Evidence-Based Practice Diabetes
Diabetes is a disease which stays with the patient life-long except in some cases where the diabetes is gestational which occurs during pregnancy and often goes back to normal after the delivery. Typically there are two types of diabetes which are type 1 and type 2 diabetes but less common are gestational diabetes and other types which contain features of both type 1 and type 2 diabetes (Cowle et al., 2006). The management of diabetes mostly depends on the patient himself/herself because in diabetes it is all about self-care. But of course the guidance comes from the nurses and doctors and they need to educate the patients in order to control their condition. In order to prevent (in cases where there are chances of diabetes occurrence) or control (in cases where the person already has diabetes) diabetes it is very essential to take care of patient's…… [Read More]
As blood flows, it starts attracting the fluid from the tissues and therefore more fluid is entering the kidneys when filtering the blood, causing an increase in urination. And because the body is losing so much fluid, dry mouth and an increase in thirst are initiated (Martini, Nath, & Bartholomew, 2011). Other symptoms include fatigue, blurred vision, and sudden loss of weight (American Diabetes Association, 2013). These symptoms are a sign that the body's cells are not getting the glucose that they need to function properly and give the body the energy to conduct its daily functions.
Once an individual is diagnosed with type 2 diabetes, a series of treatment options are available. Type 2 diabetes does not entail the permanent lack of production of insulin, but it does reduce the amount of insulin receptors that are functional, therefore insulin injections are used as a form of treatment (American Diabetes…… [Read More]
Diabetes: The future of a chronic disease
The number of cases of type II diabetes has seen a dramatic increase in recent years, both in the United States and worldwide. The primary reasons for this increase are generally attributed to increased consumption of high-sugar, high-starch, and highly caloric food and a lack of exercise. The International Diabetes Foundation estimates that "one in 10 of the world's population will have diabetes by 2035" (Greenberg 2013). Diabetes is "the sixth leading cause of death in the United States" alone (Diabetes disparities among racial and ethnic minorities, 2001, AHQ). Addressing this national and global epidemic is essential given the common, conventional wisdom in public health that "people will make the healthy choice when the healthy choice is the easy choice" (Greenberg 2013). In the developed, developing, and even the minimally developed world, it is increasingly easy to eat foods associated with triggering the…… [Read More]
Diabetes Care in the Elderly
Curriculum Development Project
Curriculum Development Project: Diabetes in the Skilled Nursing Home esidents
Curriculum Development Project: Diabetes in the Skilled Nursing Home esidents
The increased prevalence of diabetes in developed nations has been blamed in part on the obesity epidemic, but a portion of that increase is also due to longer life-spans (reviewed by Vischer et al., 2009). While this may be a mixed blessing from the perspective of health policy makers, the increased prevalence of diabetes among the elderly contributes to the emergence of a variety of debilitating comorbid conditions and a significant decline in quality of life.
What makes matters worse is that diabetes sometimes goes untreated or undiagnosed in the elderly (reviewed by Vischer et al., 2009). When 2,307 skilled nursing home residents were assessed for the presence of this disease, 77 were found to be undiagnosed (Dybicz, Thompson, Molotsky, and Stuart,…… [Read More]
Diabetes as Presented Online From Two Different Websites
Diabetes is a common condition which is a form of affliction that pervasive in the U.S. Diabetes is a condition where a person's blood glucose levels are higher than normal as a result of the fact that the pancreas is unable to make enough insulin or can't use insulin as well as it should -- thus, causing insulin to be built up in one's blood. Type II diabetes is a condition which is preventable and which adults and children don't have to suffer from, as long as they engage in the proper lifestyle and dietary precautions. At this time, a plethora of websites do exist which seek to explore and educate the general public about issues which are connected to diabetes and ways that individuals and families can protect themselves from having this happen. This is of particular concern because diabetes can…… [Read More]
Individuals are asked to work toward those goals and values they hold while experience their thoughts and positive feelings." (Gregg et al., 2007) ACT is stated to have "shown positive outcomes for a wide variety of conditions including for chronic medical conditions, even when presented in very brief form." (Gregg, et al., 2007) Gregg et al. additionally states: "Diabetes researchers have called for the development of interventions designed to reduce diabetes-related distress in order to increase adherence with medical regimens (Melkus et al., 2003).Given this, there may be practical advantages to acceptance, mindfulness, and values-based action as a method of dealing with the psychological challenges of this chronic disease. Diabetes carries a substantial risk of disability and death, and it is reasonable for a person to respond to such threats with fear, worry, sadness, and avoidance. It can be invalidating and disempowering not to address these difficult thoughts and feelings."…… [Read More]
Researchers used this information, and designed it in such a way that it fit in with the lifestyle that this population was accustomed to (Acton, Shields, Rith-Najarian, Tolbert, Kelly, Moore, Valdez, Skipper, & Gohdes, 2001). This allowed the researchers not only to study the population more closely, but also to achieve a major degree of success that might not have been possible in a standard intervention program. The study found that many of those who completed the intervention program had lowered blood pressure, lowered weight, and lowered blood sugar levels (Acton, Shields, Rith-Najarian, Tolbert, Kelly, Moore, Valdez, Skipper, & Gohdes, 2001). While this was encouraging, the researchers were also careful to note that the only way the Native American population will actually decrease in their levels of diabetes is to continue the changes made during the intervention program over the course of their lives.
