Project to Improve Quality Care for Patients with Diabetic Ulcers.

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Project to Improve Quality Health Care for Patients with Diabetic Ulcers.

Diabetic Ulcers refers to the infection of the deep tissues that are mainly associated with neurologic abnormalities and the various levels of peripheral arterial disease (Katsilambros, (2010). Katsilambros (2010) continues to illustrate that, this leads to an open wound and it is mostly experienced in patients with diabetes in the lower limb. The disease is a major-medical problem. However, there is less attention that can facilitate sufficient recovery or even prevent the disease from advancing into chronic conditions. Evidence has shown that, the kind of health care provided is not enough to facilitate recovery of the wound, healing as well as preventing the disease from advancing from its initial stages to the critical condition. According to Aalaa et al. (2012), the nurses play a major role when it comes to the provision of quality health care. They are continuously involved in detecting as well as preventing the disease from advancing to the chronic conditions. However, the number of patients has been on an increase, thus making the number of nurses providing healthcare services to be lower. This hinders adequate delivery of health care to the patients. As a result, there is need to educate the patients on how sufficiently on self-management to facilitate quick recovery and healing. This project therefore will promote education for the patients on how to effectively manage their wounds.

The purpose of the program or project.

This program is majorly directed towards educating patients suffering from diabetes as well as diabetic ulcers on how to effectively manage their health conditions. The information presented by Formosa, Gatt & Chockalingam (2012) illustrates that, for individuals who are suffering from diabetes conditions, self-management education is much significant. This is because, more than 95 percent of the overall patient care is provided by the individuals and their family. The major aim of providing education is to change the behavior of diabetic individuals and promote self-management. Poor foot care management normally result into an increase in ulceration risk, amputation as well as mortality for the patients (Formosa, Gatt & Chockalingam, 2012).

The target population.

The population being targeted involves those patients that are suffering from diabetes, patients that have started developing symptoms of diabetes ulcers as well as individuals belonging to the advanced stage of diabetic ulcers condition. These are the increasing number of patients that have not been able to access sufficient medical care due to low number of nurses that are not able to provide adequate services. In this regard, these patients will be subjected to adequate education involving self-management which will ease the continuous congestion of patients within the hospital by conducting simple operations rather than depending on the health care providers.

The benefits of the program or project.

Improved health through self-management. According to Formosa, Gatt & Chockalingam (2012), appropriate education initiatives are much important in lowering diabetic foot complications. Evidence shows that, through regular foot care education, education can lower the amputation rate of up to 45-85 percent. Diabetes education project is integral in the management of diabetes. The project therefore aims at lowering the diabetes Ulcers as by 70 percent through appropriate education.

Secondly, cost reduction. Individuals suffering from diabetic ulcers spend large sums of money for the treatment of the disease when compared to individuals that are diabetic and some people are not able to afford these costs (McCall, 2014).For instance, diabetes is such an expensive condition to treat, in the year 2012, it cost the United States $244 billion. This is an economic burden imposed by the disease. This is approximated to be an economic burden of $10, 970 per year for every patient (NPR, 2014). Based on the information presented by the American Diabetes Association, hospital inpatient care for patients that are diabetic costs about 43 percent of the total expenses that are used in medical. This project will therefore enable diabetic individual to effectively manage their conditions with regular examinations to prevent the disease from advancing to chronic conditions that are expensive for the individuals as well as the country to treat.

The cost or budget justification.

The project’s budget will be done on the basis of hourly wage for the qualified nurse to offer sufficient and thorough education to the patients as well as the various providers within the clinic with some added handouts. As a result, the budget that will be required is $45, 000 per annum. This is far less when compared to the amount of resources directed towards the treatment of Diabetes ulcers.

The basis upon which the program or project will be evaluated.

The program will be evaluated on the basis of the patient recovery rates as well as the amount of costs that will be saved. It is expected that the project will result into a relatively low number of patients if not none, advancing into chronic conditions. Consequently, evaluation will be done on the basis of the rate of patients that will be able to recover and heal due to the appropriate self-management.

The response of the manager.

The Yuma Regional Medical Center (YRMC) has already initiated the change and patients are using the skills learnt from the education provided in self-managing their conditions. The outcome has been much promising in that, it has resulted into a low number of patients being admitted as well as those seeking minor disease management procedures from the healthcare providers. Presenting the project has proved to be a good approach in solving the medical problem experienced and the institution is able to achieve other goals.


There are many complications that are likely to occur if there is inadequate healthcare delivery to the patients suffering from diabetes and diabetic foot ulcers. Patients can develop advanced chronic conditions that are painful and expensive to treat. In order to decrease the rates of chronic conditions. In this regard, education to patients is such an important project in enhancing the knowledge of the patients in self-management.


Aalaa, M., Malazy, T., Sanjari, M., & Mohajeri-Tehrani (2012): Nurses’ role in diabetic foot prevention and care; a review.

American Diabetes Association. The Cost of Diabetes. Retrieved on 2017 8, September from diabetes.html?referrer=

Formosa, C., Gatt, A., & Chockalingam, N. (2012). The importance of diabetes foot care education in a primary care setting. Journal of Diabetes Nursing16(10).

Katsilambros, N. (2010). Atlas of the diabetic foot. Chichester, West Sussex: John Wiley & Sons.

McCall, B. (2014) Huge Burden of Foot Ulcers Doubles Diabetes Costs in US. Retrieved on 2017 8, September from

NPR (2014). What Diabetes Costs You, Even If You Don’t have the Disease. Public health.

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