Category: NURS-FPX6610

NURS FPX 6610 Assessment 4 Case Presentation Name Capella university NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Importance of Case Studies in Healthcare Case studies are an essential component of the healthcare industry, offering a comprehensive summary of a patient’s medical history, diagnoses, and available treatment options. These studies serve as valuable resources for tracking patient progress and revisiting cases when necessary to enhance decision-making. Furthermore, case studies facilitate professional learning by incorporating real-world scenarios, which improve healthcare practitioners’ ability to address complex patient needs effectively (Hinchliffe et al., 2020). A key area of focus in healthcare case studies is transitional patient care, which emphasizes the role of multidisciplinary teams in achieving optimal patient outcomes. For instance, understanding the intricate needs of patients transitioning between care facilities significantly improves the quality of care provided. Table 1: Case Studies in Healthcare Aspect Details Example Case Study Definition Provides a concise medical history, diagnoses, and treatments. Real-world scenarios enhance understanding. Importance in Healthcare Aids in patient tracking and decision-making. Revisiting cases improves treatment outcomes. Focus of Discussion Transitional care with multidisciplinary team collaboration. Ensures seamless patient transitions. Transitional Care Plan and Goals of Continuing Care Transitional care refers to the coordinated management of patients as they move between different healthcare settings, ensuring continuity of care and mitigating potential risks during transfers (Daliri et al., 2019). The primary goal of transitional care is to facilitate a smooth and stress-free process while acknowledging patients’ individual needs, cultural preferences, and medical requirements. For example, Mrs. Snyder, a 56-year-old patient diagnosed with ovarian cancer and diabetes, requires a personalized transitional care plan that aligns with her Jewish beliefs. Ensuring that she has access to kosher meals while addressing her complex medical conditions exemplifies the importance of compassionate and culturally competent care. Table 2: Transitional Care and Its Goals Aspect Details Example Definition of Transitional Care Coordination during transitions between healthcare settings. Focus on patient well-being and safety. Goals Ensures stress-free transitions while respecting patient needs. Cultural respect and tailored care plans. Case Example Mrs. Snyder’s transfer from one facility to another. Inclusion of kosher meals in her care. Stakeholder Roles in Patient Health and Safety Stakeholders play a vital role in ensuring the quality of patient care and overall well-being. In cases like Mrs. Snyder’s, healthcare providers, cultural liaisons, and family members must collaborate to minimize stress and honor cultural values. For instance, ensuring that Mrs. Snyder receives kosher food and is treated with dignity throughout her transfer reflects a strong commitment to patient-centered care (Lianov et al., 2020). The active involvement of stakeholders enhances both patient satisfaction and the quality of healthcare delivery, ultimately improving patient outcomes. Table 3: Stakeholder Roles in Patient Care Aspect Details Example Role of Stakeholders Ensure quality care and cultural sensitivity. Minimize stress during transitions. Specific Actions Collaboration between healthcare providers and family. Providing kosher food for Mrs. Snyder. Impact on Outcomes Enhances patient satisfaction and care quality. Improved cultural and medical care. References Ansa, B. E., Zechariah, S., Gates, A. M., Johnson, S. W., Heboyan, V., & De Leo, G. (2020). Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare, 8(3), 323. https://doi.org/10.3390/healthcare8030323 Asmirajanti, M., Hamid, A. Y. S., & Hariyati, Rr. T. S. (2019). Nursing care activities based on documentation. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0352-0 Daliri, S., Hugtenburg, J. G., ter Riet, G., et al. (2019). The effect of a pharmacy-led transitional care program on medication-related problems post-discharge: A before-after prospective study. PLOS One, 14(3), 0213593. https://doi.org/10.1371/journal.pone.0213593 NURS FPX 6610 Assessment 4 Case Presentation Hinchliffe, R. J., Forsythe, R. O., Apelqvist, J., et al. (2020). Guidelines on diagnosis, prognosis, and management of peripheral artery disease in patients with foot ulcers and diabetes (IWGDF 2019 update). Diabetes/Metabolism Research and Reviews, 36(1). https://doi.org/10.1002/dmrr.3276 Lianov, L. S., Barron, G. C., Fredrickson, B. L., et al. (2020). Positive psychology in health care: Defining key stakeholders and their roles. Translational Behavioral Medicine, 10(3), 637–647. https://doi.org/10.1093/tbm/ibz150 NURS FPX 6610 Assessment 4 Case Presentation

