NURS FPX 6610 Assessment 4 Case Presentation
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Case Presentation This case presentation introduces Mrs. Rebecca Snyder, a 56-year-old woman facing complex health challenges, including advanced ovarian cancer and inadequately controlled diabetes mellitus. The purpose of this discussion is to provide a structured overview of her condition, clarify the multidisciplinary care strategies in place, and ensure that all involved parties—family members, clinicians, and support staff—are aligned in delivering coordinated, patient-centered care. Emphasis is placed on improving her clinical outcomes while preserving her quality of life through compassionate, evidence-based interventions. Presentation Objectives The presentation addresses several key questions essential for understanding and managing Mrs. Snyder’s care effectively: What are the primary goals and scope of the care plan? The care plan aims to stabilize glycemic levels, manage cancer progression, and enhance overall well-being through integrated medical and supportive care strategies. NURS FPX 6610 Assessment 4 Case Presentation How does interprofessional collaboration improve care quality? Collaborative practice enables comprehensive management by leveraging the expertise of multiple healthcare professionals, thereby reducing care gaps and improving patient safety. Which factors significantly influence patient outcomes? Both clinical variables (e.g., disease severity) and non-clinical determinants (e.g., emotional support, adherence) shape health outcomes. What resources are necessary for effective care delivery? Sustained care depends on technological tools, skilled personnel, infrastructure, and psychosocial support systems. How are patient-centered interventions being implemented? Ongoing interventions prioritize individualized care, cultural sensitivity, and active patient and family engagement. Goals and Scope of the Care Plans Patient Background Mrs. Snyder is an Orthodox Jewish mother and grandmother who plays a central caregiving role within her household. Her recent hospitalization due to hyperglycemia led to the diagnosis of advanced ovarian cancer. This dual diagnosis has introduced significant emotional strain and logistical challenges for her family, necessitating a holistic and culturally sensitive care approach. How is the comprehensive care plan developed? The care plan integrates management of chronic and terminal conditions, with a strong focus on diabetes control: Transitional Care Plan Overview How are safe transitions between care settings ensured? Transitions from hospital to home are managed through structured coordination strategies: Interprofessional Care Team and Delivery of Quality Care How does the care team contribute to holistic care? A multidisciplinary model ensures that Mrs. Snyder’s medical, emotional, and cultural needs are comprehensively addressed. Team Member Key Responsibilities Physicians Diagnose conditions, formulate treatment plans, monitor disease progression Nurses Administer treatments, provide patient education, offer emotional support Dietitians Develop culturally appropriate meal plans and provide nutrition counseling Pharmacists Ensure medication safety, review drug interactions, educate patients Social Workers Provide counseling, connect patients with community resources Care Coordinators Manage appointments and ensure continuity across care settings Family Members Assist with daily care, reinforce adherence, provide emotional support This coordinated approach enhances care quality by integrating diverse expertise into a unified care strategy. Information Needs of Stakeholders What information is required for effective collaboration? Efficient care delivery depends on tailored information sharing across stakeholders: Stakeholder Information Needs Physicians Medical history, diagnostic results, treatment responses Nurses Care protocols, real-time patient updates Dietitians Dietary preferences, glucose data, cultural considerations Pharmacists Medication lists, contraindications, dosing guidelines Social Workers Psychosocial background, support systems Family Members Education on disease management and caregiving The use of electronic health records (EHRs) and secure communication systems supports coordinated, high-quality care (Fennelly et al., 2020). Factors Influencing Patient Outcomes Which variables affect Mrs. Snyder’s health outcomes? Patient outcomes are influenced by a combination of medical and contextual factors: Resources Needed to Implement the Care Plans What resources are essential for delivering comprehensive care? Resource Category Examples of Required Resources Technological EHR systems, mobile health applications, secure communication tools Human Multidisciplinary healthcare professionals Facility Clinics, laboratories, telehealth platforms Logistical Transportation, scheduling systems, medication delivery Educational Patient education materials on diabetes and cancer care Emotional Support Counseling services, peer groups, spiritual care The integration of these resources ensures a coordinated approach that addresses