... 12 Proposed Intervention 12 Outcomes and Associated Evaluation Criteria 13 References 15 Appendix: Table 18 Improving Compliance to Treatment Plan in DM Patients INTRODUCTION The Centers for Disease Control and Prevention (CDC) (2011) identified diabetes mellitus (DM) as a major public health disorder in the United States that results in one’s shortage of insulin or one’s inability to utilize insulin. As the insulin hormone is necessary for the conversion of glucose to energy in somatic cells, ineffective insulin activity in DM causes increased glucose residues in the blood, which tends to harm organs (CDC, 2011). The CDC (2011) has identified three primary types of DM: (a) Type 1 DM results from an inability to generate insulin in the body due to...
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...Quantitative Study Critique February 21, 2013 Quantitative Study Critique Nursing practice has advanced to more than just the clinical part of caring for patients. Nursing has evolved into a profession that demands accountability through continued research and implementation of evidence based practice in efforts to consistently provide the best care for growing populations. Nurses must be able to utilize research provided and critique this information with a degree of understanding that allows the nurse to interpret the knowledge gained in regards to the studied populations. Furthermore, the credibility and relevance of the study is equally important in the decision to trust its application in current best practice issues. This study states trust and depression are issues that cause difficulties with glycemic control. The purpose of this paper is to critique the quantitative study and offer a critical synopsis of the research presented. PICO (Patient, Intervention, Comparison, and Outcomes) is a type of model used to aid in framing questions for the research study. It helps to define questions that will support the specific population being studied and aids the reviewers in finding relevant information and evidence within the literature (Board of Trustees of the University of Illinois [UIC], 2012). The population studied was uninsured patients with diabetes. In considering the intervention and comparison, the goal of the study was to link health...
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...Promotion In Nursing Practice To equate and distinguish, the author had to search literatures from the GCU library and Google. The author noted that there was a lot to learn about health promotion in the three articles. Today’s health promotion is not just restricted to preventing disease, restoring health, containing illness, concentrating health pedagogy, lifestyle and behavioral alterations, but has attempted a new paradigm, authorizing the patients by taking governmental and societal action to encourage health improving environment (Irvine, 2007). This paper focuses on the intention of the health promotion in nursing practice, roles and responsibilities of nursing evolving health promotion, implementing methods that encompasses all the domains of nursing, and compares the three phases of health promotion prevention of diabetes. There are various definitions given by authors and organizations regarding the health promotion but the definition of the World Health Organization (WHO, 1986), Ottawa charter is the popular one, which reads “Health promotion is the process of enabling people to increase control over, and to improve, their health. To reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment.” This definition emphasizes on responsibility of patient health and also expands its role in healthy lifestyle changes for betterment...
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...Practice Project—Paper on Diabetes Name Institution Evidence-Based Practice Project—Paper on Diabetes Introduction Diabetes, often called by health experts, diabetes mellitus, is a metabolic condition which causes an increase in the level of blood sugars (Stehouwer, 2009). Patients suffering from diabetes become increasingly hungry (polyphagia) and thirsty (polydipsia) (Friesen, 2003). In addition, they experience polynuria, which is a condition characterized by frequent urination. Diabetes can be categorized into three types. The first group is Type 1 diabetes. It is also known as juvenile or insulin-dependent diabetes. It often develops in early adulthood, before an individual attains 40 years. The second-type and most common is the type 2 diabetes. It accounts for close to 90% of all diabetes cases reported around the world. It occurs when the body cells fail to react to insulin in the body. In addition, type 2 diabetes can occur when the beta cells in the body are not able to produce adequate insulin (Tuomi, 2005). 3) Gestational diabetes. It affects women, especially during pregnancy periods (Feig, 2012). Hence, this paper on diabetes will provide a brief summary of the disease process. In addition, the paper will also focus on a study on diabetes in an article entitled, “Hemoglobin A1C as a Diagnostic Tool for Diabetes Screening and New-Onset Diabetes Prediction," by highlighting the purpose of the study, method of study, findings and its implications to nursing practice. Brief...
