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Pharmacology of statins- pharmacology research
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Hello Dr. Hayes and Classmates,
For this week, the areas of cardiovascular and endocrine were presented in the modules and practice questions. When considering my strengths in cardiovascular, it was based in heart failure as this area of interest years ago. The area that caused me to grow in knowledge were the meds and labs. This presented some challenges with relating the reasons for taking medications with certain lab values. The practice questions helped to strengthen this area. In my practicum, may of the patients were on calcium channel blockers, thiazides, and statins. It was not until this learning opportunity that it became apparent the reason for the regimen. This manner become more intense when considering other comorbidities
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In terms of strength, the diabetes section was my area of strength. The medications, health care considerations, and blood pressure were all experienced in my practice. Type 2 diabetes is of particular concern for factors such as sedentary lifestyle, weight, and culture. There is a need to monitor these patients to determine the level of glycemic control. In the manner, the medications can be adjusting according to the guidelines. In my practicum, there was quite a bit of non-compliance with medications. Patients devised a plan for taking their medication based on their beliefs. The practice questions were extremely useful for this area as they covered these core concepts. For my area of growth, the area of thyroid with age, labs, and heart considerations. When considering age, the elderly have consideration for dosing which is different from the younger population. With this, my major learning experience was with the thyroid disease labs as noting the levels of T4, T3, and TSH. The impact of thyroid on the heart is important. Gaitonde, Rowley, and Weeney (2012) stress the importance treating hypothyroidism as it can contribute to hypertension, dyslipidemia, infertility, cognitive impairment, and neuromuscular dysfunction. With this, these lessons have provided valuable information for the
Hypothyroidism is a clinical syndrome resulting from a deficiency of thyroid hormones, which leads to a generalized slowing down of metabo...
Today he chooses to have a healthy life and control his diabetes. He takes one medication orally for his diabetes, Metformin. JR has a good, healthy diet as well as exercise habits like taking walks with his dog. JR takes seven medication on the daily with three being for his heart, one for his high blood pressure, one for his cholesterol, one for his diabetes and another one to prevent blood clots. After making sure there was no drug to drug interaction between any of this medications, I informed my patient that his medication can not cure diabetes and high blood pressure but control
Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38. Torpy, J. M. (2011). The 'Standard' Diabetes. Jama, 305(24), 2592 pp.
...revention through awareness and education is achieved via the work of government initiatives such as the National Diabetes Services Scheme and health campaigns including Measure Up. The NDSS also works to improve the self-management of diabetes. Physiotherapists also have a role in the management of diabetes through implementing exercise programs. An evidence-based approach was used to create the proposed exercise program that aimed to manage the high blood glucose levels associated with insulin resistance in type 2 diabetes (Sigal et al., 2007). It utilized both aerobic and resistance training in accordance with current knowledge of the most effective dosages for the population group. Physiotherapists must work alongside other healthcare professionals such as dietitians and general practitioners to provide optimal support and management for patients with diabetes.
Today I am going to be choosing diabetes for my medical topic. There are several types of diabetes. There is type 1 diabetes, type 2 diabetes and gestastional diabetes. Our body naturally produce insulin and but sometimes there are cases where are body doesn’t produce enough insulin or does not properly respond to the insulin produced which results in high blood sugar levels. High blood sugar levels is not healthy for our bodies because it can lead to us going into a coma. If this is left untreated it can cause very serious health problems including death.
The purpose of this study is to research the disease Type 2 Diabetes and to discover whether it is being effectively treated and prevented in Merced County, California. According to the National Institutes of Health, Diabetes Mellitus is “a lifelong (chronic) disease in which there are high levels of sugar (glucose) in the blood. It is also the most common form of Diabetes”.1 Furthermore, there are many risk and lifestyle factors associated with this disease, but the most prevalent are; obesity (#1 risk factor), sedentary lifestyle, unhealthy eating habits, family history and genetics, increased age, high blood pressure and high cholesterol, and a history of gestational diabetes.2 The long term complications of having type 2 diabetes can include but are not limited to; eye problems (cataracts and glaucoma), foot problems (neuropathy/ nerve damage), skin problems (infections), high blood pressure (which raises your risk for heart attack, stroke, eye problems and kidney disease), hearing loss, oral health, mental health and early death.3
Every action of my day, every bite of food and every amount of exercise affects my health. I have had Juvenile Diabetes for thirteen years, and now I have decided to take on the task of not only managing my own health, but other’s as well. Managing my diabetes has not always been a huge struggle for me, but with the new stress of nursing school, it is becoming a balancing act between school and my own health.