Another study detailing the importance of…… [Read More]
Diabetes and Special Education in School
Characteristics and Definition of Diabetes
The Centers for Disease Control 2005 survey reports that 21 million individuals or 7% of the total U.S. population have Diabetes. Furthermore, it is reported that one in every four to six-hundred students under the age of 20 years will have diabetes. (Belson, 2010) Diabetes is a "chronic metabolic disorder that results from failure of the pancreas to produce insulin (Type 1) or from insulin resistance with inadequate insulin secretion to sustain normal metabolism (Type 2)." (American Diabetes Association 2003; Centers for Disease Control, 2002 in: Getch, Bhukanwala, and euharth-Pritchett, 2007, p.1)
Characteristics of Diabetes
Children with diabetes have two problems that teachers must understand:
(1) Hypoglycemia; and (2) Hyperglycemia. (Children With Diabetes.com, 2010)
Hypoglycemia is low blood sugar and hyperglycemia is high blood sugar. Children with low blood sugar are known to have erratic behavior or alternatively act…… [Read More]
Yet they gained tremendous benefits from the diabetes prevention program. It reduced the risks at 71% by choosing a moderate lifestyle. Good health could allow 20 more years to those over 65. It showed that lifestyle intervention dramatically decreased the risks of diabetes. Regular exercise was an important component of the management of Type II diabetes. It kept the weight down. The lack of exercise brought the weight up. Overweight and de-conditioning, in turn, made it harder to exercise. The type of exercises depended on the health condition or issues of the patient. Those who are somehow healthy could start walking but not too fast to talk with someone walking with them. The walk could be five to 10 minutes on flat ground increasing to 45 minutes on hilly ground at a faster pace. Those who found it hard to walk, such as those with arthritis in the hips or…… [Read More]
One must remember that poor coping skills would render the patient more susceptible to diabetes related complications, and also have an adverse impact on self-care. It is in order to counter this that individuals and their families are advised to undergo regular screening procedures, so that psychological and related problems could be handled at the very outset, instead of allowing them to fester, thereby putting the patient at greater risk. Anxiety, eating disorders, and depression can be some of the more serious complications created by untreated psychological traumas related to diabetes and its diagnosis. ("Psychological aspects of diabetes," 2003) Community resources can be very helpful indeed for a patient who may feel depressed and anxious; when he meets others who are like him, it would automatically help in alleviating some of these psychological symptoms that aggravate his disease. ("Community esources for patients with diabetes," 2007)
To conclude, it must…… [Read More]
Diabetes and Learning
Diabetes is a chronic disease, which induces learning disabilities and cognitive disorders. Proactive care and Symptomatic management are critical aspects of diabetes control. Successful intervention involves a collaborative effort on the part of the school staff, parents and health care providers.
Diabetes is a serious health concern for the United States with more than 18.2 million people affected by the disease. The prevalence of Diabetes among children is alarming, as every year more than 13000 are being diagnosed with type-1 diabetes and even more unusual is the increasing incidence of type-2 diabetes[American Diabetes Association]. Studies have indicated that cognitive skills may be severely impaired if diabetes is not properly treated. Left unattended extreme cases of hypoglycemia may even result in severe complications such as seizures or coma. Understanding the effect of diabetes in the learning process is important in our efforts to provide optimal learning ability for…… [Read More]
In Vallejo, however, because of the Hispanic ethnic background of much of the population, there is a profound, healthy, and deeply culturally ingrained appreciation for the sport of baseball. Thus, to foster this interest, expanding the Little League and offering financial support to existing community organizations is one of the physical activity components of the action plan designed for the area ("Children and eight: Taking Action in the Vallejo Community," 2004). In terms of community reform in Vallejo, however, so that even parents and children not involved in sports could become active, sidewalks and areas of safe play were targeted for repair and construction, and new grocery stores within low income areas that provided fresh produce were another logistical community priority, so that parents could have access to healthy food after taking their children to practice, and that children would not snack on unhealthy foods after coming home from community…… [Read More]
Classically, the initial symptoms in young and middle age people with Type 2 diabetes are a high level of thirst and appetite and "frequent urination"; and those exact same symptoms may occur with elderly people who are near to getting diabetes.
However, the difference is that the above-mentioned typical symptoms "may be replaced or accompanied by episodes of confusion, incontinence, and dryness of the eyes and mouth," Kagan continues. Another bit of confusion for doctors seeking signs of diabetes is the fact that the elderly, when their blood sugar levels are high, they are "…less likely to spill sugar into their urine, and as a result, "many elderly-onset diabetics go undiagnosed" (203). There are estimates that as many as 2.4 million people (many elderly) have diabetes but are unaware they have it, Kagan explains.
From a technical point-of-view, the commonly used method of diagnosis, which is "repeated fasting glucose levels,"…… [Read More]
Diabetes is a disease in which the body does not generate or properly use insulin. Insulin is a hormone produced in the body that is needed to convert sugar, starches and other food into energy needed for daily life (Wan).
Diabetes is among the five leading causes of death by diseases in most countries. However, what exactly cause diabetes is still unknown, but both genetics and environmental elements such as overweight and lack of exercise are recognized as diabetes-induced factors (Minaker). According to Piette et al., the global prevalence of diabetes mellitus is expected to double from 171 million to 366 million over the next 20 years and "developing countries will likely experience 80% of this burden" (Piette, et al., 2010, p. 56).
Signs and Symptoms
The signs and symptoms of type 2 diabetes may include unexplained weight loss, constant hunger, weight gain, flu-like symptoms including weakness, fatigue, blurred…… [Read More]
There was therefore no coercion, evasion or unethical procedure in the study. The authors also make it clear that adequate information was provided to all those agreed to participate. There was obviously an open and transparent sharing of informstion about the project.
After discussing the homework, the theme of the session was introduced and patients were invited to share their beliefs, emotions and experiences with regard to the theme. Subsequently, participants wrote their own individual action plans to attain a goal and discussed these with the group (Thoolen et al. 2008, p. 56).
This is also evidenced by the positive evaluation that the patient's gave the course and their trainers.
