Our program has provided services from 1998 to present. We are greatly involved with our health clinic as our program is clinically based.
Diabetes Related Education is the Best Practice that will be implemented. The activities include Diabetes Exams, diabetes education, Registered Dietitian Nutrition Education, Diabetes 101 which includes diabetes team members who will hold quarterly Diabetes 101 community events to help educate diabetes patients and newly diagnosed diabetes patients, Clinic and home visits, foot exams, follow-up visits/assessments/informational backpack, and mental wellness. Other activities include fitness classes, walk/runs, and community health events.
Trenton Indian Service Area (TISA) provides clinical services to people living in six counties in the states of North Dakota and Montana. Among these communities there is a high rate of diabetes, overweight and obesity, and cardiovascular disease, and commercial tobacco usage.
The evidence-based approach uses community-based health promotion and principles of community organization and empowerment to address health concerns and impact knowledge, attitudes and behaviors from within these communities.
The purpose is to focus on education and support persons with diabetes, prediabetes, and at risk for diabetes, to help them effectively manage their condition; mobilization of communities to identify and address problem related to diabetes in our communities. Including improvement of cardiovascular disease, decrease obesity, reduce smoking, and provide physical fitness activities to improve health outcomes for individuals with Type 1 and Type 2 diabetes, prediabetes, and at risk for diabetes. We will increase access to health education resources that improve health beliefs, attitudes, and behaviors. Community-clinical linkages supporting cardiovascular disease (diabetes prevention/control and CVD. Health system interventions will be conducted to improve the effective delivery and use of clinical and other preventive services. Increase number of sustained partnerships and coordination with existing projects funded by the federal, state, local, or tribal governments or foundations for maximum impact.
Increased sustained supportive environments and systems to sustain use of health education resources.
The Trenton Community Clinic staff includes Providers (MD), Registered Nurses (RN), Licensed Practicing Nurse (LPN), Registered Dietitian (MS, RD) and a Licensed Social Worker (LPSW), and a Podiatrist (PMD) who will sure all needs for diabetes patients are met.
Both process and outcome measures will be used to demonstrate the effectiveness of the interventions and activities related to the performance outcomes. The program will be able to track data required for each of the measures described in the work plan. Ongoing assessments will be done monthly to ensure success the performance outcomes. Diabetes, obesity and heart disease are very prevalent in our communities’ statistics prove that
regular exercise and support groups can reduce complications and help patients achieve goals.
Hence, a program to encourage fitness and establish health care plans with diabetes education will greatly help our patients in the community. Funding is necessary to implement these strategies and new strategies to prevent diabetes, prediabetes and at risk for diabetes, heart disease, smoking cessation, and obesity in Trenton Indian Service Area.