For this discussion post I have chosen Aboriginal Australians with diabetes since

Table of Contents

For this discussion post, I have chosen Aboriginal Australians with diabetes since Aboriginal People are almost four times more likely than non-Indigenous Australians to have diabetes (Diabetes Australia, 2015). I am surprised to know that diabetes is responsible for 12% of the health gap between Indigenous and non-Indigenous Australians (Australian Indigenous Health Info Net, n. d.).Thus, to approach the promotion personally, I will reprint and redistribute the flipcharts of ‘Keep Culture Life & Family Strong; Know Early About Diabetes’ for Indigenous communities which are developed by Healthy Living NT with funding provided by the Department of Health and Ageing through Diabetes Australia (Diabetes Australia, 2015). As nurses and other health professionals supporting self-management should be mindful of the social-ecological context and accommodate diversity and innovativeness to provide education (McMurray & Clendon, 2015). Therefore, I will combine strategies for patient teaching, which can include verbal discussions, written material, phone, email or other electronic media, telehealth systems, and follow-up interviews.Combined with the gene effect, an unhealthy diet adds significantly to the risks of diabetes among Aboriginals (Leung, 2016). But, diabetes can be prevented through pharmacological interventions and, more efficaciously through lifestyle interventions. Hence, I will collaborate communities with podiatrists for foot problems; occupational therapists to understand self-care management techniques, public health nutritionists for health food programs and local councils for sport and recreation facilities to implement physical activity programs and services (Parker, 2015).Aside from that, exposure to maternal hyperglycaemia and gestational diabetes mellitus in utero can also be associated with increased risks of diabetes for infants, creating a compounding inter-generational reason for the high prevalence of diabetes among Indigenous populations (Chamberlain et al., 2017). Therefore, I will collaborate with midwives to educate mothers regarding breastfeeding that can improve glucose metabolism and insulin sensitivity and reduces the risk of developing T2DM for mothers and their infants.Nonetheless, for effectiveness and appropriateness of health promotion, I will practice the delivery of culturally appropriate healthcare through Aboriginal Community-Controlled Health Organizations (ACCHOs) to deliver primary healthcare services to Aboriginal people, including screening and early intervention programs (Beks et al., 2018). Besides, for capacity building, I will also support community diabetes prevention workers to be trained to work independently and in partnership with other allied health professionals (Leung, 2016).Addressing the increasing incidence of diabetes in Australia is associated with low socioeconomic status and has changed very little in the past 20 years (Hill, Ward, Grace, & Gleadle, 2017). It has made me think that are there any opportunities for practical interventions?Still, understanding the elements of best practice in forming and maintaining successful working partnerships between Aboriginal health workers and non-Aboriginal health professionals is essential (Mercer, Byrth & Jordan, 2014). Therefore, to evaluate my health promotion strategies I will ideally use informal interpreters like Aboriginal health workers to speak directly to the patient for interviews and ensure that the interpreter is not the focus of the conversation (Tuohy, 2019). Also, to evaluate promotion, I will use telephone communication because the adoption of telecommunication in nursing care allows professionals to monitor patients’ health conditions, so that, if needed, their care plans can be modified, compared to standard care (Santana et al., 2018).