Well balanced: 8 steps to wellness for adults with mental illness and diabetes.
Serious mental illness places a tremendous burden on clients, their families, and behavioral and medical health care providers. The co-occurrence of diabetes with mental illness may further compromise daily functioning. Psychiatric nurses can make a significant difference in improving the health and medical outcomes of this client population. A partnership was developed between the University of Rochester School of Nursing and the Western New York Care Coordination Program to evaluate a novel nursing model for adults with both serious mental illness and diabetes mellitus. The Well Balanced program incorporated health promotion, disease management, nursing care management, and evidence-based practice guidelines into 8 Steps to Wellness for a community-based mental health population. During a 16-visit intervention period, psychiatric nurses interacted with 74 clients. As a result of the program, clients experienced improvements in health risk status and in their hemoglobin A1C and reported high satisfaction with the Well Balanced program.
Chiverton
Patricia
P
School of Nursing, University of Rochester, NY 14642, USA. Patricia_Chiverton@URMC.Rochester.edu
Lindley
Patricia
P
Tortoretti
Donna M
DM
Plum
Kathleen C
KC
D000328:Adult; D015897:Comorbidity; D003479:Curriculum; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000378:metabolism / Q000517:prevention & control* / Q000523:psychology; D019468:Disease Management; D019317:Evidence-Based Medicine; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006293:Health Promotion / Q000458:organization & administration*; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D008875:Middle Aged; D016294:Models, Nursing; D009518:New York / Q000453:epidemiology; D024802:Nurse's Role / Q000523:psychology; D015403:Nursing Evaluation Research; D010353:Patient Education as Topic / Q000458:organization & administration*; D017060:Patient Satisfaction; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012648:Self Care / Q000379:methods / Q000523:psychology
D006442:Glycated Hemoglobin