physical, emotional, and cultural dimensions of care. References American Diabetes Association. (n.d.). Standards of medical care in diabetes—2024. https://diabetes.org/ Borges, A. P., Ramos, D. P., Silva, L. D., & Ribeiro, K. M. (2024). Diabetes self-management: Patient outcomes through education and clinical collaboration. Journal of Clinical Nursing, 33(1), 120–132. https://doi.org/10.1111/jocn.16789 Cerchione, R., Esposito, E., Ricciardi, F., & Chiaroni, D. (2022). Blockchain and health care: A systematic review of benefits, risks, and future directions. Technological Forecasting and Social Change, 180, 121674. https://doi.org/10.1016/j.techfore.2022.121674 NURS FPX 6610 Assessment 4 Case Presentation Facchinetti, G., D’Angelo, D., Piredda, M., Petitti, T., & Matarese, M. (2020). Continuity of care during hospital to home transition: An integrative review. International Journal of Nursing Studies, 101, 103445. https://doi.org/10.1016/j.ijnurstu.2019.103445 Fennelly, O., Cunningham, U., Grogan, L., O’Neill, S., & Doyle, G. (2020). Electronic health records: Key lessons for implementation. Health Policy and Technology, 9(1), 78–84. https://doi.org/10.1016/j.hlpt.2019.11.003 Grassi, L., Nanni, M. G., & Caruso, R. (2023). Psychological support for cancer patients: New challenges in the era of patient-centered care. Psycho-Oncology, 32(1), 34–42. https://doi.org/10.1002/pon.5992 Horikawa, C., Kodama, S., Fujihara, K., & Yachi, Y. (2020). Diet and diabetes: Cultural influences on adherence and care outcomes. Diabetes Research and Clinical Practice, 169, 108461. https://doi.org/10.1016/j.diabres.2020.108461 Marschner, N., Mielke, A., & Schulz, H. (2020). Impact of comorbidities and glycemic control on cancer therapy outcomes. European Journal of Cancer, 132, 135–142. https://doi.org/10.1016/j.ejca.2020.03.001 NURS FPX 6610 Assessment 4 Case Presentation Patel, S. J., & Landrigan, C. P. (2019). Communication during transitions: A neglected component of quality care. JAMA, 321(9), 865–866. https://doi.org/10.1001/jama.2019.0791 Subbe, C. P., Duller, B., & Bellomo, R. (2021). Transitions of care: Reducing risks and improving patient safety. BMJ Quality & Safety, 30(5), 397–402. https://doi.org/10.1136/bmjqs-2020-011232 Vat, L. E., Ryan, D., & Etchegary, H. (2019). Integrating patient feedback into health system planning: A patient-centered approach. Health Expectations, 22(4), 849–859. https://doi.org/10.1111/hex.1292
NURS FPX 6610 Assessment 3 Transitional Care Plan
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Transitional Care Plan Transitional care refers to a systematic and coordinated process aimed at maintaining continuity, safety, and quality when patients move between healthcare environments, such as from hospital to home. This approach is particularly critical for individuals with chronic illnesses like diabetes, where continuous monitoring and long-term management are essential even after discharge. The primary goal is to minimize disruptions in care, reduce the likelihood of complications, and support patients in adapting to community-based or home care settings. In this context, a transitional care plan has been designed for Mrs. Snyder, a 56-year-old patient admitted with a diabetic-related infected toe. Her condition necessitates a multidisciplinary and well-coordinated approach, especially during discharge and follow-up phases. Effective transitional care in her case involves accurate clinical documentation, structured communication among providers, medication safety processes, and integration of community-based resources. These measures collectively ensure continuity of care and reduce preventable adverse outcomes (Korytkowski et al., 2022). Key Elements, Patient Needs, and Communication Barriers What are the essential components required for effective transitional care in Mrs. Snyder’s case? Effective transitional care for Mrs. Snyder depends on several interconnected clinical and support elements. First, comprehensive and accessible medical records are fundamental. These records must include her current diagnosis, history of diabetes, previous hospitalizations, comorbidities such as hypertension, and any psychosocial factors that may influence recovery. Proper documentation supports clinical decision-making and minimizes the risk of medical errors during transitions (Chen et al., 2018). Another critical component is medication reconciliation. This involves systematically reviewing all medications the patient is taking—both past and present—to identify discrepancies, prevent duplication, and avoid harmful drug interactions. Ensuring medication accuracy is a key safety measure during care transitions (Fernandes et al., 2020). Advance care planning also plays an important role. Documenting patient preferences, cultural values, and treatment decisions ensures that care aligns with ethical standards and patient-centered principles (Dowling et al., 2020). Beyond hospital-based care, community support services are vital. These include: Such resources help sustain recovery and promote long-term self-management (Yue et al., 2019). Table 1 Essential Transitional Care