Digitized Honors Theses (2002-2017)

Date of Award

5-2011

Document Type

Undergraduate Thesis

Degree Name

BS

Faculty Mentor

Ellen Buckner

Abstract

In order for individuals to successfully manage diabetes, it is imperative that there is a level of knowledge that encompasses all aspects of healthcare. Not only must individuals know the importance of monitoring blood glucose and medication administration, but a level of understanding regarding diet, exercise, and living with diabetes must also be considered to complete the puzzle that is diabetes. The purpose of this IRB approved pilot descriptive case study was to understand the role that coaching plays on overall health and chronic conditions such as Diabetes Mellitus and Coronary Heart Disease (CHD) in underserved elderly individuals. Participants were part of a nurse-managed Our Neighborhood Healthcare Clinic (ONHC) Outreach Program. The Framingham Risk Score for CHD was assessed prior to and following intervention, and the Literacy Assessment for Diabetes as well as foot condition were assessed during intervention. An eight week pilot coaching program was initiated based on the coaching tool "Meter, Meds, Meals, Move, and More", which focuses on monitoring blood glucose, medications, eating healthy, active lifestyles, and solving diabetes related health and social issues (Ulrich & Abner, 2010). Coaching was implemented weekly with five individuals who met specified inclusion criteria. Diaries were issued o each participant and used as a tool to record general health information, blood glucose measurements, daily food intake, daily exercise, and psychosocial response to self-management.

Parameters of coaching were evaluated by nurse and client in order to determine feasibility for establishing long term programs.

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