient takes for the diabetes control. This helps in prescribing medicines that helps patient in managing their condition.
- Providing psychological safer environment to patient that empowers them to be part of care decision making leading them to undergo the treatment and control their fluctuation in the blood glucose level.
- Nurses should work with carer, family members to encourage patient to maintain food hygiene to avoid chances of neuropathy and infection. Along with this, educating patient to consume sugar free food and manage their weight.
- Diabetic person often feel isolation due to the poor engagement with society. To navigate their emotional challenge, nurse should introduce patient with the diverse community and educate all the societal people about this condition. This helps societies to welcome such patient and supports their emotional-mental well-being.
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Relevancy of poster
Poster is relevant in terms of providing precise information that guides targeted audience to easily adapt the healthy lifestyle and controls their blood glucose level. Right typography and proper layout of content increases the relevancy of poster enabling targeted audience to read it and adopt control measures to improvise their diet, physical health to manage their condition.
Implication of quality improvement initiatives
Stereotypes, prejudices and discrimination: Awareness program against anti-ageism is the quality initiative that positively impact ageism. It raises awareness among the different group of people related to ageism and associated risk factors, thus making all people to improvise their behaviour towards older people. It also helps in providing more genuine and optimistic portrayals of the older adults. Further, it also reduces stereotypes in older people and makes them able to express their symptoms with others without any fear. Further, collaboration with healthcare policy makers helps in making policies that guide healthcare principles and prohibits discriminatory and bullying events against older adults This initiative guides health professionals to abide with the duties and manage their biases to provide equitable care support to all people whether young people or older adults.
Changes in natural, social and governmental environment: Quality initiatives helps in providing better natural setting for the older adults. For instance: Working with locals in reducing the use of vehicles and improvising quality of air helps in providing the safer environment that do not pose risk of insulin resistance among the diabetic patient. For instance: community based programs helps in promoting the intergenerational interaction that is crucial for cultivating more inclusive societal environment for the older adults. It helps older people to not feel isolated and take part in every program of society. Likewise, nurses insight given to policy makers helps in preparing the robust policies that support healthy ageing and encourages people to seek healthcare support. Further, it also helps in bringing change within the whole healthcare system making all staff to strictly adhere with regulations and avoids their biases against older population. This in turn helps older adults to control their diabetes.
Aging process: Awareness program in community related to the ageism, diabetes awareness helps people to understand this disease and its associated symptoms. Such program helps family members of patient to remain aware of their member’s high blood sugar and low glucose level symptoms and providing them with support accordingly. While, quality initiatives also helps in enhancing adherence to the medications, dietary plans and weight management for older adults, by ensuring the patient centred care. Working with older adults to recommend them proper diet chart and weight management helps patient in controlling their glucose level and living healthy life. Further, this type of weight and diet management programs leads to better health results by minimising the risk of complications like cardiovascular, nephrology and other serious condition. Additionally, community awareness program also helps in reducing ageism stress that minimises emotional and mental stress among the older population with diabetes. Thus, cultivating positive perception among society and promoting self-confidence among diabetic patient helps them in maintaining their healthy behaviour.
Overall, quality initiative helps in improvising health factor of older adults with diabetic by enabling them to easily involve in community and overcome their internalized ageism and sustain positive behaviour towards life.
References
- Colón-Emeric CS, McDermott CL, Lee DS, Berry SD. Risk assessment and prevention of falls in older community-dwelling adults: a review. Jama. 2024 Apr 23;331(16):1397-406.
- Kim HS, Cho SH. Impact of Social Support, Uncertainty, Depression, and Self-Efficacy on the Quality of Life in Older Adults. International Journal of Gerontology. 2025 Apr 1;19(2).
- Liu R, Li L, Shao C, Cai H, Wang Z. The impact of diabetes on vascular disease: progress from the perspective of epidemics and treatments. Journal of Diabetes Research. 2022;2022(1):1531289.
- Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, Osman A, Sarquis-Adamson Y, Close J, Hogan DB, Hunter SW, Kenny RA, Lipsitz LA, Lord SR. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. JAMA network open. 2021 Dec 1;4(12):e2138911-.
- Mukherjee U, Sehar U, Brownell M, Reddy PH. Sleep deprivation in dementia comorbidities: focus on cardiovascular disease, diabetes, anxiety/depression and thyroid disorders. Aging (Albany NY). 2024 Nov 20;16(21):13409.
- 2025. Online. Available through: <>
- Colón-Emeric CS, McDermott CL, Lee DS, Berry SD. Risk assessment and prevention of falls in older community-dwelling adults: a review. Jama. 2024 Apr 23;331(16):1397-406.
- Kim HS, Cho SH. Impact of Social Support, Uncertainty, Depression, and Self-Efficacy on the Quality of Life in Older Adults. International Journal of Gerontology. 2025 Apr 1;19(2).
- Liu R, Li L, Shao C, Cai H, Wang Z. The impact of diabetes on vascular disease: progress from the perspective of epidemics and treatments. Journal of Diabetes Research. 2022;2022(1):1531289.
- Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, Osman A, Sarquis-Adamson Y, Close J, Hogan DB, Hunter SW, Kenny RA, Lipsitz LA, Lord SR. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. JAMA network open. 2021 Dec 1;4(12):e2138911-.
- Mukherjee U, Sehar U, Brownell M, Reddy PH. Sleep deprivation in dementia comorbidities: focus on cardiovascular disease, diabetes, anxiety/depression and thyroid disorders. Aging (Albany NY). 2024 Nov 20;16(21):13409.