Components for Mrs. Snyder Component Description Clinical Purpose References Medical Documentation Detailed patient records including history, diagnosis, and comorbidities Promotes continuity and reduces risk of clinical errors Chen et al. (2018) Medication Reconciliation Review and verification of all medications Prevents medication errors and adverse drug interactions Fernandes et al. (2020) Advance Directives Documentation of patient preferences and treatment decisions Ensures ethical and patient-centered care Dowling et al. (2020) Community Support Services Access to outpatient care, education, and support networks Supports recovery and long-term disease management Yue et al. (2019) What communication barriers may affect transitional care quality? Breakdowns in communication represent a significant barrier to effective transitional care. One major issue is incomplete or inconsistent documentation within electronic health record (EHR) systems. Missing or unclear patient data can disrupt continuity and hinder coordination among healthcare providers (Raeisi et al., 2019). Additionally, ineffective communication among multidisciplinary teams—such as physicians, nurses, pharmacists, and social workers—can compromise care quality. Variability in communication practices, lack of standardized handoff procedures, and insufficient collaboration contribute to inefficiencies and increased risk of errors. Limited proficiency in digital health technologies and inadequate training further exacerbate these challenges (Tsai et al., 2020). Addressing these barriers requires implementing standardized communication protocols and structured handover systems to ensure accurate and timely information exchange. Strategies for Enhancing Transitional Care How can transitional care be improved to ensure better patient outcomes? Improving transitional care requires a structured, patient-centered approach that bridges hospital care with community-based follow-up. A comprehensive discharge plan for Mrs. Snyder should clearly outline: Ensuring that the patient fully understands these instructions is essential to reducing complications and preventing hospital readmissions (Glans et al., 2020). Post-discharge monitoring is equally important. Follow-up interventions such as phone calls or home visits allow healthcare providers to track recovery, identify early warning signs, and modify care plans when necessary. NURS FPX 6610 Assessment 3 Transitional Care Plan Encouraging patient engagement through self-management practices is another key strategy. These include: Such practices empower patients to actively participate in their care, improving long-term health outcomes (Spencer & Singh Punia, 2020). Technology can further enhance transitional care through tools like: These interventions improve adherence, accessibility, and patient engagement. Interprofessional Collaboration in Transitional Care Effective transitional care relies heavily on collaboration among healthcare professionals. A coordinated team—including nurses, primary care physicians, pharmacists, and social workers—ensures that all aspects of patient care are addressed consistently. This collaborative model: A unified care plan developed through interprofessional collaboration improves both patient safety and overall healthcare outcomes. Table 2 Summary of Transitional Care Challenges and Strategies Area Challenge Impact Strategy References Communication Incomplete documentation and poor handovers Increased errors and hospital readmissions Standardized EHR systems and structured handoffs Raeisi et al. (2019) Technology Use Limited proficiency in EHR systems Reduced coordination among providers Training programs to improve digital literacy Tsai et al. (2020) Care Continuity Lack of follow-up after discharge Poor recovery outcomes Follow-up calls and home-based care Glans et al. (2020) Patient Engagement Low awareness of self-management practices Increased complications in chronic conditions Education and use of digital health tools Spencer & Singh Punia (2020) Conclusion A comprehensive transitional care plan is essential for maintaining patient safety, ensuring continuity of care, and improving clinical outcomes, particularly in individuals with chronic diseases such as diabetes. In Mrs. Snyder’s case, successful care transition depends on accurate documentation, effective communication, coordinated discharge planning, and integration of community resources. Moreover, patient education and active involvement in self-management significantly enhance recovery and long-term quality of life. A structured, collaborative, and patient-centered approach ultimately strengthens healthcare delivery systems and supports sustainable health outcomes. 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 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 NURS FPX 6610
NURS FPX 6610 Assessment 2 Patient Care Plan
