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Significance of Study
Diabetes is one of the diseases that has put a need for concern because of the high rate of deaths it has caused. The high cost of treatment poses a significant threat to individuals. Prevention mechanisms, on the other hand, come with complications (Skelly et al., 2008).Dealing with the needs of different populations, therefore, requires a careful analytic system to cope with the challenge. The study below focuses on the needs of the African American patients.
Theoretical Framework
Many theories related to this topic offer viable solutions to dealing with diabetes issues. The research topic focuses on coming up with a symptom-focused approach that will help individuals know their symptoms and how they will deal with self-care. According to Teel et al, (1997), health care facilities that take the regime of processing patients’ symptoms, are a platform where patients make an assessment of their symptoms and how to adapt to a self-care management routine.
Methods of Study
The method of study used was the qualitative type of research method. A review of literature and adoption of an intervention protocol. Nurses at a selected health facility engaged in an extensive interview with patients to know their perceptions concerning their symptoms and care for diabetes.
Ethical Consideration
The research strategies followed acceptable actions that would be useful to participants. The fact that older women were the home keepers in their families was considered (Skelly et al.

, 2008). Spirituality in these women lives and their value as individuals was also acknowledged.
Research Design
A conceptual model was developed, and its main purpose was to identify the main contents for the disease, description of the contents to understand the interrelations they depict and utilizing the main contents as a ground for intervention (Skelly et al., 2008).Patients with diabetes were able to reveal their symptoms, attitudes and their actions in self-care through the structural model.
Results
Through the structural model implemented, the older women were able to come up with ways on how to deal with the disease and how they could articulate self-care skills. It was discovered that a bigger percentage was with unclear information on how to deal with symptoms of diabetes. The research concentrated mainly on those ailing from Type 2 diabetes.
Limitation of Study
The model used was used to acquiring information on symptoms and self-care measures being taken by the old African American women. The study requires further research into understanding the causes of diabetes among the women and how diabetes can be curbed down to reduce the number of people suffering from it. It is better to deal with a cause than dealing with maintenance. A chance of lifestyle is suitable to help the old women not yet suffering from the disease to take precautions. Further research would, therefore, lead to discovering the type of measures that can be taken to prevent one from contracting the disease.
Implications
A clinical model is placed on a high value if it is capable of generating reliable and intense research. The model should also be relevant to a clinical setting at hand. Models are not all fit to be used in health facilities. It requires knowledge and understanding of the model. It is important that the ability of the model to interfere with learning and leadership is considered. The model used was incredibly helpful to patients and clinic facilities in providing handful information on how to cope with the disease from the time it is discovered to the last stage of self-care.

References
Skelly, A. H., Leeman, J., Carlson, J., Soward, A., & Burns, D. (2008). Conceptual model of
symptom‐focused diabetes care for African Americans. Journal of Nursing Scholarship, 40(3), 261-267.
Teel, C. S., Meek, P., McNamara, A. M., & Watson, L. (1997). Perspectives unifying symptom
interpretation. Image: The Journal of Nursing Scholarship, 29(2), 175-181.