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please check my clarity and spelling and grammar and please help me condense it down without losing my content no use of AI allowed PLAN REVIEW Alice should returnn for regualr reviews every three months to engage her management plan for diabetes is being effective and her goals are preogressing into a positive way and if any adjustments need to be completed they are done in a timely manner. An initital review at 1 weeks is suitable and essential to assess how the ealry progress of her lifestyle modifictions are going with her diet modifications and medication compliance. The 2nd review at week 4 will allow the multidisoplianry team to review if there are any changes that are needed in the prgress of her goals especailly in relation to her short term goal. A comprehensive review at 12 weeks to evaluate her physical and clinical outcomes consisting of her HbA1c, weight, physical observations as this tend to require 3 months to show signigficant change this is essential to her long term goal. Then all other review should be completed between 3 and 6 motnhs depending on Alices progressand stability. All reviews are essential to be able to monitor Alices behvaioural changes and ensure the clinical outcomes are completed in a systematic approach To monitor the outcome of alices progress, the team will use a combination of self managed behaviours by Alice and clinical investigations by the multidisplianry team. Self management techniques that will be used by Alice consist of Blood glucose monitioring through manual finger pricks or the use of contuious glucose monitoring, the frequency and accuracy of testing glucose at home helps the identification of patterns and immediate concerns of hypoglyceami and hyperglyceamia. Medication adherence by Alice taking her presibed medications at the prescibed times. Physcial acitivty of Alice reaching her goal of 150 minutes of acitivty per week and monitioring her acitivity. Dietary changes with the use of journals and dairies of what Alice has per day to help assess how her reduction of carbohyrdate intake and increasing her fibre is progressing. Alice mental health wellbeing will be done by Alice evaulating how her mood and stress levels are and how its impacting her self care behaviours. Clinical invistigation completed by the multidiplinary team will consist of the gold standed assessment of the long term blood glucose control rhrought the biochemistry test HbA1c with the intention that it shows a decreasing in the baseline levels at the 12 week mark of commencing the interventions. Monitoring of the changes in weight and BMI can help show how successful the implentations of the lifestyle interventions have on Alice therefore showing the insulin sensitivity improvements. Testing of the lipid profile to be reviewed periodically through the reviews to evaulate Alices cardiovascualr risk factors. There are mulktiple otential barriers that may hinder Alice from archeving her goals, her mental health can reduce her motiviation of making the neccassry lifestyle changes. Alices health literacy as Alice may srtuggle with the understadning of diabetes education which is leading to her inadequate self management. Financial barruers of the cost of health foods, medications and gym memberships may also cause a decline in motivation for Alice. Physical limitation of having any pre exisiting chronic conditions such as artheritis can also result in a restricttion of physical acitivty of individuals. Any personal or cultural preferences can also be barrier on that dietary reccommendations could cause a conflict with Alices cultureal food or neccessary food habits. being able to idenify bharriers for alice with help allow an early personalised support and intervention to occur. To support Alice thorugh her care, referrals would be done to ensure a multidiplianry approach allowing multiple ares of Alice health to be addressed to ensure a sucessful amangement of her diabetes a occur. The multipldiplinary tem will consist of a dietian to help provide a taiolor meal plan and counselling of food choices that respects cultural preferences and any concerns that Alice may have to ensure sustainable cietary changes are made to umprove glycemic control and alices weight management. A exercise physiologist or physiotherapits to help design effective and safe program for Alice considering any of her physical limitations and therefore boosting Alices confidence. To a mental health professional to help improve Alices mental health wellbeing to improve the diabetes outcomes related to delcined mental state. The pharmacist referral consist of a medication review, education of the medications, addressing any side effects that may occur and assisting in coming up with strageties to ensure medication compliance.
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