...Diabetes Education Paper The patient interviewed is a 78 year old white male diagnosed with diabetes in August 1999. He also has a medical history of CHF, hypertension, hyperlipidemia, and atrial fibrillation. He presents with 3+ pitting edema bilateral feet and ankles, shortness of breath, dyspnea, tachycardia, chest pain, and abdominal distension. The patient’s current blood sugar level is 286 mg/dl and his most recent hemoglobin A1C 7.1%. Previous Knowledge and Current Knowledge Deficit The patient states that prior to his diagnosis of diabetes mellitus he had little to no knowledge of the disease. His primary source of information gathering comes from the internet, doctors, and family members. He has a pretty good understanding of medication administration and the importance of taking the medications that are prescribed to him. He is also aware that diabetes can cause damage to multiple body systems when his blood glucose level remains elevated at a dangerous level. He can correctly identify signs and symptoms of hyperglycemia and hypoglycemia and has interventions in line should either of those become an issue for him. His knowledge deficit is in eating properly and exercising regularly, how to maintain a complete lifestyle change without any areas of inconsistency. He also needs to refrain from surfing the internet for medical information and surveying friends and family members without first getting a doctors opinion or advice. He had some difficulty using...
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...Introduction The old proverb “Little learning is a dangerous thing” go well with the education regarding any health complication. Health, defined as the normal status of body both internal and external must be maintained in balanced way to remain in healthy state. To have a normal healthy life, the person must know and must have knowledge about his/her health, the complications, risk factors, why it occurred and how it can be treated or prevented.. Thanks to the advance in medical diagnosis and technology, today everyone has access to best medical facilities and consultations. But, we are still struggling with numbers. There are not enough doctors and other para medical staffs to meet the growing number of patients. One way of dealing such problem is to educate the patients so that they can self mange their disease or conditions. It can only happen when they have knowledge about the disease they are suffering from.. In this essay, the client or the subject of study is a person suffering from type II diabetes. So what is diabetes education? It is all about assisting the client, their family and their care takers to gain knowledge about the disease, and empower them with skills and motivation power that will help in self management of the disease. This provides them with certain knowledge of what to do, when to do, how to do, and when to seek the help of a professional health practioner? The next question in this field which emerge is who can be an educator? Those persons...
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...During the course of my daily schedule as a registered nurse certified diabetes educator (RNCDE), I provide education for patients of varied racial, ethnic, and cultural backgrounds. Throughout the past 12 years the success or failure of patients understanding lies in my ability to communicate effectively. Certain barriers such as language, diet and health care beliefs are foremost in my mind when providing education. A recent patient provided a reminder to consider the diverse backgrounds of my patients. My patient, from Vietnam presented to the office for follow up diabetes education and assessment of treatment for hypertension. During appointments her sister-in-law serves as translator, however the patient does speak and understand limited English. After allowing the patient to rest for 15 minutes in the exam room her blood pressure was found to be 200/120. Further inquiry revealed she had not taken her blood pressure medications for three weeks, as she had ran out and could not navigate the pharmacy refills system, either by phone call or automation program. Additionally, she did not want to further burden her family asking for assistance in the refill process. Consequently, the patient suffered a shower emboli some four to five days prior to appointment, she presented with mild weakness of the right hand and complaints of...
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...Diabetes transition Assessment of current best practice and development of a future work programme to improve transition processes for young people with diabetes. Transition in healthcare is only one part of the evolution from dependent child to independent adult (David, 2001). Submitted by Ruth Gordon, Ruth Gordon Associates Ltd to NHS Diabetes. Supporting, Improving, Caring August 2012 Acknowledgements This project was funded by NHS Diabetes and supported by Gillian Johnson, North East Regional Programme Manager. The expert panel was made up of a group of clinicians and others who provided information, commented on the process and contributed to the views included in this final report. Others have influenced the later stages of the work and will be involved in planning how to take this project forwards. Therefore thanks go to: • Fiona Campbell • Deborah Christie • Chris Cooper • Julie Cropper • Gail Dovey-Pearce • Jane Edmunds • Gavin Eyres • Sue Greenhalgh • Peter Hammond • Gillian Johnson • Susannah Rowles • Carolyn Stephenson • Helen Thornton • Peter Winocour • Alison Woodhead Without the two clinical leads, Peter Hammond from Harrogate and Fiona Campbell from Leeds, this work and report would not have been possible. Contents Executive summary Context Background and rationale Aims of the project Timing of the project Process undertaken for the project Evidence base and policy background Results from the snapshot research Good practice Examples of good practice...