NURS FPX 6610 Assessment 3 Transitional Care Plan Name Capella university NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Transitional Care Plan Transitional care is an essential aspect of ensuring patient safety and quality healthcare. Its primary objective is to facilitate a seamless transition for patients between different phases of treatment, minimizing complications and improving overall health outcomes. This approach is particularly significant for individuals with chronic conditions who require continuous monitoring to prevent adverse effects. This document presents a transitional care plan for Mrs. Snyder, a 56-year-old patient with diabetes who has been admitted to Villa Hospital due to an infected toe. The discussion outlines the key elements of her care, identifies communication barriers, and proposes strategies to enhance the effectiveness of transitional care (Korytkowski et al., 2022). Key Elements and Required Information for Quality Treatment Effective transitional care involves strict adherence to guidelines that ensure optimal patient outcomes. The accurate diagnosis of the patient’s condition is crucial to prevent complications and provide appropriate treatment (Watts et al., 2020). For Mrs. Snyder, maintaining comprehensive medical records, conducting medication reconciliation, providing emergency care details, and considering patient feedback are essential components of quality care. Her medical history offers insights into potential co-existing conditions, such as hypertension or depression, which can influence her treatment plan (Chen et al., 2018). Medication reconciliation is a key factor in ensuring that the prescribed medications align with her treatment goals, reducing the risk of adverse drug interactions (Fernandes et al., 2020). Additionally, emergency directives, including advance care planning, address her healthcare preferences and cultural considerations, fostering a patient-centered approach (Dowling et al., 2020). The availability of community resources, such as mobility assistance, social support, and outpatient care services, further contributes to her recovery and overall well-being (Yue et al., 2019). Insight into Patient Needs and Communication Challenges A well-structured transitional care plan must consider the patient’s needs, including relevant medical test results, prescribed medications, and details of prior hospitalizations. Addressing communication barriers is equally important, as miscommunication can lead to treatment delays, medication errors, and increased healthcare costs (Raeisi et al., 2019). Ensuring that healthcare professionals are trained in effective collaboration and electronic health record (EHR) utilization can help mitigate these risks (Tsai et al., 2020). Strategies for Enhancing Transitional Care A collaborative approach is essential in ensuring a smooth transition from hospital care to home or outpatient services. Proper planning and coordination allow for seamless information exchange, including medication reconciliation lists and discharge instructions, which are crucial for effective patient management (Glans et al., 2020). Follow-up sessions enable healthcare providers to evaluate the success of the care plan, identify gaps, and make necessary improvements. Additionally, educating Mrs. Snyder on self-care strategies, such as maintaining a healthy diet and engaging in regular physical activity, can significantly enhance her long-term well-being (Spencer & Singh Punia, 2020). Summary Table of Transitional Care Plan Heading Details References Key Elements Comprehensive medical records, medication reconciliation, patient feedback, and emergency directives are crucial. Chen et al. (2018), Fernandes et al. (2020), Dowling et al. (2020) Communication Effective communication with healthcare teams minimizes treatment errors, delays, and patient dissatisfaction. Garcia-Jorda et al. (2022), Yazdinejad et al. (2020) Challenges Incomplete records, inefficiencies in EHR systems, and inadequate staff training hinder care continuity. Cullati et al. (2019), Tsai et al. (2020) Conclusion Transitional care plays a