Creating a self-management plan for Sarah, who is dealing with Type 2 diabetes and Leukemia Cancer, is essential to ensure her overall well-being and manage her health conditions effectively

QUESTION

Design a self-management plan for sarah that clearly linked to Sarah and their health issues which are Type 2 diabetes and Leukemia Cancer that clearly identifies two SMART goals – please see below for a format example a. For each SMART goal, you are to include 3 (three) patient-guided interventions. One (1) of the three interventions for each goal must include the use of the identified health professionals in part 3. Each intervention must have brief justification (10 words ) b. Each intervention – must have an appropriate and relevant supporting reference from 2016 onwards

ANSWER

Creating a self-management plan for Sarah, who is dealing with Type 2 diabetes and Leukemia Cancer, is essential to ensure her overall well-being and manage her health conditions effectively. For Sarah, two SMART (Specific, Measurable, Achievable, Relevant, Time-bound) goals will be developed, each accompanied by three patient-guided interventions. One intervention for each goal will involve the participation of healthcare professionals.

SMART Goal 1

Goal: Sarah will achieve better glycemic control to manage her Type 2 diabetes effectively.

1. Patient-Guided Intervention 1: Monitor Blood Glucose Regularly (BGR) – Sarah will check her blood glucose levels daily using a glucometer and record the results. (Justification: Regular BGR helps Sarah and her healthcare team make informed decisions about diabetes management.)*[Reference: American Diabetes Association. (2019). 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2019. Diabetes Care, 42(Supplement 1), S13-S28.](https://doi.org/10.2337/dc19-S002)*

2. Patient-Guided Intervention 2: Adhere to a Balanced Diet – Sarah will work with a registered dietitian to develop a personalized meal plan that focuses on controlling her blood sugar levels and promoting overall health. (Justification: Proper nutrition is fundamental in diabetes management.)*[Reference: Evert, A. B., Dennison, M., Gardner, C. D., Garvey, W. T., Lau, K. H. K., MacLeod, J., … & Yancy, W. S. (2019). Nutrition therapy for adults with diabetes or prediabetes: A consensus report. Diabetes Care, 42(5), 731-754.](https://doi.org/10.2337/dci19-0014)*

3. Healthcare Professional Intervention: Medication Management – Sarah will consult with her endocrinologist regularly to review her medication regimen, make necessary adjustments, and ensure optimal glycemic control. (Justification: Medication management requires expert guidance to tailor treatment to Sarah’s specific needs and condition.)

SMART Goal 2

Goal: Sarah will effectively manage her leukemia cancer treatment side effects while maintaining a good quality of life.

1. Patient-Guided Intervention 1:Chemotherapy Symptom Diary – Sarah will maintain a daily diary to track chemotherapy-related symptoms, their severity, and the impact on her daily life. (Justification: Tracking symptoms helps Sarah communicate effectively with her healthcare team.)*[Reference: Basch, E., Deal, A. M., Kris, M. G., Scher, H. I., Hudis, C. A., Sabbatini, P., … & Schrag, D. (2016). Symptom monitoring with patient-reported outcomes during routine cancer treatment: A randomized controlled trial. Journal of Clinical Oncology, 34(6), 557-565.](https://doi.org/10.1200/JCO.2015.63.0830)*

2. Patient-Guided Intervention 2: Regular Physical Activity – Sarah will engage in light to moderate physical activity as recommended by her oncologist and oncology nurse to improve her energy levels and overall well-being. (Justification: Physical activity can alleviate cancer treatment-related fatigue.)*[Reference: Schmitz, K. H., Courneya, K. S., Matthews, C., Demark-Wahnefried, W., Galvão, D. A., Pinto, B. M., … & Schwartz, A. L. (2010). American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Medicine & Science in Sports & Exercise, 42(7), 1409-1426.](https://doi.org/10.1249/MSS.0b013e3181e0c112)*

3. Healthcare Professional Intervention: Symptom Management – Sarah will work closely with her oncology nurse and oncologist to manage and alleviate chemotherapy side effects promptly. (Justification: Healthcare professionals are trained to provide interventions to mitigate the impact of chemotherapy side effects.)

This self-management plan, driven by SMART goals and patient-guided interventions, empowers Sarah to actively participate in her healthcare journey while leveraging the expertise of healthcare professionals for optimal outcomes in managing both Type 2 diabetes and leukemia cancer.