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...Project—Paper on Diabetes Name Institution Evidence-Based Practice Project—Paper on Diabetes Introduction Diabetes, often called by health experts, diabetes mellitus, is a metabolic condition which causes an increase in the level of blood sugars (Stehouwer, 2009). Patients suffering from diabetes become increasingly hungry (polyphagia) and thirsty (polydipsia) (Friesen, 2003). In addition, they experience polynuria, which is a condition characterized by frequent urination. Diabetes can be categorized into three types. The first group is Type 1 diabetes. It is also known as juvenile or insulin-dependent diabetes. It often develops in early adulthood, before an individual attains 40 years. The second-type and most common is the type 2 diabetes. It accounts for close to 90% of all diabetes cases reported around the world. It occurs when the body cells fail to react to insulin in the body. In addition, type 2 diabetes can occur when the beta cells in the body are not able to produce adequate insulin (Tuomi, 2005). 3) Gestational diabetes. It affects women, especially during pregnancy periods (Feig, 2012). Hence, this paper on diabetes will provide a brief summary of the disease process. In addition, the paper will also focus on a study on diabetes in an article entitled, “Hemoglobin A1C as a Diagnostic Tool for Diabetes Screening and New-Onset Diabetes Prediction," by highlighting the purpose of the study, method of study, findings and its implications to nursing practice....
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...Information Literacy and Evidence-Based Practice During my search for information on the diabetic topic I did find a lot of information but I was not sure if all those sites were given me good information. I had to legitimately research my topic, make patient repetition, careful filtering, and the separation of drivel from verified content, all performed with a critical and skeptical mindset. I combined soft and hard research that requires the most work, because the Diabetic topic broadens my search requirements. Not only that I needed to find hard facts and figures, but I have to debate against very strong opinions to make my case. I search the American Diabetes Association I used the CRAAP test to verify that the information I was getting was reliable before I used it in my research paper and I found their information was current, the information was related to my topic and was a appropriate to my patient. It is a reliable source of information for diabetic who is willing to know more about the disease. I stick to the first google results page. I start with the main keywords it helps me find exactly what I am looking for. I used some google shortcuts like pdf to search only those files. I Use site: www.example.com to search within a specific data base. I Use google scholar, I change keywords as I go. I usually find that some words are more commonly used than others and lead me to more results, so I change my keyword to adapt. I used the American Diabetic Association...
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...summary of the data that has been collected over the years through experimentation, literature reviews, qualitative research, and the results that have been construed from that data will be presented. It discusses the concept of the effects of bariatric surgery and answers the question - do people who have the surgery have better health outcomes, specifically with hypertension and type II diabetes mellitus, than those who do not? A summary of research reveals that there is a significant reduction and/or total remission of both of these co-morbidities that were often life long. Other benefits, such as quality of life, social standings, and healthcare cost reduction are examined and positively reported. Review of current data to include strengths and weaknesses, conceptual frameworks, and the current state of knowledge reveal that bariatric procedures have shown the efficacy and safety in the treatment of morbid obesity and have gained wider acceptance in the medical world. Synthesis of Bariatric Surgery and the Effects on Comorbidities For years people have turned to diets in an effort to lose weight and get healthier. At no time has that been more the case than in America today. People spend billions of dollars a year trying to lose weight and the numbers are not encouraging. The prevalence in obesity with related Type II Diabetes and Hypertension is growing at an alarming rate, calling for other alternatives such as crash diets and extreme exercise...
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...Diabetes- Potential Effects as a Chronic Process Diabetes-Potential Effects as a Chronic Process Diabetes is a serious problem in the United States. It is a disease where blood glucose levels are above normal. There are two types of diabetes, Type 1 diabetes (juvenile onset diabetes) and Type 2 diabetes (adult onset diabetes). Both types of diabetes exhibit similar symptoms or no symptoms at all. In this paper, we report the incidence of diabetes, typical signs and effect diabetes has on the body, teaching requirements and psycho-social challenges that go along with the disease. Diabetes mellitus affects about 17 million people, 5.9 million are undiagnosed. In the United States, approximately 800,000 new cases of diabetes are diagnosed yearly (Bare, 2006). Among working adults diabetes is the leading cause of non-traumatic amputations, blindness and end-stage renal disease. Diabetes is the third leading cause of death by disease, primarily because of the high rate of cardiovascular disease (Bare, 2006). Hospitalization rates for people with diabetes are 2.4 times greater for adults and 5.3 times greater for children than for the general population. Among adults in the United States, diagnosed cases of diabetes increased 49% from 1990 to 2000, and similar increases are expected to continue (Bare, 2006). According to the Centers for Disease Control and Prevention, approximately 5% to 10% of people with diabetes have type 1, which the insulin-producing pancreatic beta cells...