critical role in ensuring that patients like Mrs. Snyder receive consistent and high-quality treatment. By addressing communication barriers, fostering teamwork among healthcare providers, and prioritizing patient education, healthcare systems can significantly reduce complications and improve patient satisfaction. Implementing these strategies enhances individual health outcomes while also contributing to the overall efficiency and effectiveness of healthcare delivery. References Chen, Y., Ding, S., Xu, Z., Zheng, H., & Yang, S. (2018). Blockchain-based medical records secure storage and medical service framework. Journal of Medical Systems, 43(1). https://doi.org/10.1007/s10916-018-1121-4 Cullati, S., Bochatay, N., Maître, F., Laroche, T., Muller-Juge, V., Blondon, K. S., Junod Perron, N., Bajwa, N. M., Viet Vu, N., Kim, S., Savoldelli, G. L., Hudelson, P., Chopard, P., & Nendaz, M. R. (2019). When team conflicts threaten the quality of care: A study of health care professionals’ experiences and perceptions. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 3(1), 43–51. https://doi.org/10.1016/j.mayocpiqo.2018.11.003 Dowling, T., Kennedy, S., & Foran, S. (2020). Implementing advance directives—An international literature review of important considerations for nurses. Journal of Nursing Management, 28(6). https://doi.org/10.1111/jonm.13097 Fernandes, B. D., Almeida, P. H. R. F., Foppa, A. A., Sousa, C. T., Ayres, L. R., & Chemello, C. (2020). Pharmacist-led medication reconciliation at patient discharge: A scoping review. Research in Social and Administrative Pharmacy, 16(5), 605–613. https://doi.org/10.1016/j.sapharm.2019.08.001 Garcia-Jorda, D., Fabreau, G. E., Li, Q. K. W., Polachek, A., Milaney, K., McLane, P., & McBrien, K. A. (2022). Being a member of a novel transitional case management team for patients with unstable housing: An ethnographic study. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07590-6 NURS FPX 6610 Assessment 3 Transitional Care Plan Glans, M., Kragh Ekstam, A., Jakobsson, U., Bondesson, Å., & Midlöv, P. (2020). Risk factors for hospital readmission in older adults within 30 days of discharge – A comparative retrospective study. BMC Geriatrics, 20(1). https://doi.org/10.1186/s12877-020-01867-3 Korytkowski, M. T., Muniyappa, R., Antinori-Lent, K., Donihi, A. C., Drincic, A. T., Hirsch, I. B., Luger, A., McDonnell, M. E., Murad, M. H., Nielsen, C., Pegg, C., Rushakoff, R. J., Santesso, N., & Umpierrez, G. E. (2022). Management of hyperglycemia in hospitalized adult patients in non-critical care settings: An endocrine society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/clinem/dgac278 Raeisi, A., Rarani, M. A., & Soltani, F. (2019). Challenges of the patient handover process in healthcare services: A systematic review. Journal of Education and Health Promotion, 8(173). https://doi.org/10.4103/jehp.jehp_460_18 Spencer, R. A., & Singh Punia, H. (2020). A scoping review of communication tools applicable to patients and their primary care providers after discharge from the hospital. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2020.12.010 NURS FPX 6610 Assessment 3 Transitional Care Plan Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: A scoping review and qualitative analysis of the content. Life,

NURS FPX 6610 Assessment 2 Patient Care Plan Name Capella university NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Patient Care Plan for Mrs. Snyder Patient Information Patient Identifier: 6700891 Medical Diagnosis: Poorly controlled anxiety, obesity, hypertension (HTN), diabetes mellitus (DM), and hypercholesterolemia. Nursing Diagnosis 1: Risk of Poor Healthcare Management and Diabetes Complications Assessment Data Mrs. Snyder, a 56-year-old married mother of two, is undergoing treatment for hyperglycemia and uncontrolled diabetes. She has a history of consuming high-sugar snacks. Objectively, she was admitted to the emergency department with blood sugar levels ranging from 230 to 389 mg/dL, along with symptoms such as dyspnea, abdominal discomfort, and urination issues. She also has a diagnosis of hypertension. Goals and Outcomes Mrs. Snyder will maintain blood glucose levels within the range of 90–140 mg/dL over the next two months. She will demonstrate improved dietary habits and a reduction in weight within three months by adhering to a low-sugar, balanced diet. Nursing Interventions and Rationale Educate Mrs. Snyder on self-care management strategies, including dietary control and regular physical activity. Self-care