Diabetes. etrieved from http://www.emedicinehealth.com/diabetes/article_em.htm
Canning, C. (2009, January). Diabetes -- a Global Health Concern. The Middle East 38. etrieved March 7, 2010, from Questia database: http://www.questia.com/PM.qst?a=o&d=5030241539
Dabelko, H.I., & Decoster, V.A. (2007). Diabetes and Adult Day Health Services. Health…… [Read More]
Once a participant is suspected of having diabetes, through the use of this survey, they may choose to contact one of the related agencies, where information and support would be offered.
National Diabetes Awareness Month, promoted and sponsored by MMWR, was held in November of 2006, and was a program similar to the one which is being proposed by this group of organizations (ee http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5543a1.htm). The program published reports throughout the month concerning diabetes and the complications it causes in specific populations. Information was distributed on how to prevent and control diabetes and how to effect lifestyle changes, such as weight loss and moderate exercise and how these can help prevent Type 2 diabetes in adults. Obesity is a big factor in diabetes, though it is not the only factor in many of the newly diagnosed cases, and this information was part of the educational program.
The "Walk for Diabetes…… [Read More]
Description of the Client Situation:
This case examines Type II Diabetes in a 45-year-old black woman, an immigrant from Africa and a high school graduate, whose husband died a year ago. She is a restaurant manager and has a health insurance plan as one of the benefits offered by her employer. Her vision is slightly impaired but that does not concern her much, because with glasses her sight is almost normal. However, she sometimes experiences blurred vision, most prevalent in the afternoon. This has been occurring for about 4 months. She has been in good health, believes she lives a healthy lifestyle all her life, and has had no concern about her health until recently. About two months ago she started to feel weak and noticed that she tires more rapidly than usual.
On questioning, she admitted to getting up two or three times per night to urinate.…… [Read More]
A. Topic selection and the reason for selecting
The World Health Organization (WHO) reports an increasing prevalence of diabetes worldwide (WHO, 2016). WHO links diabetes to other chronic condition such as kidney failure, stroke, heart attacks, retinopathy and neuropathy, conditions that lead to declined life expectancy. A new report published by the Centre for Disease Control and Prevention (CDC) indicates an increasing prevalence of diabetes in the US and diabetes as seventh leading cause of mortality, implying an increasing health burden (CDC, 2017).
B. Thoroughly define the disease/condition
NIH (2019) defines diabetes is a non-communicable chronic disease that manifests either when the body is ineffectively using produced, or the insulin produced by the pancreas is insufficient. Insulin is the blood sugar-regulating hormone whose inefficient regulation results in raised blood sugar condition referred to as Hyperglycemia. The occurrence of hyperglycemia is detrimental to the body system, particularly the blood…… [Read More]
The article by Lynch et al. (2019) is entitled “Randomized Trial of a Lifestyle Intervention for Urban Low-Income African Americans with Type 2 Diabetes” and appeared in JGIM: Journal of General Internal Medicine. The article by Protheroe et al. (2016) is entitled “The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial” and appeared in Journal of Diabetes Research. This paper will critique the two articles by evaluating information pertaining to their titles, abstracts, introductions, background sections and the authors’ discussion of their respective studies’ significance. Information pertaining to the studies’ statement of problem, research questions or hypotheses, literature review, theoretical framework, ethical considerations and research design will be evaluated as well. The criteria used to critique the articles come from that provided by Polit and Beck (2017).
According to Polit and Beck’s (2017) criteria…… [Read More]
PICOT question: In Asian Americans with type 2 diabetes (P), does a culturally tailored diabetes education program, including patient-specific dietary and lifestyle modifications, (I) reduce A1C levels (O) after 2 months (T) versus a control group of Asian Americans?
Introduction with a problem statement
Type 2 diabetes is a prevalent and growing problem throughout the modern world. The United States especially has seen an increase in type 2 diabetes cases in non-white people. Asian Americans are a notable segment of the American population that develop type 2 diabetes. Intervention strategies aimed at reducing certain markers like HbA1C levels may see improvement if culturally tailored methods are implemented. This essay is aimed at evaluating the effectiveness of a culturally tailored diabetic educational intervention to reduce HbA1C levels among Asian-Americans with type 2 diabetes.
Brief synthesized review.
