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Diabetes in the african american community
Diabetes in the african american community
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In today’s society diabetes mellitus has become a prevalent issue, especially because it is affecting our youth in increasing numbers. Diabetes is defined as “a complex disorder of carbohydrate, fat, and protein metabolism that is primarily a result of a deficiency or complete lack of insulin secretion by the beta cells of the pancreas or resistance to insulin ("DM," 2013, p. 522). The number of adults diagnosed with diabetes has significantly increased from the 1980s to today, as well as the number of children being diagnosed. Risk factors such as family history, obesity, and ethnicity are all crucial to the prevalence of diabetes and its devastating effects on the future health of those affected. Asian-American ethnicity is associated within the high risk factors along with several other ethnicities such as African Americans, Hispanic Americans, and Native Americans (Smeltzer, Bare, Hinkle, & Cheever, 2010, p. 1197). The following will establish how diabetes in adolescents has become a critical topic for their generation and the effects it is having on their personal care and in collaboration with their healthcare providers and nurses. Impact on Patients and Patient Care Adolescents are currently being affected by diabetes because of several factors, but the biggest and most crucial factor is obesity. Research by the Agency of Healthcare Research and Quality on Asian Americans, more specifically those from a Southern Asian background have shown that although the patients’ height, weight, and body mass index (BMI) show the person to be overweight or obese the patient did not perceive themselves as overweight or obese. Those of Asian descent who are diagnosed with type 2 diabetes are diagnosed at a lower BMI than many ot... ... middle of paper ... ...s. (2013, March). Agency for Healthcare Research and Quality: Research Activities, 13. Retrieved from http://www.ahrq.gov/news/newsletters/research-activities/13mar/Mar13RA.pdf Scott, L. K. (2013). Presence of type 2 diabetes risk factors in children. Pediatric Nursing, 4(4), 190-196. Retrieved from http://web.b.ebscohost.com.ezproxy.com.edu/ehost/pdfviewer/pdfviewer?sid=d2677c5a-a052-420e-9d1c-c43b91053f41%40sessionmgr115&vid=12&hid=108 Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s textbook of medical-surgical nursing (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. South Asians may not perceive themselves as being overweight or obese. (2013, March). Agency for Healthcare Research and Quality: Research Activities, 18-19. Retrieved from http://www.ahrq.gov/news/newsletters/research-activities/13mar/Mar13RA.pdf
Diabetes Mellitus (Type 2 diabetes/adult onset diabetes) is an epidemic in American Indian and Alaska Natives communities.7 AI/AN have the highest morbidity and mortality rates in the United States.7 American Indian/Alaska Native adults are 2.3 more times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 More importantly, AI/AN adolescent ages 10-14 are 9 times likely to be diagnosed with Diabetes Mellitus than non-Hispanic Whites.7 Type 2 diabetes is high blood glucose levels due to lack of insulin and/or inability to use it efficiently.8 Type 2 diabetes usually affects older adults; 8 however, the incident rate is rising quicker amongst AI/AN youth than non-Hispanic Whites.7 This is foreshadowing of earlier serious complications that will be effecting the AI/AN communitie...
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
Davenport, Joan M., Stacy Estridge, and Dolores M. Zygmont. Medical-surgical nursing. 2nd ed. Upper Saddle River, N.J.: Pearson Prentice Hall, 2008, 66-88.
The links between obesity and diabetes are well recognized worldwide as obesity continues to be a significant public health burden especially among children and adolescents in the United States. Research says that almost one-third of children and adolescents are classified as overweight or obese. The potential roles of the vicious cycle are seen in the context of current trends in obesity and Type 2
Over 60 million people are obese in the world today. The socioeconomic statuses of the Americans play a major part in the obesity rates across the country. People with higher incomes are less likely to be obese than people with lower incomes. One in every seven preschool-aged children living in lower income areas are obese (Center for Disease Control and Prevention). A 2008 study showed that obesity is highest among American Indian and Alaska Native (21.2 percent) and Hispanic Americans (18.5 percent) children, and it is lowest among white (12.6 percent), Asian or Pacific Islander (12.3 percent), and black (11.8 percent) children (Get America Fit).
Elissa, Jelallian and Steele, Ric. “Handbook of Childhood and Adolescent Obesity”. New York, NY: SpringeScience+Business Media, c2008.Print.
Childhood obesity has already reduced the average life expectancy between four and nine months. “[T]oday’s generation will have shorter and less healthy lives than their parents for the first time in modern history,” warned S. Jay Olshansky, the University of Illinois researcher and author of the study (1). In 2004, the US Center for Disease Control found that at least 66% of adults were overweight or obese—double the percentage in 1980—and that more than 1/6 th of kids ages 2-19 were overweight. Type II diabetes, usually caused by an unhealthy lifestyle rather than genetics, has increased as a side effect of obesity and heart disease is also on the rise. In short, obesity is a national epidemic.
The role of the nurse in the preoperative area is to determine the patient’s psychological status to help with the use of coping during the surgery process. Determine physiologic factors directly or indirectly related to the surgical procedure that may cause operative risk factors. Establish baseline data for comparison in the intraoperative and postoperative period. Participate in the identification and documentation of the surgical site and or side of body on which the procedure is to be performed. Identify prescription drugs, over the counter, and herbal supplements that are taken by the patient that may interact and affect the surgical outcome. Document the results of all preoperative laboratory and diagnostic tests in the patient’s record
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.
American Journal Of Public Health103.1 (2013): 27-31. Business Source Premier.
In our society today, the number of people diagnosed with diabetes is increasing. Diabetes is caused by many factors, like genetics, inactivity, and obesity. With obesity on the rise in our country, so is diabetes, especially in young children. With the fattening and unhealthy foods provided by fast food chains and grocery stores, children are the ones that diabetes affects the most, causing them to have higher chances of being diagnosed with diabetes. According to Kim and Lee (2008), the rates of childhood obesity have tripled over the past three decades.
Studies have shown that about 15,000 million children are diagnosed with diabetes each year! Schools can help kids by serving safe, healthy, and delicious foods to kids who order the food. Diabetes is not the only thing that affects children of all ages. Obesity, heart disease, arthritis, and certain
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.