education enhances patient autonomy and promotes effective diabetes management (USC, 2018). Teach blood glucose monitoring and insulin administration techniques to ensure proper diabetes management. Self-monitoring helps regulate insulin dosage and dietary intake (Carolina, 2019). Collaborate with a dietitian to formulate a meal plan that minimizes sugar intake. A structured diet is critical for blood sugar control and preventing diabetes complications (Heart, 2021). Outcome Evaluation and Re-planning Daily glucose level monitoring will be implemented. If the goals are not met, interventions such as increased follow-up visits or alternative medication strategies will be introduced. Nursing Diagnosis 2: Anxiety Related to Caregiving and Health Issues Assessment Data Mrs. Snyder reports experiencing anxiety due to her responsibilities at home and the care of her elderly mother. She feels overwhelmed, resulting in high blood pressure and tachycardia. Objectively, she has an inconsistent intake of anxiolytic medications, with vital signs indicating elevated blood pressure (145/95 mmHg) and tachycardia (105 BPM). Goals and Outcomes Mrs. Snyder’s anxiety levels will decrease by 50% within one month of implementing non-pharmacological interventions. Her blood pressure will stabilize at 130/90 mmHg, and her heart rate will normalize within one month. Nursing Interventions and Rationale Administer prescribed anxiolytics as directed to help manage her anxiety levels. These medications promote mental stability and reduce anxiety symptoms (Ströhle et al., 2018). Refer to cognitive behavioral therapy (CBT) sessions to provide structured coping strategies for stress and anxiety management. CBT is an effective intervention for anxiety-related disorders (Pegg et al., 2022). Connect to a support group for Jewish women facing caregiving stress. Social support plays a crucial role in emotional well-being and stress reduction. Outcome Evaluation and Re-planning Weekly reviews of anxiety levels and blood pressure will be conducted. If progress is inadequate, interventions such as medication adjustments or additional therapy sessions will be considered. Nursing Diagnosis 3: Caregiver Role Strain and Fear of Cancer Treatment Assessment Data Mrs. Snyder expresses concerns about undergoing chemotherapy for ovarian cancer while simultaneously managing her mother’s care. She reports experiencing shortness of breath, and objective data indicates an oxygen saturation level dropping to 91% during ambulation, likely due to her obesity. Goals and Outcomes Mrs. Snyder will arrange long-term care for her mother within two weeks to allow her to focus on her chemotherapy. Her oxygen saturation will improve to 95% with ambulation within one month of initiating treatment. Nursing Interventions and Rationale Refer Mrs. Snyder to a social worker for assistance in securing long-term care for her mother. This support will alleviate caregiver strain and enable her to focus on her health (Hoyt, 2022). Implement non-pharmacological pain management strategies, such as meditation and breathing exercises. These interventions help reduce anxiety and manage pain during cancer treatment (Sheikhalipour et al., 2019). Monitor pain levels and oxygen saturation three times daily to ensure early identification of potential complications. Outcome Evaluation and Re-planning If oxygen saturation and pain management goals are not met, alternative strategies, such as supplemental oxygen or adjustments in pain medication, will be explored. Table Format Nursing Diagnosis Assessment Data Goals and Outcomes Nursing Interventions and Rationale Outcome Evaluation and Re-planning Risk of Poor Healthcare Management and Diabetes Complications Subjective: Mrs. Snyder reports a history of consuming high-sugar snacks. Objective: Blood sugar levels between 230–389 mg/dL, dyspnea, abdominal discomfort, and HTN. 1. Maintain blood glucose within 90–140 mg/dL in two months. 2. Improve dietary habits and reduce weight in three months. 1. Educate on self-care (USC, 2018). 2. Teach blood glucose monitoring and insulin administration (Carolina, 2019). 3. Collaborate with a dietitian for meal planning (Heart, 2021). Monitor glucose levels daily. Adjust follow-up visits and medications if needed. Anxiety Related to Caregiving and Health Issues Subjective: Mrs. Snyder reports anxiety due to caregiving stress. Objective: BP: 145/95 mmHg, HR: 105 BPM, irregular anxiolytic use. 1. Reduce anxiety levels by 50% in one month. 