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date Comprehensive Needs Assessment A comprehensive needs assessment is a structured and systematic process used by healthcare professionals to evaluate patient requirements and identify deficiencies in care delivery. It is particularly relevant for individuals with complex, multifactorial conditions that require coordinated input from multiple disciplines. This process ensures that healthcare interventions are aligned with patient-specific needs, thereby improving clinical outcomes and reducing preventable complications. The following question arises from this concept: What is the purpose of a comprehensive needs assessment in healthcare? A comprehensive needs assessment aims to: In addition to physiological conditions, this assessment incorporates psychological, social, and environmental determinants of health. Tools such as the Patient-Centered Assessment Method (PCAM) enable practitioners to understand patient experiences, values, and contextual challenges, which are essential for tailoring interventions (Perazzo et al., 2020). Interdisciplinary collaboration strengthens this process by ensuring that healthcare providers—including nurses, physicians, and social workers—work cohesively. This collaboration improves communication, continuity of care, and patient satisfaction while minimizing fragmented care delivery. Current Gaps in the Patient’s Care Mr. Decker’s case highlights several deficiencies in care coordination and discharge planning, which contributed to avoidable health deterioration and hospital readmission. What gaps were identified in the patient’s care? Table 1: Identified Gaps in Patient Care Identified Gap Description Financial Limitations Restricted income limits access to medications and advanced treatments Inadequate Discharge Education Poor understanding of post-discharge care led to untreated infection Lack of Follow-Up Care Absence of structured follow-up worsened the patient’s condition The application of PCAM in this case enabled a deeper understanding of Mr. Decker’s medical, emotional, and cultural context. This approach is particularly valuable in geriatric populations, where multiple determinants influence health outcomes (Perazzo et al., 2020). Informational Needs for Effective Care Effective care planning depends on comprehensive and multidimensional data collection that extends beyond traditional medical records. What information is required to design an effective patient care plan? Table 2: Informational Needs for Effective Care Required Information Description Clinical Data Age, medical history, allergies, chronic illnesses, prior interventions Behavioral & Emotional Data Lifestyle habits, patient preferences, stressors, and coping mechanisms To enhance care accuracy, healthcare providers should integrate: These strategies support individualized care planning and improve continuity across healthcare settings (Mertens et al., 2020; Shah & Khan, 2020). Societal, Economic, and Interdisciplinary Factors Patient outcomes are significantly influenced by broader societal and economic determinants, particularly in older adults. How do external factors affect patient care outcomes? Table 3: Factors Influencing Patient Care Factor Impact on Care Outcomes Aging Slower healing, increased vulnerability to complications Financial Barriers Limited ability to afford medications and supportive therapies Limited Social Support Reduced adherence to treatment plans and follow-up recommendations Older adults often face compounded risks due to physiological decline and reduced support systems. Insufficient social support, in particular, is associated with poor adherence and increased health complications (Ko et al., 2019). Professional Standards and Care Models Healthcare delivery is guided by established frameworks that promote quality, safety, and coordination. NURS FPX 6610 Assessment 2 Patient Care Plan Which professional standards support effective care coordination? Table 4: Professional Standards and Models Standard/Model Application in Practice National Quality Forum (NQF) Establishes safety and quality benchmarks AHRQ Guidelines Promotes communication, patient education, and follow-up care Care Coordination & Transition Model Enhances continuity through patient-centered, team-based approaches These frameworks provide structured guidance for improving patient safety, reducing medical errors, and ensuring consistent care delivery across settings (Artiga et al., 2020; Namburi & Lee, 2022). Evidence-Based Practices in Patient Care The integration of evidence-based interventions is essential for improving clinical outcomes and minimizing risks. What evidence-based practices improve patient outcomes? Table 5: Evidence-Based Practices Practice Description GENESIS Protocol Facilitates early detection of infections, reducing sepsis-related mortality Sepsis Six Bundle Provides rapid intervention through antibiotics, oxygen, and fluid therapy Geriatric Assessment Evaluates cognitive and physical function in elderly patients Additionally, a multidisciplinary care approach—integrating nursing, social work, and mental health services—has been shown to reduce readmission rates and improve patient safety outcomes by approximately 13% (Ni et al., 2019). Conclusion A comprehensive needs assessment forms the foundation of effective and patient-centered healthcare delivery. In