Racial and ethnic minorities are experiencing a rise in type 2 diabetes cases. “Diabetes is…… [Read More]
1. Publicly Available Education Piece Selected:
Centers for Disease Control and Prevention – CDC (n.d.). Diabetes. Retrieved from https://www.cdc.gov/media/presskits/aahd/diabetes.pdf
2. Original Educational Piece – Twitter:
Diabetes could trigger a wide range of health complications such as kidney failure, blindness, and heart disease. Other possible complications of diabetes include, but they are not limited to, nerve damage, Alzheimer’s disease, and nerve damage. #diabetes
Diabetes is a leading cause of death not only in the United States, but also across the world. In addition to being the underlying cause of death, it is also a prominent contributing cause of death. #diabetes #diabetesscreening
Blacks are more likely to be diagnosed with diabetes than whites. According to @CDCgov, blacks are approximately 1.7 times more likely to develop diabetes than whites. #healthandwellness #diabetes #diabetesscreening
Some of the most common symptoms of diabetes include unexplained weight loss,…… [Read More]
Area of Interest
Asian Americans have the highest proportion of undiagnosed diabetes than any other ethnic group in the United States, by far. According to the CDC (2017), one in every two Asian Americans has diabetes but has never been diagnosed, which is twice the national average. Research even suggests that Asian-Americans are a “greater risk” than other population groups for developing diabetes across the lifetime (Sun, 2015). More Asians have diabetes than any other population group worldwide (Asian Diabetes Prevention Initiative, 2017). However, there are some drawbacks with studying this population group. One is that Asian Americans comprise a vastly diverse group, typically defined as being anyone with origins in South Asia (the Indian subcontinent), East Asia (China, Japan, Korea), and Southeast Asia (Vietnam, Cambodia, Singapore). This means that it may be even more difficult to narrow down causal variables and create culturally appropriate treatment interventions or public health…… [Read More]
The basis of self-management is rooted in patient-centered care. The idea behind it is that the patient will feel empowered to take ownership of his or her care process. Patient collaboration helps to get to the heart of patient-centered care, as Chiaramonte et al. (2018) note. Patient-centered care is about putting the patient’s needs first and foremost in care providing process. It means that the patient is likely to have questions, cultural inputs, unique needs and ideas about what care means to him or her. By collaborating with the patient to develop a unique and personalized care approach, the nurse can empower the patient and make the patient feel that he or she is truly part of the decision making process. Otherwise, the patient can feel disenfranchised and can feel as though he or she has not part in the process of care. The patient will not take ownership…… [Read More]
Diagnosis and Plan of Care
The patient’s blood pressure in this case (i.e. 148/92) could be described as elevated. Further, the patient’s blood sugar (at 154 mg/dl) is high. It has also been indicated that the patient in this particular case has a BMI of 37 and waist of 42 inches. In basic terms, a person with a BMI of above 30 is considered obese. According to the National Heart, Lung, and Blood Institute (2019), “the higher your BMI, the higher your risk for certain diseases such as heart disease, high blood pressure, type 2 diabetes.” Also, in as far as waist circumference is concerned, the patient’s waist size is 40 in this case. The National Heart, Lung, and Blood Institute (2019) points out that men who have a waist size exceeding 40 are at an increased risk of type 2 diabetes and heart disease. It is also important to…… [Read More]
Article Review: Asian Americans and Diabetes
More than half of Asian Americans with diabetes are undiagnosed. (2015). National Institute of
Health. Retrieved from: https://www.nih.gov/news-events/news-releases/more-half-asian- americans-diabetes-are-undiagnosed
Although diabetes as a whole is increasing across the United States, certain groups are disproportionately affected by the epidemic. Additionally, different groups may have specific and unique concerns that are essential to take into consideration when offering health advice. Asian Americans have not always been considered a high-risk group for developing type 2 diabetes. But according to this article published by the National Institute of Health, not only is diabetes common among Asian Americans at a rate of 21%, Asian Americans have the highest rate of being underdiagnosed of any racial or ethnic group. This suggests that the common perception that factors such as body fat and traditional diet that have been thought to protect Asian Americans are not nearly as protective as…… [Read More]
Diabetes Outcome Indicators
Diabetes outcome indicators have been developed and utilized to measure progress on the issue. The development and use of these indicators is attributable the increased prevalence of this condition worldwide, which in turn places huge burdens on healthcare systems. Consequently, diabetes management has become a major issue in the public health sector. According to O’Connor et al. (2011), diabetes outcome indicators relating to care include control of blood pressure, hemoglobin A1C, and LDL cholesterol. These outcome indicators were among the initial Diabetes Quality Improvement Program (DQIP) measures and have been included in subsequent sets of diabetes quality measurements.
These outcome indicators have been developed and are utilized because they are risk factors that predict clinical outcomes and relates to challenges and complexities associated with diabetes. Systolic blood pressure levels (sBP) are set at <160 mmHg, which is the dichotomous threshold goal for all diabetic patients. In this…… [Read More]
Pharmacogenetics and Pharmacoeconomics Exploration
It is important to note, from the onset, that according to the Centers for Disease Control and Prevention – CDC (2018), it is estimated that in the U.S., 30.3 million people have been diagnosed with diabetes thus far. As CDC further points out, within the last two decades, the number of persons diagnosed with the condition has increased by a multiple of 3. This is a clear indicator of the existing need for interventions seeking to salvage the situation. In the long-term, the treatment as well as management of diabetes also happens to be rather costly. According to the American Diabetes Association – ADA (2018), “the estimated total economic cost of diagnosed diabetes in 2017 was $327 billion.” Each year, there are approximately 1.5 million new diagnoses made for diabetes. This text seeks to explore pharmacogenetics and pharmacoeconomics principles in relation to pharmacological treatment as well…… [Read More]
The role of descriptive epidemiology in nursing science is very important as it helps to provide information that can be used by nurses to prevent the spread of disease, develop effective interventions, and engage in further research. A descriptive epidemiologic study is one that examines a specific population and identifies the amount and distribution of health and design within that population (Giroux, 2015). Descriptive epidemiology looks at variables, such as person, place and time—variables that affect the incidence of disease. Race, sex, age, socioeconomic status, geography, environment, and patterns of appearance are all factors that descriptive epidemiology will consider when attempting to classify a disease’s occurrence (Hsu, Araneta, Kanaya, Chiang & Fujimoto, 2015). The role of descriptive epidemiology in nursing is thus situated in the idea that it provides education, information, and a pathway to strategies for helping patients and preventing the spread of disease (Saggu, Rehman, Abbas & Ansari,…… [Read More]
Quantitative Versus Qualitative Study Comparison:
Type 2 Diabetes Among Asian Americans
Research study types tend to fall into two distinct categories—that of qualitative and quantitative research. Quantitative research studies are data-driven and seek to answer a particular research question. Qualitative research studies are open-ended and inductive in their techniques; even when they may use statistical data, their focus is experiential. When assessing the impact of a lifestyle disease like type 2 diabetes, it is particularly important to consider the lived, subjective experiences of participants, despite the protest from some quarters that qualitative research is not real science. While it might be true that the risks of developing the condition can be mitigated through weight loss and healthier eating, individuals do not always show a willingness to make lifestyle changes until it is too late. Genetic factors have a predisposition in terms of increasing the likelihood of someone developing diabetes but…… [Read More]
Diabetes mellitus represents a chronic ailment impacting the way the human body converts food consumed into energy. The major portion of consumed food breaks down into glucose and gets discharged into the bloodstream. The human pancreas secretes the hormone, insulin, that helps employ cell blood sugar as energy. Three forms of diabetes have been identified, namely, gestational, type 1, and type 2 diabetes. In the latter, the patient’s body is ineffective in utilizing insulin, thus incapable of maintaining normal blood sugar levels. Ninety percent of diabetes patients suffer from this form of the disease. Its onset may be postponed or even altogether avoided if one adopts a healthful lifestyle (for instance, routine physical exercise, eating nutritious foods, and weight loss) (Centers for Disease Control and Prevention (CDC), 2017).