2. Stabilize BP at 130/90 mmHg and normalize heart rate. 1. Administer anxiolytics (Ströhle et al., 2018). 2. Refer to CBT (Pegg et al., 2022). 3. Connect to a support group. Weekly monitoring of anxiety and BP. Adjust medications or therapy as needed. Caregiver Role Strain and Fear of Cancer Treatment Subjective: Mrs. Snyder fears chemotherapy and struggles with caregiving. Objective: Oxygen saturation drops to 91% during ambulation. 1. Secure long-term care for her mother within two weeks. 2. Improve oxygen saturation to 95% within one month. 1. Refer to a social worker for caregiving support (Hoyt, 2022). 2. Implement meditation and breathing exercises (Sheikhalipour et al., 2019). 3. Assess oxygen saturation and pain levels thrice daily. If goals are unmet, consider supplemental oxygen or alternative pain management. References Carolina, C. M. (2019). Unlocking the full potential of self-monitoring of blood glucose. U.S. Pharmacist. https://www.uspharmacist.com/article/unlocking-the-full-potential-of-selfmonitoring-of-blood-glucose Hoyt, J. (2022). Assisted living & senior placement agencies. SeniorLiving.org. https://www.seniorliving.org/placement-agencies/ Pegg, S., Hill, K., Argiros, A., Olatunji, B. O., & Kujawa, A. (2022). Cognitive behavioral therapy for anxiety disorders in youth. Current Psychiatry Reports, 24(12). https://doi.org/10.1007/s11920-022-01384-7 NURS FPX 6610 Assessment 2 Patient Care Plan Sheikhalipour, Z., Ghahramanian, A., Fateh, A., Ghiahi, R., & Onyeka, T. C. (2019). Quality of life in women with cancer. Journal

NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment Name Capella university NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Nursing Diagnosis and Care Plan for Mrs. Snyder Patient Information Patient Identifier: 6700891 Medical Diagnosis: Poorly controlled anxiety, obesity, hypertension (HTN), diabetes mellitus (DM), and hypercholesterolemia First Nursing Diagnosis: Ineffective Health Management Related to Poor Diabetes Education Assessment Data Mrs. Snyder, a 56-year-old married mother of two, is currently undergoing treatment for hyperglycemia and uncontrolled diabetes. She was admitted to the emergency department with blood sugar levels ranging between 230-389 mg/dL, experiencing symptoms such as dyspnea, lower abdominal discomfort, malaise, and frequent urination. Additionally, she has hypertension and follows an unhealthy dietary pattern, frequently consuming cookies and snacks. Goals and Outcomes Goal 1: Within one month, Mrs. Snyder’s blood sugar and blood pressure levels will stabilize. Goal 2: Over three months, Mrs. Snyder will report improvements in her eating habits and overall health (Ramzan et al., 2022). Nursing Interventions Education on Self-Care Management: Provide guidance on lifestyle modifications, including dietary adjustments, physical activity, and healthy sleep patterns (USC, 2018). Encouragement of Diabetes Self-Monitoring: Teach Mrs. Snyder how to check her blood glucose daily and track her food intake to enhance diabetes management (Carolina, 2019). Insulin Administration Education: Ensure Mrs. Snyder understands the proper techniques for insulin administration to maintain optimal blood glucose control. Rationale Self-care education equips patients with the knowledge necessary to manage diabetes effectively, promoting adherence to medication and lifestyle changes. Improved self-management leads to better collaboration between the patient and the healthcare team (Heart, 2021). Outcome Evaluation and Re-planning Mrs. Snyder’s care team will routinely review her glucose logs to assess the effectiveness of her treatment plan. Based on her progress, adjustments may be made to her dietary plan and insulin use to achieve better glycemic control. Second Nursing Diagnosis: Anxiety Exacerbated by Domestic and Caregiving Responsibilities Assessment Data Mrs. Snyder reports feeling overwhelmed and anxious due to the stress of managing household responsibilities, caring for her ill mother, and conflicts with her son. She has a history of irregular anxiolytic use and presents with high blood pressure and tachycardia. Additionally, she is responsible for handling all financial and family matters, further contributing to her stress and anxiety. Goals and Outcomes Goal 1: Within one month, Mrs. Snyder’s blood pressure will stabilize at 130/90 mmHg, and her heart rate will return to the normal range of 60-100 bpm. Goal 2: Mrs. Snyder’s anxiety will improve through counseling and consistent medication adherence (Pegg et al., 2022). Nursing