Mr. Decker’s case, addressing care gaps through improved discharge planning, enhanced data collection, and interdisciplinary collaboration is essential for optimizing outcomes. The integration of professional standards and evidence-based practices further ensures safe, coordinated, and high-quality care. References Artiga, S., Orgera, K., & Pham, O. (2020). Disparities in health and health care: Five key questions and answers. Deancare.com. https://deancare.com/getmedia/e00c9856-28d0-4c63-b2c0-9bf68cadcebb/Disparities-in-Health-and-Health-Care-Five-Key-Questions-and-Answers.pdf Bleakley, G., & Cole, M. (2020). Recognition and management of sepsis: The nurse’s role. British Journal of Nursing, 29(21), 1248–1251. https://doi.org/10.12968/bjon.2020.29.21.1248 Hofmann, F., & Erben, M. J. (2020). Organizational transition management of circular business model innovations. Business Strategy and the Environment, 29(6), 2770–2788. https://doi.org/10.1002/bse.2542 Ko, H., et al. (2019). Gender differences in health status, quality of life, and community service needs of older adults living alone. Archives of Gerontology and Geriatrics, 83, 239–245. https://doi.org/10.1016/j.archger.2019.05.009 NURS FPX 6610 Assessment 2 Patient Care Plan Kregel, H. R., et al. (2022). The geriatric nutritional risk index as a predictor of complications in geriatric trauma patients. Journal of Trauma and Acute Care Surgery, 93(2), 195–199. https://doi.org/10.1097/TA.0000000000003588 LeRoith, D., et al. (2019). Treatment of diabetes in older adults: An endocrine society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 104(5), 1520–1574. https://doi.org/10.1210/jc.2019-00198 Liu, X., et al. (2019). The risk factors for diabetic peripheral neuropathy: A meta-analysis. PLOS ONE, 14(2), e0212574. https://doi.org/10.1371/journal.pone.0212574 Mertens, F., et al. (2020). Healthcare professionals’ experiences of inter-professional collaboration during patient’s transfers. Palliative Medicine, 35(2), 174–184. https://doi.org/10.1177/0269216320968741 Namburi, N., & Lee, L. S. (2022). National Quality Forum. EuropePMC. https://europepmc.org/article/med/31751044 NURS FPX 6610 Assessment 2 Patient Care Plan Ni, Y., et al. (2019). Effects of nurse-led multidisciplinary team management in diabetes. Journal of Diabetes Research, 2019, 1–9. https://doi.org/10.1155/2019/9325146 Perazzo, M. F., et al. (2020). Patient-centered assessments in dental clinical trials. Brazilian Oral Research, 34(2). https://doi.org/10.1590/1807-3107bor-2020.vol34.0075 Shah, S. M., & Khan, R. A. (2020). Secondary use of electronic health record: Opportunities and challenges. IEEE Access. https://doi.org/10.1109/access.2020.301109
NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment
Student Name Capella University NURS-FPX 6610 Introduction to Care Coordination Prof. Name Date 1. Ineffective Health Management Associated with Diabetes and Lifestyle Behaviors Mrs. Snyder, a 56-year-old woman, presents with multiple chronic illnesses, including poorly controlled diabetes mellitus, hypertension, obesity, and hypercholesterolemia. Her dietary habits—particularly frequent intake of high-sugar foods such as cookies—have contributed to persistent hyperglycemia. During her emergency department visit, her blood glucose levels ranged from 230 to 389 mg/dL, indicating inadequate glycemic control. She also reported fatigue, polyuria, abdominal discomfort, and shortness of breath, which are clinical manifestations consistent with uncontrolled diabetes. The coexistence of obesity and hypertension further elevates her cardiovascular risk, making comprehensive disease management essential. The primary clinical objective is to achieve controlled blood glucose and blood pressure levels within one month. Long-term goals (within three months) include sustained improvements in dietary patterns, physical activity, and self-management competencies. Evidence-based practice supports patient-centered education and self-management as critical strategies for improving outcomes (Ramzan et al., 2022). Nursing Interventions for Diabetes Self-Management Intervention Description Rationale Lifestyle education Deliver structured education on nutrition, exercise, hydration, and sleep practices Enhances patient knowledge and promotes sustainable behavior modification for glycemic control (USC, 2018) Self-monitoring training Instruct on glucometer use and maintenance of dietary and glucose logs Facilitates early detection of glucose fluctuations and encourages accountability (Carolina, 2019) Insulin administration guidance Demonstrate correct injection techniques and storage practices Reduces medication errors and improves adherence and therapeutic outcomes (Heart, 2021) Ongoing evaluation should include regular assessment of blood glucose logs, dietary adherence, and blood pressure readings. If targets are not met, care plan modifications—such as insulin titration and intensified education—should be implemented. 