The research will be used to update medical-surgical nurses on techniques and protocol for effective patient education in the management of type 2 diabetes. The impact on healthcare, in general, from this information increases the responsibility of the nurses for effective patient education and follow-ups. The greater in-depth patients are educated on the disease process, as well as, the combination of healthcare collaborations and patient self-management, the results can potentially decrease the amount of patients hospitalized each year due to elevated glucose level complications.(Nelson-Slemmer, 2014; Murtha, 2015) The financial burdens, both institutionally and patients individually, can be reduced by prevention education. Early interventions of the progression of Type 2 Diabetes, will also impact the financial affliction of long-term complications and comorbidities that can occur. (Murtha, 2015) Interprofessional education is beneficial and can provide the specialized education needed to successfully educate patients on managing type 2 Diabetes Mellitus. Additional collaborations are helpful in providing, across the board, care management to the patients. Patients who keep a diabetes care journal, track and monitor glucose levels, document nutritional intake and medication regimen have higher success rate in managing their diabetes outcomes. (Nelson-Slemmer, 2014) Providing this information to all healthcare practitioners allows individualization and accurate adjustments for their plan of treatment. The changes being made can reduce patients’ anxiety and depression about the diagnosis due to lack of knowledge and understanding. Providing the information and resources available to help patient understand and cope with the diagnosis is important. The patient needs to be
My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease.
When working with the older adult population we have many health care challenges. One health concern for older adults is diabetes type 2. Diabetes can be defines as a raised glucose level and symptoms on two separate occasions. Diabetes type 2 is a metabolic disorder where a person shows some, but not complete, lack of insulin verses type 1 in which a person has a complete lack of insulin. The prevalence of diabetes among Americans has steadily increased over the years. “In 2010, 25.6 million Americans over 20 years old were estimated to be living with diabetes, with an additional 79 million estimated to have prediabetes” (Robertson, 2012, p. 225). Without proper education about the disease and how to manage it, the prevalence among our older population is likely to increase. “The epidemic of type 2 diabetes is clearly linked to increasing rates of overweight and obesity in the U.S. population, but projections by the Centers for Disease Control and Prevention (CDC) suggest that even if diabetes incidence rates level off, the prevalence of diabetes will double in the next 20 years, in part due to the aging of the population” (Kirkman et al., 2012, p. 2342).
The health problem I have chosen is Type 2 Diabetes. Research has shown that early detection of symptoms of diabetes is crucial and important as it may prevent further difficulties. It is difficult to always identify if symptoms are linked to Type 2 Diabetes because they are often less taxing on an individual’s day-to-day activities. Symptoms of Type 2 Diabetes include but are not limited to frequent urination, extreme fatigue, blurred vision, numbness in hands or feet, and feeling either very thirsty or hungry (American Diabetes Association, 2014).Risk factors of this health issue include but again, are not limited to, weight (being overweight is a high risk factor), lack of movement during daily activities, family history and genetics, race, and age (Risk Factors of Diabetes, Mayo Clinic, 2014).
Diabetes Mellitus is a chronic health condition in which the level of glucose in the blood is higher than usual. Type 1 diabetes occurs when the pancreas does not create enough insulin and type 2 diabetes occurs when insulin is produced, but is not adequate in lowering blood glucose levels or there is resistance to the insulin (Edwards, 2007, p. 9). Diabetes mellitus is the leading cause of end-stage kidney disease, foot and leg amputations, and new cases of blindness in the United States (Ignatavicius & Workman, 2010, p. 1465-66). People with type 1 diabetes are required to take insulin to manage their glucose levels. People with type 2 diabetes are usually prescribed oral medications such as sulfonylurea agents, meglitinide analogues, or biguanides to help control their glucose levels. Twenty to 30% of people with type 2 diabetes require insulin therapy as well (Ignatavicius & Workman, 2010, p. 1471). In addition to medication therapy, diet and weight control can help manage both type 1 and type 2 diabetes. Because diabetes mellitus can cause such severe complications, it is important that people with diabetes understand the importance of certain health and lifestyle choices, such as their diet and weight to manage their disease. Patients with diabetes mellitus should pay special attention to the amount of carbohydrates, protein, fat, and minerals that are included in their diet. Monitoring these components of their diet, along with weight management, can help control their diabetes mellitus.
According to Paul (1999), reflective practice has become a dominant paradigm in second language teacher education in recent years. Further, Biggs (2003) cited that learning new technique for teacing is like the fish that provides a meal for today which same as reflective practice that acts as the net that provides the meal for the rest of one’s life. To begin with, reflective practice has been a major movement since the eighties in teacher education (Calderhead, 1989; Cruickshank &Applegate, 1981; Gore, 1987; Zeichner, 1987). Even more, research acknowledges a number of potential benefits that arise from reflecting on ones’ teaching both for pre-service and in-service teachers (Bailey, 1997; Cruickshank, 1987; Mckay, 2002; Oterman and Kottamp,
Crumbie, A. (2007) Caring for the patient with a cardiovascular disorder In: Wash, M. & Crumbie, A. Watson’s Clinical Nursing and Related Sciences. 7th Ed. Bailliere Tindall Elsevier. London pg 244 – 324.
As I reflect on my past assessment process, I realized how much my assessments have changed over the years. In my early years, I used tests for informational recall as my assessments. I felt these were appropriate guidelines in which I needed to follow in order to substantiate a student’s grade. Every assignment or tests was given a point value and then based on the amount of points, a grade was given. Every student’s assessment was exactly the same, and the assessments did not contain any subjectivity. I felt confident in giving the grade based on a valid point system. However reflecting back, I see that I did not include any performance-based assessments or individual learning styles in my early assessment. I also did not take into consideration the individual needs of my students. My assessment approach was awful. I am embarrassed that I use to assess students in this manner.