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...Health Promotion in Nursing According to the World Health Organization (WHO), health promotion “enables people to improve control over the determinants of health and as a result to improve their own health, and able to make healthy choice” (Denise and Suzanne, p. 87). Historically, health promotion deal with protecting society from contagious disease, such as to providing safe water and reduce environments hazards, and treat of preventable disease rather than preventing them. Conversely, the contemporary health promotion is aimed to increase the society’s awareness of healthy prevention, improve their quality of life and reduce health care budget. Health promotion range from smoking cessation to diagnostic and screening test, injury prevention, and chronic diseases management. There are three levels of prevention can be applied to health promotion, which are primary, secondary, and tertiary. Primary prevention is cheapest method to prevent disease or injury by increase the health awareness of individuals, families and society, an example of primary prevention is smoking cessation. Secondary prevention is to take diagnostic testing or screening in order to treat disease at the early stage if needed, such as diabetes, Pap smear test, mammogram screening and colonoscopy. Tertiary prevention actually is to treat disease has already been detected and prevent recurrence of condition. This paper will discuss the purpose of health promotion, and the role of nursing in health promotion...
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...The Research Process HCS/465 November 2, 2012 The Research Process In the research process, many questions must be answered to provide validity in the article being read. Evaluating quantitative research and qualitative research is the beginning of the process. Supporting evidence is a way to validate the creditability of the content read. Three types of literature typically reviewed are theoretical literature, empirical literature, and the use of primary and secondary sources. The hypothesis must be stated in the article and must be categorized as null, directional, or research based. The hypothesis statement must contain variables. Variables in the content of research can be defined as confounding variables, environmental variables, and demographic variables. Sampling is also used to collect data for research. With the above taken into consideration, this paper will evaluate a journal article based on diabetes and reproductive health in women. The Problem with Diabetes and Procreation In this journal article, the main problem or objective the study was conducted to resolve is to seek knowledge for health care professionals on how to administer appropriate advice to women with diabetes concerning reproductive health. This topic is important for health care professionals to study because giving appropriate advice concerning reproduction and making informed decisions between the patient and the health care professional. The purpose of this...
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...Application ORIGINAL XXX 1541-5147 ARTICLES International of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman With Diabetes IJNT Malden, USAJournal Inc Blackwell Publishing of Nursing Terminologies and Classifications Application of Orem’s Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman with Diabetes This paper aims to illustrate the process Coleen P. Kumar, RN, MSN, CNS, is Assistant Professor of Nursing, Kingsborough Community College, Brooklyn, New York. Introduction As the average lifespan is extended, more individuals are coping with chronic illnesses such as diabetes, which has reached epidemic proportions with more than 20 million people in the United States having this diagnosis (Gordois, Scuffham, Shearer, Oglesby, & Tobian, 2003). The American Diabetes Association (ADA) estimates that a million people will be diagnosed of diabetes every year (2004). Long-term complications of diabetes are costly to both the individual and the healthcare system. Over the past decade, diabetes research has focused on pharmacological approaches and lifestyle interventions to the illness (Odegard, Setter, & Iltz, 2006). Recent evidence in the forum of diabetes care revealed a need for healthcare professionals to assess and empower individuals in the self-management of this illness. For the purposes of this case study, health assessment by nurses was defined by Fuller and Schaller-Ayers (2000) as a process...