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...I. Introduction Diabetes is on the rise in the United States and the resultant health problems are leading to visits to physicians’ offices and hospitals more than ever before. Diabetic neuropathy, a debilitating nerve disorder which can affect almost any part of the nervous system, occurs in nearly 50 percent of patients with diabetes. Diabetic peripheral neuropathy is found in 12 percent of insulin dependent diabetics and 32 percent of those who are not, equaling approximately 3 million people in the United States. (Chen et al. 2007) The number of patients with other neuropathies, such as autonomic, proximal, and focal, comprises the other 1 million diabetic neuropathy patients, most of whom suffer in pain from the dysfunction of the nervous system. (Chen et al. 2007) This disorder’s elusive nature is such that it can not only present in any part of the body but it can be completely without symptoms that the average patient would report to their physician. Since the patients themselves are less likely to naturally disclose their suffering through their assumption that their symptoms are not relevant to their diabetic condition, the physician’s role in the diagnosis and recognition of this disorder is even more critical. II. Definition and Types of Diabetic Neuropathy The most common type of diabetic neuropathy is peripheral, considered, more generally, sensorimotor. Peripheral neuropathy causes pain or loss of feeling in the toes, feet, legs, hands, and arms....
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...important part of the body. If someone has diabetes he/she is more likely to have to foot problems. Diabetes can damage your nerves. This, in turn, may make you less able to feel an injury or pressure on the skin of your foot. You may not notice a foot injury until severe damage or infection develops. This may led to gangrene in the through simple injuries eventually amputation will be the final choice. So a diabetes patient always has to wear specialized footwear that can protect the foot in more sophisticated way. Diabetes changes your body's ability to fight infections. Damage to blood vessels causes because of diabetes results in less blood and oxygen getting to your feet. Because of this, small sores or breaks in the skin may become deeper skin ulcers. The affected limb may need to be amputated when these skin ulcers do not improve, get larger, or go deeper into the skin. Worldwide, 50% of all leg amputations happen to people living with diabetes. In India, an estimated 50,000 amputations are carried out every year due to diabetes related foot problems. By employing reconstructive and corrective footwear, to remove the high pressure points, a large number of such amputations can be prevented. Thus the patient can lead a near normal life, free from complications. WHO predicts that developing countries will bear the brunt of diabetes epidemic in the 21st century. Currently, more than 70% of people with diabetes live in low- and middle income countries. ...
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...previous award. Date …17/5/2015……. Managing the Needs of Patients with Diabetes Mellitus LO1 Type 2 diabetes is a serious chronic condition affecting the body’s ability to regulate blood glucose levels. According to Diabetes UK (2012), there were 2.9 million people in the UK diagnosed with diabetes in 2012, and this is estimated to increase to 5 million by 2025. Up to 90% of people with diabetes are thought to be type 2. According to Diabetes UK (2006), many are unaware they have the condition and it can lead to long-term complications including eye problems, kidney disease, foot ulcers and cardiovascular disease. Gregg et al (2005), states advances in preventative medicine have seen an effective reduction in the burden of risk from hypertension and hyperlipidaemia but the incidence of diabetes has continued to rise, driving cardiovascular rates. There has been much done in recent years to identify people who are at high risk of developing diabetes. This assignment will discuss the link between diabetes, obesity and cardiovascular disease. It will also identify lifestyle and behaviour changes involving the multi-disciplinary team and structured patient education of diabetics. The case study for this assignment is Mrs Smith, newly diagnosed with type 2 diabetes and a family history of heart disease and diabetes. She leads a sedentary lifestyle, is overweight and has a poor diet (see appendix). The Health...
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...Teaching plan for a new-onset juvenile diabetic Introduction Diabetes causes chronic health conditions and comorbidities, and if left untreated it has negative health consequences for individuals and also nation’s economy. According to a 2014 report from Centers for Disease Control and Prevention (CDC) conducted in 2012 that diabetes affects more than 29.1 million Americans and of them 8.1 million are undiagnosed (CDC,2014). The estimated cost of Diabetes in the United States in 2012 was 245 billion dollar that includes medical cost, disability, and premature death (CDC, 2014). According to Healthy People 2020, diabetes is the seventh leading cause of mortality, lowers life expectancy by up to 15 years, increase the risk of heart disease, kidney failures, blindness, and so forth (U.S Department of Health and Human Services, 2014). Type I diabetes is one of the most common endocrine diseases of childhood which is why it is also called juvenile onset diabetes. It is an autoimmune disease where the beta cells of the pancreas are destroyed resulting in the inability of insulin production. People with type I diabetes need to take insulin daily to regulate their blood sugars (Lamb, 2015). Background and Importance of Research Diabetes is a severe and chronic disease that causes chronic disabilities. The inability of the pancreas to produce insulin results in abnormally high blood sugar levels. Over years, high blood sugar levels can damage...
