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Given the readings from this week, how would you approach working with a patient that has prediabetes? What types of interventions would you implement? How would you partner with them in creating their goals? What types of obstacles might you face? How would you ideally work with the healthcare team?
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ChrPrediabetes is a condition that more than 86 million Americans have (Johnson & Marrero, 2016), and one that can benefit from a biopsychosocial approach to healthcare (Hunter, 2016). Self-management, dietary intervention, and lifestyle change are important aspects of aiding individuals both diagnosed with prediabetes and aiding the management of type two diabetes (T2D) diagnoses (Taylor, 2018). Programs that aid in managing diabetes use important personal reasons to help motivate individuals in making serious commitments to their lifestyle and keep them open and willing to add home-based and ongoing self-monitoring for the betterment of their health (Venditti, 2016). Evidence supports that behavioral interventions have a ripple effect that aids in the widespread improvement of individuals physical, psychological, social outcomes, as well as their quality of life. Individualized intensive well-designed behavioral lifestyle interventions are the most effective for long-term cost-effective treatment of prediabetes (Hunter, 2016).
When working with a client who is struggling with a prediabetes or T2D diagnosis, the first thing I would want to do is examine the way individuals view their diagnosis and how they feel their psychological wellbeing is interconnected to their diagnoses. Some individuals experience a sense of denial, especially in relation to their psychological symptoms (Johnson & Marrero, 2016). Thus, it would be important to assess the individuals levels of denial and understanding of the psychological effects that prediabetes can have. Psychoeducation would be important through the first phases of treatment then it would be necessary to evaluate the aspects of the individuals lives that may benefit from behavioral adjustments. The next step would include implementing the behavioral adjustments discussed with the client. This would allow the client to make their own choices while also being guided by a professional that can monitor both the psychological and physical wellbeing of the client. Self-monitoring and self-management would be skills needed to be taught to ensure that the client can independently manage their disease and know when they need additional interventions or to speak with a medical professional.
Hunter, C. M. (2016). Understanding diabetes and the role of psychology in its prevention and treatment. American Psychologist, 71(7), 515525. https://doi.org/10.1037/a0040344
Johnson, S. B. & Marrero, D. (2016). Innovations in healthcare delivery and policy: Implications for the role of the psychologist in preventing and treating diabetes, American Psychologist, 71(7), 628-637. https://doi.org/10.1037/a0040439
Taylor, S. (2018). Health psychology (10th ed.). New York, NY: McGraw-Hill.
Venditti, E. M. (2016). Behavior change to prevent or delay type 2 diabetes: Psychology in action, American Psychologist, 71(7), 602-613. https://doi.org/10.1037/a0040433
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