Diabetes mellitus type 2 (T2D) has been found to be highly prevalent among Hispanic Americans, Native Americans, and non-Hispanic Black…… [Read More]
Diabetes and Drug Treatments
Type 1 diabetes is also called juvenile diabetes because it tends to occur in young people and children. It happens when the person’s body fails to produce adequate amounts of insulin. Insulin is the hormone made by the pancreas that helps the body to regulate blood sugar. When the body lacks enough insulin to perform this function, the individual is typically diagnosed with type 1 diabetes or juvenile diabetes. Type 2 diabetes is different in that the body may produce enough insulin but the body’s cells are insulin-resistant, so the insulin cannot do its job of converting blood sugar into energy, which makes the blood sugar level rise to a dangerously high level. Type 2 diabetes is the most common form of diabetes.
Gestational diabetes is the third type of diabetes. It occurs in women who are pregnant. It is not infrequent for this…… [Read More]
Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.
A condition involving water metabolism, diabetes insipidus is a result of an insufficiency of distributing vasopressin (also known as antidiuretic hormone, or perhaps ADH) or even from kidney resistance towards this particular hormone. Pituitary diabetes insipidus happens to be the result of an insufficiency involving vasopressin, and additionally nephrogenic diabetes insipidus is actually the result of the resistance from renal tubules towards vasopressin. Diabetes insipidus can be viewed as extreme liquid consumption along with hypotonic polyuria. A reduction in ADH ranges results in changed intracellular and also extracellular liquid control, leading to renal removal of a substantial amount of urine (Williams And Wilkins, 2005).
Diabetes insipidus is a result of inadequacies in release of vasopressin or perhaps in its capability to connect ordinarily with receptors found in the distal…… [Read More]
Diabetes Beliefs and Influences
Cultural background plays a fundamental influence on numerous aspects of individuals’ lives comprising of their conduct, philosophies, views, emotions, customs, diet, attire, body image and especially outlooks towards ill health, pain and other adversities (Pawa, 2003). Cultural beliefs and traditional influences just about impact all aspects of diabetes care. In the framework of cultural effects relevant to the marginal groups impacted most by diabetes, careful consideration to cultural influences on self-efficacy and impetus are important for cultivating behavior modifications. These behavior modifications optimize diabetes clinical results, health status and quality of life. According to Sachdeva et al. (2015), the perception regarding diabetes is affected by customs, tradition, and philosophy. There are no early signs of diabetes and therefore symptoms are normally overlooked until they hamper a person’s everyday living. Adhering to dietary advice concerning diabetes care is impacted by cultural beliefs. Diabetes is not given priority…… [Read More]
Implementing Diabetes Education in Geriatric unit
The diabetes prevalence in the USA is placed at 9.4% which accounts for 30.3 million Americans as of 2015. This statistics goes even higher with increase in the age bracket where 12.2% of Americans above 18 years old are diabetic. The numbers are even grimmer as the age increases among the aged where 25.2% of Americans above 65 years are said to be diabetic according to CDC (2017). The geriatric unit mostly hosts patients of the age of 65 years. These are patients who are predisposed to various life limiting conditions, immobility, psychiatric problems and other illnesses. Apparently diabetes has emerged as one of the main challenges that the aged have to deal with all the way into the geriatric unit. It is apparent that diabetes presents significant challenges in managing them for the elderly patients. The aged diabetes patients often complain of challenges…… [Read More]
The global burden of type 2 diabetes is still seen to be significantly worrying the health
Sector as it stands at exceeding 5% of the population across the globe. However, in some regions like Middle East and North Africa the prevalence stands at 20% making the burden of type 2 diabetes to be recognised internationally. It is known to be a major contributor to cardiovascular disease and mortality. Indeed, the International Diabetes Federation indicate that each year, there are some five million deaths that are directly linked to diabetes, this figure is way higher than the HIV/AIDS, Malaria and Tuberculosis all combined (David W.R. 2011). It is also a leading cause of lower leg amputation, kidney failure and acquired blindness. Some 673 billion dollars are spent annually on diabetes and this figure is expected to rise if the pandemic is not controlled.
In 2002, it was estimated that 18 million…… [Read More]
The Use of Clinical Systems to Improve Outcomes and Efficiencies: Special Focus on Patient Portals in Diabetes Management
Patient portals come in handy in seeking to promote the access that patents have to their personal healthcare data. Of relevance on this front could be patient lab results, doctor notes, prescriptions, billing, the relevant information regarding the next appointment, etc. It is also important to note that in some instances, patient portals do permit patients to actively communicate with their healthcare providers. Thus, from a general perspective, patient portals could be described as online tools designed to promote the health and wellbeing of patients by offering patients access to their personal health information (Sun, Korytkowski, Sereike, Saul, Li, and Burke, 2018). In essence, there is need for a reliable internet connection for patent portals to function as intended. At present, patient portals continue to be widely utilized by healthcare…… [Read More]
The PICOT question is: How does the standard health education to implement patient-specific dietary and lifestyle modifications compare to patients who receive culturally tailored diabetes education and the reduction of mean blood sugar levels among Asian Americans diagnosed for type 2 diabetes 2-3 weeks after education is provided?