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...Critique Nursing Journal Article Kendra Duran Excelsior College Abstract Complications from, and economic costs associated with diabetes are on the rise. The concern is that this global health epidemic is only expected to worsen in the coming decades. One quantitative research study aims to improve patient outcomes specifically related to proper control of blood glucose level, by linking patient outcomes with health literacy and patient trust. A quantitative study consisting of a convenience sample of 102 subjects from two urban health care centers was used. Patient demographics, socioeconomic status, and diabetes related knowledge, and depression were measured. The results of this study are mixed in supporting the hypothesis that lower health literacy directly impacts glycemic control. The 2010 journal article titled, “Impact of health literacy and patient trust on glycemic control in urban USA population” from Nursing Health and Sciences, hypothesizes a direct relationship between a patient’s overall health literacy and the ability to maintain glycemic control. The study’s intent is to examine questions related to health literacy and a patient’s trust in their healthcare provider to make a connection to how well the subjects managed glycemic control. Questions related to potential depression are also relevant. Author, Josephine M. Mancuso, PhD, ANP-BC from Marquette University, has published articles in the following nursing journals: Journal Of Nursing Care...
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...1 NURS 1442 Cohort: 9/13 PGT Leader: Debbie Dorsett Submission Date: 25th August 2015 Word Count: 3250 This essay will be exploring a patient pathway in a clinical environment. The pathway to be investigated is the national diabetes pathway from the National Institution for Health and Care Excellence (NICE), which was published in February 2015 (NICE, 2015). I will also exploring local agendas and guidelines that are available from a local trust. I will be exploring one patient in particular, who cannot be named for confidentiality reasons, in accordance with the Nursing and Midwifery Councils (NMC, 2008) the code of conduct governing patient confidentiality, (NMC, 2008). Diabetes is growing in the United Kingdom (UK) at an alarming rate, (Diabetes UK, 2012). In 2010, evidence showed that approximately 3.1 million people in the UK aged over 16 years old have diabetes. By 2030, this figure is estimated to rise to 4.6 million, (National Health Service [NHS], 2014). It is important as an adult nurse, that I understand the pathway of diabetes as individuals with the condition are at risk of developing further health complications (Diabetes UK, 2012). This includes conditions such as heart disease, stroke and blindness (Diabetes UK, 2012a). A pathway is a “foreseen care placed in an appropriate time frame, written and agreed by a multidisciplinary team. It has locally agreed standards based on evidence where available to help a patient with a specific condition or...
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...Diabetes Among African Americans Diabetes has been affecting the African American community in the United States for a long time. Diabetes is a disease that occurs in people by altering the body’s metabolic process in producing insulin. Insulin is a hormone that is produced in the pancreas which regulates the amount of sugar in our blood stream, and in turn becomes energy. There are two types of diabetes: type 1diabetes and type 2 diabetes. Type 1diabetes, which usually begins during childhood or adolescence, is a condition characterized by high blood glucose levels caused by lack of insulin (American Diabetes Association). This occurs when the body's immune system attacks the insulin producing beta cells in the pancreas and destroys them. Type 2 diabetes which is the most common form of the disease, usually occurs in middle aged adults after the age of forty-five (American Diabetes Association). It’s a condition characterized by high blood glucose levels caused by either lack of insulin or the body's inability to use insulin efficiently. Forty percent of African American boys and forty nine percent of girls will develop diabetes during their lifetimes and therefore face the possibility of severe diabetes-related complications and a life span that is reduced by 4 to 23 years (Institute for Alternative Futures). In 2010, there were 5,547,700 African Americans in the United States with diabetes. African Americans have at least twice the risk of amputations, renal failure, and...
