...Research Database Assignment Form Describe briefly your topic of interest (15 possible points): According to the American Diabetes Association (2013), "There are 25.8 million people in the United States, or 8.3% of the population, who have diabetes". The amount of cases of adolescents with Type 1 diabetes, previously known as juvenile diabetes is multiplying. Lack of compliance in diabetes can lead to serious complications, such as blindness, kidney damage, cardiovascular disease, neuropathy and foot ulcers, but people with diabetes can lower the occurrence of these and other diabetes complications by controlling blood glucose, blood pressure, and blood lipids by eating properly, exercising, and following the treatment regimen. My topic is on compliance issues with the adolescent with Type 1 Diabetes; parental support and involvement and influences from peers. #1 Database (or collection) (30 possible points): Title of source: Academic Search Complete Location of source (URL): http://www.ebscohost.com/academic/academic-search-complete Owner or publisher: EBSCO Host Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: This database is the world's most comprehensive, scholarly full-text academic journals for multidisciplinary research that is offered by most institutions, which grants free access. Membership required for full text. The amplitude of content enclosed in this resource completely...
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...Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Introduction There are approximately 23 million people diagnosed with diabetes in the U.S. (American Diabetes Association, 2012) and this population continues to grow. There are multiple complications associated with diabetes. One major and expensive complication is diabetic wounds. The cost of care in the U.S. alone for this population is approximately $245 Billion annually. (American Diabetes Association, 2012) Proper wound care is an essential step in the wound healing process, however,wound care alone is not sufficient. Nutritional status is extremely important in wound healing. Diabetic patients need to be educated and assessed for protein-energy malnutrition (PEM) as the body’s nutritional needs significantly increase during the wound healing process (Demling, 2009). Supplementation (especially protein) and the importance of it for wound healing need to be discussed with the patient. Without all the necessary interventions applied the process of wound healing can be lengthy and may lead to infection, excessive hospitalization and potential amputations. Understanding the body’s nutritional needs and how the body uses protein in the repair process is imperative. The recommendation for the amount of protein supplementation is between 0.8grams/kilogram to 1.2 grams/kilogram and is based on patient...
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...Outline I: Family Assessment Summary findings of the family Assessment Watson’s Theory of human caring-Influences clinical thought and action in community and public health nursing II: Diagnosis according to the Family Assessment results Nutritional guidelines-Overweight, Blood pressure and diabetes Link each diagnosis to a Healthy People 2020 LHI. Conducting a comprehensive and holistic assessment of participant family with consideration of the windshield Survey and Current research & develop a plan for the family & determine diagnosis. 3-5Legal and ethical considerations with the potential solutions/actions III: Nursing plan Describe how you plan to advocate for the family within their community and involve the family members in becoming partners in their own health. Explain how the family’s health may be affected by family structure and roles. Identify family values that may be different from your own values and how this may affect the interventions. Educational tools and the benefits Compile a list of topics and resources for the family’s health education needs, and explain why these resources were chosen Additional attachments IV: V: Clinical Log for time spent conducting the Family Assessment Completed Family Assessment including survey questions and family answers Works Cited Appendixes VI: VII Currently in the health care industry, Nurses are dealing with biomedical and ethical dilemmas constantly arisen. It is clear that...
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...the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to Members of Congress, the Administration, and key health care constituencies. In June 2009, they released the Project’s final report entitled, Crossing Our Lines: Working Together to Reform the U.S. Health System, which includes a slate of comprehensive policy recommendations to address the delivery, cost, coverage, and financing challenges facing the nation’s health system. For more...
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...Issue date: March 2009 Schizophrenia Core interventions in the treatment and management of schizophrenia in adults in primary and secondary care This is an update of NICE clinical guideline 1 NICE clinical guideline 82 Developed by the National Collaborating Centre for Mental Health NICE clinical guideline 82 Schizophrenia Ordering information You can download the following documents from www.nice.org.uk/CG82 • The NICE guideline (this document) – all the recommendations. • A quick reference guide – a summary of the recommendations for healthcare professionals. • ‘Understanding NICE guidance’ – a summary for patients and carers. • The full guideline – all the recommendations, details of how they were developed, and reviews of the evidence they were based on. For printed copies of the quick reference guide or ‘Understanding NICE guidance’, phone NICE publications on 0845 003 7783 or email publications@nice.org.uk and quote: • N1823 (quick reference guide) • N1824 (‘Understanding NICE guidance’). NICE clinical guidelines are recommendations about the treatment and care of people with specific diseases and conditions in the NHS in England and Wales. This guidance represents the view of NICE, which was arrived at after careful consideration of the evidence available. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals...
