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.
School of Nursing, University of Rochester, NY 14642, USA. Patricia_Chiverton@URMC.Rochester.edu
Patricia
P
Chiverton
Patricia
P
Lindley
Donna M
DM
Tortoretti
Kathleen C
KC
Plum
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