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...Physically: Some people with DM type 1 might experience long term disabilities such as: diabetic retinopathy, cardiovascular disease, hypoglycemia, neuropathy, nephropathy [ (Dealing with Type 1 Diabetes in Children, 2014) ]. Sexually: In men, impotence may come and go at times. It may begin with erections that are less firm than before, and then progress to those which are shorter duration and less firm. In women, it was reported less sexual desire, less satisfaction, more avoidance of sex, difficulty with lubrication, and fewer orgasms [ (Sander Polin, 2012) ]. Notes: Sanders-Polin suggests that in addition to the symptoms of diabetes, some of the sexual dysfunctions can be due to the stress of dealing with a chronic disease and the medications taken. Financially: According to mainstream.com, a typical type 1 diabetic patient might pay at full-cost (without insurance) about $422.90 per month [ (Typical Costs fo Diabetic Patients, 2009) ]. Notes: The monthly costs include humalog and lantus insulin, lancets, strips, and the medication accupril . Medicare covers supplies for people with diabetes, whether or not they use insulin [ (Centers for Disease Control and Prevention, 2014) ]. Private insurance The following federal programs can provide more resources for people with diabetes: Department of Veterans Affairs (VA) TRICARE The Indian Health Service The...
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...Diabetes Management February 2015 A Word About Diabetes Diabetes Mellitus: Type 1 What Is It? Diabetes is a common disorder. It’s marked by high blood sugar. Insulin controls how much sugar stays in your blood. The pancreas makes the hormone insulin. People who have type 1 diabetes can no longer make this hormone. There are two main types of diabetes: type 1 and type 2. Most people with diabetes have type 2. Type 1 diabetes often starts in childhood. But, it can start in adulthood. Type 2 diabetes often starts after age 40. In type 2, the cells of the body do not use insulin well. Obese people are at risk for type 2. Now we will talk about type 1. Diabetes Symptoms The following symptoms are typical of diabetes. However, people with diabetes type 2 maybe so mild they may go undetected. Common symptoms of diabetes: Urinating often Feeling very thirsty Feeling very hungry – even though you are eating Extreme fatigue Blurry vision Cuts/bruises that are slow to heal Weigh loss- even though you are eating more Tingling, pain in the hands/feet Early detection and treatment of diabetes can decrease the risk of developing complications of diabetes. What Your Doctor Looks For Your doctor may test your blood sugar if you have any symptoms of diabetes. Other blood tests include: A1C. This tests average blood sugar over the past two to three months. Cholesterol and triglycerides. The results can help your doctor assess your heart disease...
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...diabetes Before you begin your teaching plan be sure to define the characteristics of the clinical site and patient population. The teaching plan should be customized to this population. This is a sample teaching plan that you can use and customize to your needs. You may want to design a pre-test and post-test to give your patients would are attending the teaching program. Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes. Of this 17 million people, 11.1 million are diagnosed and 5.9 million are undiagnosed. In the different age groups, about 151,000 people less than 20 years of age have diabetes, approximately 0.19% of people in this age group. In the 20 and older age group 16.9 million and 8.6% of people have diabetes. The 65 and older age group has 7.0 million and 20.1% of all people with diabetes (www.cdc.gov/diabetes). The Identified Learning Need Patients with Diabetes have very comprehensive learning needs. The learning needs are focused on managing their glucose levels and preventing complications of diabetes. Learning needs for managing diabetes are complex and include: monitoring blood glucose levels, menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to manage hypo/hyperglycemic episodes. Many patients are diagnosed with diabetes every...
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...How to control complication of type 2 Diabetes Palakkumar Patel Monroe College Abstract This paper is presenting about how to control complication of type 2 diabetes. In the USA 90% of diabetes patients suffering from type 2 diabetes. In every year lots of patients going to die due to type 2 diabetes complication. In previous studies review is presenting about due to type 2 diabetes so many complications are occurring in different part of the body and some study is presenting about due to health education we can reduce the problem in community. By doing heath education, continues health check up and doing some personal health counseling about diet and personal lifestyles.in school health education also effect on child on diet personal life styles. How to control complication of type 2 Diabetes Chapter 1: Introduction Diabetes is a leading cause of adult-onset blindness, kidney failure, and non traumatic limb amputations; significantly higher risk for coronary heart disease, peripheral vascular disease, and stroke, and they have a hypertension, dyslipidemia, and obesity; Diabetes is a the seventh leading cause of death in the United States (1). USA is expending $245 billion annually for health care expenditures and productivity losses and is a leading driver of growing Medicare expenditures for controlling glucose levels, blood pressure (BP), and lipid levels and avoiding tobacco, singularly or in combination, reduce the incidence of costly and disabling micro- and...
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