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Type 2 diabetes case study
Type 2 diabetes case study
Type 2 diabetes case study
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The Effectiveness of Patient Education in the Management of Type 2 Diabetes Mellitus
According to the American Diabetes Association (ADA), Diabetes Mellitus continues to rise in the United States with almost 30 million children and adults having diabetes. Approximately 90-95% of those diagnosed are diagnosed with Type 2 Diabetes Mellitus. (ADA, 2014) The need for further patient education by medical-surgical nurses has increased due to the rising number of diabetic patients. Glucose control is important in not only the promotion of health but in the prevention and early interventions of further long-term complication or comorbidities. By focusing on patient education and the responsibility of self-management the patients have the ability to
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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
...s, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott.
Sarah should determine the LPN’s knowledge base regarding the current patient cases she is responsible in caring for. For instance, the LPN may have extensive knowledge regarding the care of the diabetic patient and may be able to provide patient education to them on her own. However, Sarah should still assess the LPN’s knowledge regarding the teaching and may be able to advise the LPN of specifics to educate on. Additionally, Sarah should still speak with the diabetic patient and assess their understanding of the teaching and serve as a resource for any questions the patient might
Diabetes education is a structured education and self-management (at diagnosis and regularly reviewed and reinforced) to promote awareness. Diet and lifestyle, healthy diet, weight loss if the person is overweight, smoking cessation, regular physical exercise. Maximizing glucose control while minimizing adverse effects of treatment such as hypoglycemia. Reduction of other risk factors for complications of diabetes, including the early detection and management of hypertension, drug treatment to modify lipid levels and consideration of antiplatelet therapy with aspirin. Early intervention for complications of diabetes,, including cardiovascular disease, feet problems, eye problems, kidney problems and neuropathy.
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.
DTC Primary Care Training Center. 2004. Diabetes Management in Primary Care (a handbook), West Yorkshire
...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.
Ishani, A., Greer, N., Taylor, B., Kubes, L., Cole, P., Atwoof, M., et al. (2011, June 2). Effect of Nurse Case Management Compared With Usual Care on Controlling Cardiovascular Risk Factors in Patients With Diabetes. Diabetes Care. Retrieved May 2, 2014, from http://care.diabetesjournals.org/content/34/ 8/1689.full#cited-by
In addition, one of them was 10 year old girl, who was just diagnosed with type 1 diabetes. Patient was a young girl, from different culture and religion, and parents had language barrier; however, while taking care of the child, I could see that family had really good interaction with each other. Parents were at bedside all the time, and they were very supportive and attentive. Patient and family did well with diabetic care. The mother was participated in cares and eager to learn. Moreover, to provide highest quality of care, nurses did a lot of great job. They provided information about the child’s chronic illness and taught about insulin administration. Consequently, from caring that patient I understood that most important nursing interventions are to assess patient's ability to copy with new life and role change, patient’s reaction to chronic illness, support system, cultural issues, and available
With the current literature research diabetes a growing among patients across the world. There several ways nursing can educate their patients on this disease that is killing their patients day to day. Educating their patients on getting physically active, changing their diet, and not smoking our some
Hinkle, Janice L, Cheever, Kerry H. (2014). Brunner &Suddarth’s textbook of Medical-Surgical Nursing. Philadelphia: Wolters Kuwer/Lippincott Williams &Wilkins.
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.
The nurse in today's society provides different services to the healthcare community. Taylor (2011) lists the common roles of the nurse as follows: communicators, educators, researchers, advocates, collaborators, and caregivers. The communicator role of a nurse involves “effective interpersonal and therapeutic communication skills to establish and maintain helping relationships with patients of all ages in a wide variety of healthcare settings” (Taylor, 2011, pg 11). Patients look to nurses for information and communicate better with them because they are the most hands on role in the healthcare setting. As an educator, the nurse is responsible for assessing and evaluating individualized teaching plans for patients and their families (pg
According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to successfully reduce the number of amputations and diabetic foot ulcers, patient teaching is essential. Patient teaching, as with the nursing process, begins with assessment in order to identify the patients learning needs (Wilkinson & Van Leuven, 2007).
Diabetes is a common disease, which can be a serious, life-long illness caused by high levels of glucose in the blood. This condition is when the body cannot produce insulin or lack of insulin production from the beta cells in the islet of Langerhans in the pancreas. Diabetes can cause other health problems over time. Eye, kidneys, and nerves can get damaged and chances of stroke are always high. Because of the serious complications, the purposes of teaching a plan for diabetes patients are to optimize blood glucose control, optimize quality of life, and prevent chronic and potentially life-threatening complications.
Osborn, K. S., Wraa, C. E., Watson, A. B., & Holleran, R. (2014). Medical-surgical nursing: preparation for practice (2nd ed.). Boston: Pearson.