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...Epidemiology Paper In this epidemiological paper, I will be discussing about my chosen vulnerable population of elderly and the disease of type II diabetes among elderly population. I will also be discussing epidemiology and what it means, the steps and methods of epidemiology and how it was done for my chosen population and disease. Ethical and legal considerations, how to provide culturally competent care, and at last, I will discuss whether the research was descriptive or analytical, and the process of feasibility and evaluation of prevention of diseases. As stated in Nursing Standard, epidemiology is a scientific research discipline concerned with observing, measuring and analyzing health-related occurrences in human populations (Last 1995, Trichopoulos 1996). Mausner and Kramer (1985) suggest that epidemiological studies can be applied to all diseases, conditions and health-related events (Whitehead, 2000). Although epidemiology is focused on observing, measuring, and analyzing, it also evaluates diseases and health services, rationalizes resources, and prioritizes as to how to formulate strategies for health promotion. Epidemiology can also help to determine the health of the population, planning of health policies and services, and maintaining a healthy environment for all. When it comes to nursing, epidemiology offers nurses many benefits in incorporating health practices into their professional roles, helps them in having a better understanding in regards to the disease...
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...Evidence-Based Practice Project—Paper on Diabetes Pathophysiology and Nursing Management of Clients Health – Disorders of the Digestive and Musculoskeletal System Grand Canyon University Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children. In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Use of New Technologies to Improve Self-Management Support in Diabetes Patients Name September 5, 2015 NRS-410 Grand Canyon University Instructor: Providing support and care with new technologies like text messages, cell phones and the internet can improve health outcomes that are clinically relevant to diabetes by increasing self-efficacy and knowledge to carry out actions of self-management. There has been a boost in the focus studies put on intervention and diagnostic methods for diabetes and, as a result, there are many materials available concerning how use of cell phones and the internet can improve self-management behaviors in different groups. The following paper will review one such study...
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...Epidemiology: Global and Public Health Jennifer Nurse NUR408 January 2011 Nancy Nurse, EdD, RN, PHN, LSN Epidemiology: Global and Public Health According to the Centers for Disease Control, “diabetes affects 25.8 million people, 8.3% of the U.S. population” (Center for Disease control and Prevention, 2012, par 1). Twice as many African Americans are likely to develop diabetes than Caucasian Americans. These statistics represent how serious diabetes has become for the black community. Epidemiology can focus healthcare efforts and interventions to help lower the incidence of diabetes of the African Americans. This paper will focus on the role of epidemiology in the observation of the frequency of diabetes in the morbidity and mortality of American of African decent. This paper will also include the definition and description of epidemiology, epidemiological methods, the epidemiological triangle, types of epidemiology, and prevention that is related with diabetes in the African American community. Definition and Description of Epidemiology Epidemiology is defined as, “the study of the distribution and determinants of health-related states or events in specified populations, and the application of this study to control of health problems.” (Center for Disease Control and Prevention, 2012, p. 243). Epidemiology has provided an understanding of the factors...
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...Thesis statement: Research shows that breastfeeding is the best choice over formula because breastfeeding provides the infant with essential nutrients, helps with recovery from childbirth, and protects the infant against a number of chronic conditions. Annotated bibliography Baumgartel, K. L., & Spatz, D. L. (2013). WIC (The Special Supplemental Nutrition Program for Women, Infants, and Children): Policy versus practice regarding breastfeeding. Nursing Outlook, 61(6). 10.1016/j.outlook.2013.05.010 This article addresses the discrepancy of policy versus practice in the government subsidized program WIC. This article shows how even though the program is meant to support at risk mothers in breastfeeding, the numbers prove that a majority of their budget is spent on formula expenses. Very little of the budget is actually allocated to breastfeeding initiatives. The American Academy of Nursing members create and execute policy related initiatives to reform the American Health system. The academy has more than 2,400 members and is the established leaders in practice and research. They are advocates in healthcare policy making in Washington DC. This source will be relevant to the research paper because it will provide examples of the lack of funding for education and for initiatives for breastfeeding awareness and support, especially for the at risk population. Gianni, M. L., Roggero, P., Morlacchi, L., Garavaglia, E., & Piemontese, P. (2012)...
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