2. Anxiety Related to Caregiving Responsibilities and Family Stress Mrs. Snyder experiences heightened anxiety primarily due to her caregiving role for her ill mother and ongoing interpersonal conflict with her son. These psychosocial stressors have resulted in physiological symptoms, including elevated blood pressure and tachycardia, as well as inconsistent adherence to prescribed anxiolytic medications. Financial strain and limited social support further exacerbate her psychological burden. The immediate goal is to stabilize physiological parameters, specifically maintaining blood pressure at or below 130/90 mmHg and heart rate within 60–100 beats per minute over one month. Long-term objectives include reducing anxiety severity through consistent medication adherence and participation in psychotherapy, particularly cognitive behavioral therapy (CBT), which is well-supported in the literature (Pegg et al., 2022). Nursing Interventions for Anxiety Management Intervention Description Rationale Medication adherence support Monitor and reinforce timely use of prescribed anxiolytics Helps regulate physiological symptoms associated with anxiety (Ströhle et al., 2018) Cognitive Behavioral Therapy (CBT) Facilitate structured counseling sessions focusing on cognitive restructuring Improves coping mechanisms and reduces anxiety symptoms (Pegg et al., 2022) Social support referral Link patient with community or faith-based support groups Decreases isolation and enhances emotional resilience (Goodtherapy, 2019) Progress should be evaluated weekly through monitoring of anxiety symptoms, vital signs, and treatment adherence. Adjustments to the care plan should be based on patient response and engagement. 3. Psychosocial Stress Related to Cancer Diagnosis and Caregiver Burden Mrs. Snyder is also managing a recent diagnosis of ovarian cancer, which has significantly intensified her emotional and physical stress. Concerns regarding chemotherapy, combined with ongoing caregiving duties, contribute to increased anxiety and decreased functional capacity. She reports symptoms such as abdominal pain and dyspnea on exertion, and her oxygen saturation levels decline during activity, indicating reduced physiological tolerance. Short-term goals include arranging alternative caregiving support for her mother within 15 days to alleviate burden. Long-term goals (over three months) focus on improving oxygen saturation, enhancing physical endurance, and stabilizing emotional well-being. A holistic, multidisciplinary approach is essential to address both medical and psychosocial needs. Nursing Interventions for Psychosocial and Cancer-Related Stress Intervention Description Rationale Social work referral Assist in identifying long-term care options for the patient’s mother Reduces caregiver strain, enabling focus on personal health (Hoyt, 2022) Symptom monitoring Regularly assess pain levels, respiratory status, and treatment side effects Supports timely intervention and prevents clinical deterioration Non-pharmacological coping strategies Teach relaxation methods such as meditation, yoga, and guided imagery Improves emotional well-being and quality of life (Sheikhalipour et al., 2019) Effectiveness should be measured through improvements in symptom control, oxygenation, emotional status, and engagement in cancer treatment. As caregiving demands decrease, care planning can shift toward recovery optimization and quality-of-life enhancement. References Cancer. (2021, October 6). Managing diabetes when you have cancer. Cancer.net. https://www.cancer.net/navigating-cancer-care/when-cancer-not-your-only-health-concern/managing-diabetes-when-you-have-cancer Carolina, C. M. (2019, October 16). Unlocking the full potential of self-monitoring of blood glucose. Uspharmacist.com. https://www.uspharmacist.com/article/unlocking-the-full-potential-of-selfmonitoring-of-blood-glucose Goodtherapy. (2019, September 23). Therapy for self-love, therapist for self-love issues. Goodtherapy.org. https://www.goodtherapy.org/learn-about-therapy/issues/self-love Heart. (2021, May 6). Living healthy with diabetes. Heart.org. https://www.heart.org/en/health-topics/diabetes/prevention–treatment-of-diabetes/living-healthy-with-diabetes Hoyt, J. (2022, May 26). 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: Efficacy, moderators, and new advances in predicting outcomes. Current Psychiatry Reports, 24(12). https://doi.org/10.1007/s11920-022-01384-7 Ramzan, B., Harun, S. N., Butt, F. Z., Butt, R. Z., Hashmi, F., Gardezi, S., Hussain, I., & Rasool, M. F. (2022). Impact of diabetes educator on diabetes management: Findings from diabetes educator assisted management study of diabetes. Archives of Pharmacy Practice, 13(2), 43–50. https://doi.org/10.51847/2njmwzsnld Sheikhalipour, Z., Ghahramanian, A., Fateh, A., Ghiahi, R., & Onyeka, T. C. (2019). Quality of life in women with cancer and its influencing factors. Journal of Caring Sciences, 8(1), 9–15. https://doi.org/10.15171/jcs.2019.002 Ströhle, A., Gensichen, J., & Domschke, K. (2018). The diagnosis and treatment of anxiety disorders. Deutsches Ärzteblatt International, 115(37), 611–620. https://doi.org/10.3238/arztebl.2018.0611 USC. (2018, January 9). What does self-care mean for diabetic patients? USC Nursing. https://nursing.usc.edu/blog/self-care-with-diabetes/