Saturday, March 22, 2025
3/22/2025
The Citizen Potawatomi Nation (CPN) in Shawnee, Oklahoma is requesting $1,092,387 in federal funding for the CPN Special Diabetes Program for Indians (SDPI) program. The SDPI program will provide quality care to those with diabetes, reduce the complications of diabetes, and reduce the threat of diabetes in at-risk individuals. There is a critical need to address depression within our Native population. In patients with diabetes, depression worsens the prognosis of diabetes, increases non-compliance to treatment, decreases quality of life, increases healthcare cost, and increases mortality; the prevalence of depression has become twice as high in people with type 2 diabetes. For this reason, the CPN SDPI team has chosen Depression Screening as the Best Practice for FY2023. Depression screening forms will be incorporated into all diabetes program appointments. In addition, information relating to depression will be available at all Citizen Potawatomi Nation Health Services (CPNHS) locations with the opportunity for immediate depression screenings and resources for support. Patients without a recent depression screening in their chart will receive education and reminders to complete one as soon as possible. In addition to our selected Best Practice, Diabetes Self-Management Education and Support (DSMES) program Building Education About Diabetes (BEAD) will be offered to both newly and previously diagnosed patients with diabetes. Patients commonly present with complications such as retinopathy, neuropathy, ulcers, obesity, and kidney problems in addition to disease denial, depression, and misinformation that leads to poor disease management. This program will provide education on all areas of diabetes management and equips participants with the necessary tools to better manage their diabetes, prevent long term complications, and support patients in their journey with this chronic illness. A registered dietitian will conduct a minimum of twelve cooking demonstrations with nutrition education throughout the year. Education will include food preparation, food safety, nutrition recommendations, guidelines, and disease management and prevention education. Diabetic foot exams will be performed by a Certified Food Care Nurse (CFCN). The CFCN will check feet for changes in blood flow, signs of nerve damage, ingrown nails, skin problems, and sores. Additional testing will be done to identify areas of low sensation. All patients on the CPN IHS Diabetes Registry with a diagnosis with type 1 or type 2 diabetes make up the target group for this activity. Diabetic foot care and orthopedic inserts provided through this activity will help prevent amputation of toes, feet and possibly limbs with early treatment, proper footwear, and regular evaluation by the CFCN. With federal funding, the CPN SDPI team will provide quality care to Native Americans with diabetes, reduce the complications of diabetes, and reduce the threat of diabetes in at-risk patients.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).