Asian-Americans are the fastest growing ethnic group, yet the exact extent to which this population can effectively treat type 2 diabetes through health education is currently unclear (Hsu, Araneta, Kanaya, Chiang & Fujimoto, 2015). This study aims to address this problem by filling a gap in the literature regarding this issue.
Ho, Tran and Chesla (2015) show that it is not a simple procedure to assess what is culturally meaningful among Asian Americans, particularly among the Chinese American population, partly because of a “complex definition of culture that moves beyond just race, ethnicity and language and also…… [Read More]
Epidemiology Paper Part Three: Implementation and Evaluation - Asian Americans with type 2 diabetes
1. Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed.
Efficient initiatives in the areas of health promotion, chronic illness management, and public health decrease disease risks and facilitate the maintenance and improvement of public health and chronic ailment management. They have the potential to improve individual, familial, community and organizational self-sufficiency and wellness. Typically, this sort of success necessitates behavioral modification at several levels including individual, community, and organizational (US Department of Health and Human Services, 2014). But every initiative doesn’t enjoy equal success. Initiatives with the greatest likelihood of achieving required results are founded on an explicit grasp of health behavior targets, and their environmental context of occurrence. Providers employ…… [Read More]
Literature Review for Capstone Project
In the management of type 2 diabetes (T2D), medication adherence is a crucial issue. One of the strategies to ensure medication adherence among T2D patients is nurse-led intervention meant to change the behavior of patients. This study, therefore, seeks to determine how a nurse-led behavior change intervention compares to standard care in patients with T2D in increasing adherence to medication in a period of four months. This section is a literature review that analysis eight literature materials.
A comparison of research questions
In all the articles, the research questions incorporate the aspect of nonadherence to medication/management strategies, however, there are varying aspects in the details of each research question. In Costa et al. (2015), the study focused on chronic diseases in general, and not specifically on T2D. In Whitehead et al. (2017), the intervention is not led by nurses and it not only limited…… [Read More]
Diabetes Database for Older Patients
A diabetes database must capture information that is directly related to the disease and some of the valuable elements include age, A1C results, skin fold, blood pressure, weight, date of first symptoms, and blood glucose level. Age of the patient is valuable because it assists in determining how old the patient is and it can also be used to determine the best cause of treatment to be used especially for diabetes. The age element will have a data type of number since age is recorded in figures. A1C results are obtained after the patient has undergone testing for diabetes. Theses element is valuable because the results will help establish if the patient is diabetic or prediabetic (Balas & Boren, 2000). A1C results are recorded in number format because the results are normally obtained in percentage. Skinfold element is used to determine if the patient has…… [Read More]
Type 2 diabetes is increasing in prevalence across the United States at a rate that cannot be explained by genetics alone. Obesity and inactivity are thought to play a strong role in the notable spike in the number of sufferers. On the other hand, genetics still plays a significant role in the likelihood of developing the disorder. As noted by Nguyen (et al. 2015) type 2 diabetes currently is present in approximately 9% of Asian Americans, with disproportionate numbers among Filipino, Pacific Islander, Japanese, and South Asian groups. Asian-Americans appear to develop type 2 diabetes at lower BMIs than those of other ethnic groups, suggesting the need for greater vigilance of patients’ weights and different clinical guidelines based upon genetic differences. According to a randomized clinical control trial of pre-diabetics (n = 3234) called the Diabetes Prevention Program, development of diabetes was reduced by 58% through a lifestyle education program,…… [Read More]
DNP Method and Design
Three studies relating to the PICOT of this proposed study are the qualitative research study Ong, Chua and Ng (2014) on barriers and facilitators of self-monitoring sugar levels for diabetes patients, the quantitative study by Stevens, Shi, Vane, Nie and Peters (2015) on the experiences of diabetes patients receiving home care, and the mixed-methods research study of Wildeboer, du Pon, Schuling, Haaijer-Ruskamp and Denig (2018) on sharing decision making among general practice staff and diabetes patients. Each study utilized a different research and method to obtain data on topics related to diabetes research. These studies are compared in this paper and their methodologies and designs discussed, their internal and external validity issues evaluated, and possible methodologies and designs are identified that the researchers could have used to make their studies more beneficial.
Comparing Methodologies and Designs
Ong et al. (2014) conducted a qualitative method study, the…… [Read More]
Health Education: Shri Durga Temple
Type 2 diabetes is on the increase across the United States, but it has become a particularly difficult and intractable problem in Asian and East Asian communities. These populations tend to manifest type 2 diabetes at lower BMIs than the general population. According to Monhan (2004), “Indians have a greater degree of insulin resistance and a stronger genetic predisposition to diabetes. (par.1). This fact can lead to insufficient concern about BMI, particularly if residents compare themselves to non-East Asian neighbors.
Vigilance over one’s own health and over the health of individuals in one’s immediate ethnic community has an important preventative function and can reduce the need for more costly and intrusive secondary and tertiary care. Of course, regular primary care from a physician is optimal as a preventative measure for a variety of ailments, but maintaining a healthy weight ultimately requires self-monitoring
Opportunity…… [Read More]
The patient is in a diabetic ketoacidosis (DKA) state if the following conditions apply: (a) Hyperglycemia—blood glucose > 11mmol/L, and (b) Metabolic acidosis— venous pH < 7.3 or plasma HCO3 < 15 mmol/L plus (c) ketosis—ketones in the blood or urine or beta-hydroxybutyrate concentration > 3 mmol/L (Wolfsdorf et al., 2014). The patient’s deep respirations are perfectly normal given the condition of the patient: the respirations are explained by the lungs working to expel CO2 from the body. The body does not want CO2 levels to rise too highly, which happens during the event of ketoacidosis.
