Of course, not all goals will be met for all clients, but it is important to have an optimal objective. The main overall goal of the program is for clients to retain long-term exercise habits.
The effective disease management program approaches the problem of diabetes in terms of access, prevention, diagnosis, and prevalence. This is seen as a positive move forward. Goals and methods of the diabetes disease management program include reducing morbidity and mortality. Diabetes often leads the patient to die of a related condition and the patient needs to be educated about risk first and foremost. This group of authors state that, “The goal is to not only to provide clinical information about new therapy, but also information about the effect of the therapy on aspects of life that are valued by patients, or health related quality of life” (Curtis et al., 13). It is important for evidence based professionals to know their clients and to improve their quality of life, in ways that decrease the incidences of diabetes.
The quality of life problems and priorities of people with type II diabetes are various. Patients who cannot control their diabetes or are unable to may develop complications from the disease that are very serious, such as the risk of blindness, renal failure, and even the amputation of lower limbs. “Adjunctive referral to a diabetes support group may be helpful for some patients when complications arise. Establishing group involvement may be difficult at the stage when serious complications set in, however, because healthier members sometimes have difficulty accepting patients with complications” (Diabetes, 2005). This presents a barrier to the disease management plan for a group format because some patients may see those diabetics with severe complications such as blindness as a reflection their own future with the disease, and react negatively, thus