Interventions Pharmacological Management: Administer anxiolytics as prescribed to alleviate anxiety symptoms. Cognitive Behavioral Therapy (CBT): Arrange weekly counseling sessions to help Mrs. Snyder develop coping mechanisms (Pegg et al., 2022). Support Group Referral: Connect Mrs. Snyder with a support group within her Jewish community to explore mindfulness and spiritual healing therapies. Rationale A combination of pharmacological treatment and non-pharmacological therapies, such as CBT, has been proven effective in reducing anxiety. This holistic approach also helps regulate blood pressure and heart rate, improving overall well-being (Ströhle et al., 2018). Outcome Evaluation and Re-planning Mrs. Snyder’s response to therapy and medication will be monitored weekly. Adjustments to her care plan may be made based on her progress and continued needs for stress management and emotional support. Third Nursing Diagnosis: Psychosocial Distress Related to Ovarian Cancer and Caregiving Burden Assessment Data Mrs. Snyder expresses fear of undergoing chemotherapy and concerns about her ability to care for her elderly mother. She experiences abdominal pain, shortness of breath, and reduced oxygen saturation levels upon exertion. Goals and Outcomes Goal 1: Within 15 days, Mrs. Snyder will secure a care facility for her mother, allowing her to prioritize her own health. Goal 2: Over three months, her physical stamina and oxygen levels will improve. Nursing Interventions Social Work Referral: Assist Mrs. Snyder in finding an appropriate care placement for her mother to alleviate her caregiving burden. Routine Pain Assessment: Conduct pain assessments three times daily to monitor treatment effectiveness. Non-Pharmacological Pain Management: Educate Mrs. Snyder on alternative pain relief strategies such as meditation and yoga (Sheikhalipour et al., 2019). Rationale Providing appropriate care solutions for Mrs. Snyder’s mother will reduce her stress and enable her to focus on her own health. Additionally, non-pharmacological interventions have been shown to effectively manage cancer-related pain, promoting both physical and emotional well-being (Hoyt, 2022). Outcome Evaluation and Re-planning Mrs. Snyder’s pain levels will be closely monitored, and her care plan will be adjusted as needed. Once her mother is placed in a care facility, she will be able to shift her focus toward her cancer treatment and overall well-being. Category First Nursing Diagnosis: Ineffective Health Management Second Nursing Diagnosis: Anxiety Related to Domestic and Caregiving Stress Third Nursing Diagnosis: Psychosocial Distress Due to Cancer and Caregiving Assessment Data Uncontrolled diabetes, hyperglycemia, poor diet, hypertension High anxiety due to caregiving and financial burdens, irregular anxiolytic use, tachycardia Fear of chemotherapy, stress from caregiving, physical symptoms (abdominal pain, shortness of breath) Goals and Outcomes Stabilize blood sugar and BP within one month, improve dietary habits in three months Stabilize BP and heart rate within one month, reduce anxiety with therapy and medication Secure a care facility for mother in 15 days, improve stamina and oxygen levels in three months Nursing Interventions Self-care education, encourage glucose monitoring, insulin administration training Anxiolytic administration, CBT, support group referral Social work referral, routine pain assessment, education on non-pharmacological pain management Rationale Education promotes better diabetes management and adherence to treatment Combining pharmacological and therapy-based interventions is effective in anxiety reduction Addressing caregiving burden allows focus on self-care, non-drug pain management aids in coping Outcome Evaluation Regular review of glucose logs, dietary adjustments as needed Weekly therapy assessment, care plan adjustments based on anxiety response Monitoring pain levels, re-planning based on progress in mother’s care and personal treatment References Carolina, C. M. (2019). Unlocking the full potential of self-monitoring of blood glucose. US Pharmacist. https://www.uspharmacist.com/article/unlocking-the-full-potential-of-selfmonitoring-of-blood-glucose Heart. (2021). Living healthy with diabetes. American Heart Association. https://www.heart.org/en/health-topics/diabetes/prevention–treatment-of-diabetes/living-healthy-with-diabetes NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment Pegg, S., Hill, K., Argiros, A., Olatunji, B. O., & Kujawa, A. (2022). Cognitive behavioral