Because the patient is a type 1 diabetic—also known as a juvenile diabetic as Type 1 is found primarily in children and young adults—the condition with which the patient has presented is most likely diabetic ketoacidosis, probably caused by an illness or infection which compels the body to produce more hormones (adrenaline, cortisol) to…… [Read More]
Diabetes is one of the major non-communicable diseases today. In the U.S., approximately 9% of the general population have diagnosed or undiagnosed diabetes, with a further 37% estimated to be pre-diabetic (CDC, 2016). The disease increasingly imposes a significant morbidity, economic, mortality, and psychological burden on individuals, families, communities, healthcare organizations, as well as the government. This paper discusses a number of issues relating to diabetes. These include: past and present funding initiatives; past and present quality initiatives; the relationship between diabetes care quality and healthcare coverage; and diabetes care in the U.S. and UK.
In the U.S., initiatives aimed at preventing diabetes are funded by both the government and private entities. Public funding is executed through the Division of Diabetes Translation (DDT), a unit of the Centers for Disease Control and Prevention (CDC) (CDC, 2016). DDT funds health departments at the state and local government level in…… [Read More]
Diabetes in Australia
The Australian government and the relevant Health agencies have for many years strived to put the diabetes menace under close observation and management. There have been massive researches and huge sums directed towards good management and possible elimination of diabetes at the national levels. This commitment is exhibited by the specialized funds and efforts like the Juvenile Diabetes esearch Fund (JDF) that has been committed to striving to mitigate the effects of diabetes from the render age of the Australians.
Since diabetes is such a big challenge to Australia as a whole, diabetes mellitus was declared a National Health Priority Area in 1996 during the Australian Health Minister's Conference and this was as recognition to the high levels of diabetes prevalence within Australia, the mortality rates that were due to it, the impact it had on morbidity and the possibility of the health improvements that can be…… [Read More]
However, advancements in pharmacogenetics promises new and better ways of managing diabetes. Studies have shown that Lisofylline, an anti-inflammatory compound is very effective in suppressing the autoimmune activity and in improving the islet secretion of insulin. Mice studies showed significant difference (25% vs. 91.6%) in the onset of diabetes among Lisofylline treated mice compared to placebo mice. Reduction of inflammatory cytokines IFN-? And TNF-? levels correlated with reduction in ss cell apoptosis. [Yang et.al, 2003] Recent study by Lipsett et.al (2007) has shown that Islet Neogenesis-Associated Protein (INGAP) is useful as a pancreatic regeneration agent. Successful tests in mice and regeneration of cultured human pancreatic cells have encouraged the researchers to seriously consider INGAP as an effective agent for improving insulin synthesis. [Lipsett et.al, (2007)]
A recent Cornell University study focused on an entirely different approach to diabetes management. The researchers examined the possibility of recombinant Commensal bacteria engineered to…… [Read More]
The sources of data tend to miss a good deal of the disease because it is undiagnosed at a rate as high as 50%. One study finds that the overall European prevalence of the disease is about 7.8%, with over 48 million adults aged 20-79 years in Europe living with diabetes in 2003. Rates are usually higher in the countries of Central and Eastern Europe ("Diabetes in Europe" paras. 1-5).
The increase in diabetes in different parts of the world has been attributed to the spread of estern eating habits, and among the trappings of the estern lifestyle that have affected rates are fast food, television, video games and driving everywhere. In Europe, these changes have taken a toll so that five percent of the population has diabetes, a rate about the same as Africa, though the incidence of undiagnosed diabetes is through to be higher in Africa than in…… [Read More]
The high levels of blood glucose lead to the production of insulin therefore patients have excessive production of insulin. There is insulin resistance and hence body cells do not respond in an appropriate way in the presence of insulin (Mealey, 2010).
The main difference between diabetes insipidus, and diabetes mellitus, is that in diabetes mellitus insulin resistance is referred to being "post-receptor." This implies that the problem lies with the cells which respond to insulin as opposed to there being a problem in the production of insulin. The onset of diabetes mellitus is slow and the disorder might go undiagnosed for a very long period of time. Diabetes insipidus has an abrupt onset and it might be diagnosed at any age.
Factors affecting diagnosis and treatment prescription of diabetes
There are various factors that might affect the diagnosis and treatment of these two types of diabetes.one of these factors is…… [Read More]
This fear is not unfounded, for Chicano lifestyle and diet are rich in elements that contribute to the escalation of diabetes, which includes a steady diet of fatty and starchy foods, not to mention the propensity among Chicanos to eat, both as a physical need and a social activity in their communities.
This measure is also biologically crucial to Chicano communities, since diabetes as a primarily genetic ailment can influence the way in which Chicanos' mental health is developed. In the same manner that mental health is mainly a function of genes (or one's genetic make-up), diabetes, then, becomes susceptible and possibly dangerous if left untreated among individuals who also experiences mental health problems. In addition to this concern, diabetes as an ailment also causes stress, attributing this not only to the physical degradation due to the illness, but also the emotional and financial distress that develop out of the…… [Read More]
Marketing a Diabetes Clinic
For some people, the entire idea of creating a marketing plan for those struggling with a serious chronic disease might seem distasteful. Making money off of other people's suffering can seem to be capitalism at its untrammeled worst. However, there is no reason that capitalism cannot in fact be married to compassion in the case of providing care for diabetics. Indeed, marketing a clinic that is providing good care is a real service for people with diabetes for several different reasons that will be explained below.