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...has increased the risk of infection and amputations. Diabetes wound care management is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations (Sheridan, 2012). There is an estimated 15.7 million Americans that are affected by diabetes, with an unknown number of people who have not been properly...
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...management technique. “Due to the increasing popularity of yoga, it has not only been used as a treatment for a range of health conditions, it has been practiced by healthy adults for health maintenance and disease prevention” (Olpin & Hesson, 2013, p. 334). Current research links the practice of yoga to a decrease in psychological stress and improved physical health (Ross & Thomas, 2010). Review of the Literature Historical Overview Although it has been practiced in India for more than 5,000 years, yoga did not become widespread in Western society until recently (Li & Goldsmith, 2012). Not unlike the branches of a tree, it has eight “limbs” of its own: yama (restraint), niyama (observance), asana (physical exercises), pranayama (breathing techniques), pratyahara (preparation for meditation), dharana (concentration), dhyana (meditation), and samadhi (absorption). These limbs comprise the constructs of yoga and are an integral part of its various styles. Its practice restores the body to a balanced physiological state thereby reducing stress caused from the activation of the fight-or-flight response. Health can be improved even among those who suffer from chronic illness (Olpin & Hesson, 2013). Physiological Basis Yoga has become more than just a simple form of exercise and meditation. It has demonstrated efficacy in disease prevention, in the treatment of a wide range of long-lasting...
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...Diabetes Working Group White Paper Avalere Health LLC on behalf of the Diabetes Working Group January 23, 2012 Table of Contents Authors.......................................................................................................................................... 3 Acknowledgments ......................................................................................................................... 4 Executive Summary ...................................................................................................................... 5 Provider Survey ......................................................................................................................... 6 Standards of Care Economic Model .......................................................................................... 7 Recommendations .................................................................................................................... 8 Care Management ................................................................................................................................ 8 Payment Reform ................................................................................................................................... 9 Workforce Supply ............................................................................................................................... 10 Background and Role of the Diabetes Working Group ............................
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...that contribute to bad nutrition and sedentary lifestyles, society still view obesity is as a personal responsibility. Nurses addressing the obesity epidemic require a shift from the norm of blaming individuals for the lack of will power to control their eating and physical activity but toward a healthy environment as a primary determinant. This paper addresses the obesity crisis from individual, family, local community and public policy perspectives and the nurses’ role to promote change, advocate for policy initiatives, and help reverse the obesity epidemic. This paper also addresses the nurse’s role in anticipating obesity related issues, such as, skin, pulmonary, intravenous access, and mobility. Challenges are considered and interventions to address these issues are presented. Nurses Addressing the Obesity Epidemic Obesity is a major concern for the healthcare professional because it has become an epidemic in the United States of America. More than two thirds of American adults are defined as obese (Roth & Schlenker, 2011). According to data from the National Health and Nutrition Examination Survey (2009), 68% of U.S. adults ages 20 and older in 2007 and 2008 were...
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...services as well as health insurance have soared to such an extent that health services and health insurance are becoming beyond the reach of the common man (annals.org, 2010). The three major influencing factors that have influenced the cost of health care services and made them inaccessible to the common man in the U.S. are: 1. Rapid diffusion of technologies: Technological advancements have been very rapid. Hospitals and health care providers have started using the most advanced technologies. A lot of money is invested in case of research and development of these technologies. They are extremely expensive, thus leading to an enormous increase in costs of treatments. For example, the cost involved in an intervention surgery has enormously increased due to the advent of laser treatments that require minimum intervention into the patient’s body (Pepine, 1999). 2. Absence of strong cost containment measures: The government is unable to fix a higher limit beyond which the costs cannot be hiked. This leads to a continuous increase in costs. There is not much standardization possible and every service provider is free to charge and include brand value and goodwill as well as overheads and facilities in his costs. Even if a...
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...their health. It goes beyond a focus on individual behavior towards a wide range of social and environmental interventions”. Knowledge is power. An uninformed public are susceptible to preventable diseases. The average citizen in their quest to sustain live on daily bases has little time or ability to research on health issues. This is why health promotion by health practitioners, government and non-government agencies and organizations alike must find a way to promote health for the benefit of the general public. The objective should be to promote health at primary, secondary and tertiary levels to enable us help people discover how to archive balance between activities of daily living (ADL) and to pursue state of optimal health by supporting and encouraging them to change negative and unhealthy lifestyle. Unfortunately this is not always the case as stated in a journal “Primary care professionals are in good position to readily conduct primary prevention and health promotion both in at-risk patients and in the general population as part of the comprehensive care program. However, primary care professionals show resistance to implementing these activities, citing barriers in clinical practice such as workload and lack of skills and knowledge, problems related to the professional-patient relationship and lack of confidence in the effectiveness of these interventions “(Rubio & Fernandez, 2014, p. 1) Nursing roles and responsibilities evolve in health promotion mostly in...
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...Women and Diabetes: An Examination of Quality of Care for Medicare Recipients Abstract In recent years, diabetes has become one of the top 10 causes of death among women. Research has revealed that women 65 years and older account for 40% of the population and numbers are expected to increase exponentially. Vigorous medication management and coordination of care is instrumental in treating diabetes effectively. The patchwork of health insurance that exist today, particularly Medicare Part D, is culpable in allowing unequivocal disparities among race, gender, and socioeconomic status. This paper will examine quality of care among Medicare beneficiaries, particularly women, and implications for revision in social policy. Maintaining an active and healthy lifestyle is a necessity for achieving longevity. A nutritional, well balanced diet coupled with regular exercise is a simple, yet effective way to sustain healthy living. Neglecting to address diet and exercise, as part of a weekly regimen, is a precursor to the onset of an acute, lifelong illness. Diabetes is one of the largest and fastest growing causes of chronic disease mortality, morbidity, and disability in the United States (Robbins & Webb, 2006). Currently, there is no vaccine to prevent diabetes and no cure for the disease once acquired. According to the American Diabetes Association, more than twenty-three million Americans have diabetes. Patients age 65 years or older account...
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...Health Promotion is the provision of information and/or education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality that make positive contributions to their health status. Health Promotion is also the promotion of healthy ideas and concepts to motivate individuals to adopt healthy behaviors. According to the World Health Organization, Health promotion is the process of enabling people to increase control over, and to improve their health. Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed towards changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. Health promotion is the process of enabling people to increase control over the determinants of health and thereby improve their health. Participation is essential to sustain health promotion action. The Ottawa Charter identifies three basic strategies for health promotion. These are advocacy for health to create the essential conditions for health indicated above; enabling all people to achieve their full health potential; and mediating between the different interests in society in the pursuit of health. These strategies are supported by five priority action areas as outlined in the Ottawa Charter for health promotion: * Build healthy public...
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... psychoeducation in enhancing mental health outcomes for people with mental disorders The current therapeutic model for the treatment of mental health disorders embraces a combination of pharmacological and psychological interventions. Psychoeducational methods are employed in clinical procedures for all mental health disorders and are critical to integrated health care (Bedell, Hunter & Corrigan, 2009). Creamer and O'Donnell (2008) refer to psychoeducation as education, which is specially targeted to psychological health and aims to produce changes in an individual’s knowledge, attitudes, and skills to improve health outcomes. This study is aimed at discussing what psychoeducation is, its role in clinical settings, its efficacy and how nurses figure in employing techniques attributed to psychoeducation. The study draws from evidence-based literature, including meta-analyses and research papers in the field. It is common practice to inform patients with any chronic disorder to be informed about their illness, prognosis and treatment. For instance, patients with diabetes will be educated on their treatment and how they can help manage the situation and not aggravate their condition. This concept is psychoeducation and is similarly rendered to patients dealing with mental health problems, albeit in different modes or techniques. Any type of intervention that educates patients and their families with the hope of improving their long-term outcome is classified as psychoeducation...
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...(0) 20 7637 4330; Fax +44 (0) 20 7637 4336 C3 Collaborating for Health is a registered charity (no. 1135930) and a company limited by guarantee (no. 6941278), registered in England and Wales. Contents Overview Part I: Evidence supporting the benefits of physical activity on health and well-being 1. The impact of physical activity on health 2. Literature review of the evidence i) Major chronic diseases ii) Mental health iii) Whole-life benefits of physical activity iv) Recommended levels of physical activity v) Socioeconomic disparities Part II: Evidence supporting interventions to encourage physical activity 1. The scale of the problem 2. An active environment? 3. Behaviour change 4. Selected interventions Part III: Case studies 1. Introduction 2. What makes for best practice? 3. Case studies Appendix 1: Selected literature on the health benefits of physical activity Appendix 2: Physical activity interventions Appendix 3: Evidence for the benefits of specific activities Endnotes 3 4 4 5 5 6 7 7 9 10 10 10 11 12 15 15 15 16 21 24 27 28 2 Review: The benefits of physical activity on health and well-being www.c3health.org Overview The purpose of this review is to provide a snapshot of the scientific evidence of the benefits of physical activity on health and well-being, focusing particularly on the prevention of noncommunicable diseases (NCDs – also often referred to as chronic diseases), and to present case studies of ‘what works’ in different settings and contexts...
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