Moreover, given that at least for now medicine is delivered in the United States primarily within a for-profit context, it is essential that medical providers be realistic about the ways in which they run their business. If they fail to be realistic, then they will not be able to stay in business and they will not be able…… [Read More]
What is Diabetes?
Clinical Practice ecommendations
Diabetes is considered to be a chronic disease which really needs some kind of long-term nursing and medical intermediations. esearch shows that patients likewise need to take a part that is active in their own treatment and management, and the alter their lifestyles in order to keep their metabolic state at a level that is normal (Sperl-Hillen, 2010). One of the transformations in education is recognized as being electronic learning. This technique is interesting because it has all of these unique features which users are interested in using, and has made it possible to learn anywhere. It facilitates individual as well as group learning, and makes it conceivable to familiarize the material as stated by the users' needs. However, in the last 10 years, it has been very obvious that the Internet has turned out…… [Read More]
Diabetes Among Middle Age Males:
One of the major public health issues among middle age males is diabetes since they are twice as likely to suffer from the disease as compared to their female counterparts. Generally, the rate of diabetes has increased in the recent past to an extent that 8% of the American population have the disease, especially children and adults. The main reason for the increase of the rate of diabetes is that the risk of type 2 diabetes increases with age. The other risk factors include an inactive lifestyle, being obese or overweight, a history of the disease in immediate family, and a diet with high sugar and low fiber. As the rate of diabetes has increased among children and adults, much increase has occurred among the male population, especially middle age males. Therefore, it is increasingly important to examine the major health risks incurred by the…… [Read More]
Thus, Arizona's state health department has made a proactive effort both to provide social services to diabetes to help them manage their illness, as well as created bridges the wider healthcare community to support diabetes education. The main fault to be found with this approach is the focus on treatment, versus prevention. Type II diabetes is the form of the disorder which has been escalating rapidly, and this disease is linked to obesity, a high-sugar and highly caloric diet, and inactivity. Promoting healthy eating and exercise amongst vulnerable populations is essential. The Arizona Health Department does provide educational resources in the form of pamphlets, but does not specifically talk about creating healthy lunch and exercise programs in the schools or working to redesign urban spaces to make them more movement-friendly for pedestrians.
The extent to which the conditions of poverty (such as a lack of access to affordable, healthy food),…… [Read More]
Mobile technology, disease management is the wave of the future, not only for diabetes care but for other health related issues and needs. If an individual can recognize the daily stressors they place upon their bodies, with regard to their disease management and overall health the system could likely greatly impact care systems and services, as well as assist individuals with knowledge and information that may not have been available to them in the past.
Andrus, M.., Kelley, K.W., Murphey, L.M., & Herndon, K.C. (2004). A Comparison of Diabetes Care in ural and Urban Medical Clinics in Alabama. Journal of Community Health, 29(1), 29.
Chappell, K. (2006, March). Diabetes Management Goes High-Tech; New Devices, Personalized Care Help to Control Deadly Disease. Ebony, 61, 158.
Chinnery, G.M. (2006). Going to the MALL: Mobile Assisted Language Learning. Language, Learning & Technology, 10(1), 9.
Delivering a Better Deal to Help Cope with…… [Read More]
Global health issue exploration
As obesity becomes an increasingly serious problem worldwide, diabetes has likewise become equally problematic, given that the two conditions are interrelated. "Fueled by rapid urbanization, nutrition transition, and increasingly sedentary lifestyles, the epidemic has grown in parallel with the worldwide rise in obesity" (Hu 2011). Unless the chronic disease of type II diabetes can be better managed and contained, there are potentially severe and long-lasting consequences for the world as a whole. It is of particular concern that diabetes is becoming a health issue in the developing world, an area where under-nutrition (versus over-nutrition) was once considered to be of greater concern. The purpose of this paper will be to give an overview of the condition and its consequences for sufferers and for healthcare providers on a global level, as well as suggest possible sources of treatment
Diabetes is no longer a disease of affluence.…… [Read More]
Diabetes Education and Prevention
· Diabetes is a chronic disease related to the body’s ability to use insulin.
· There is Type 1 diabetes which someone is born with and is a lifelong illness.
· There is Type 2 diabetes that comes from poor diet and bad lifestyle choices.
· To prevent Type 2 diabetes people must do several things. They are:
1. Exercise at least 15 minutes a day
2. Eat the recommended amount of 20-25 grams of fiber each day.
3. Eat at least 5 servings of fruits and vegetables
4. Minimize simple sugars like candy and soda.
5. Eat enough protein
6. Eat complex carbohydrates like unrefined grains and whole wheat pastas.
7. Reduce stress (LeRoith, 2012).
Why should people eat healthy?
People should eat healthy for several reasons. However, the main reason is to avoid becoming obese and suffering from obesity-related issues like Type 2 diabetes.…… [Read More]
Studies conducted over decades have concluded that there is a significant link between diabetes mellitus and cardiovascular disease. For instance, the most common form of diabetes is type 2 diabetes, which involves both the impairment in insulin resistance and the defective secretion of insulin by the pancreas. The development of diabetes often comes with a number of cardiovascular complications including "coronary heart disease (CDC), stroke, peripheral arterial disease, nephropathy, retinopathy, and possibly neuropathy and cardiomyopathy." (Grundy 1999)
Specifically both diabetes type 1 and type 2 are considered to be risk factors for atherosclerotic coronary heart disease. "Moreover, myocardial ischemeal due to coronary atherosclerosis commonly occurs without symptoms in patients with diabetes." (Grundy 1999) In other words, patients with diabetes are more likely to be stricken with congestive heart failure. But it is not only the risk of heart failure that diabetes sufferers are at risk from, another…… [Read More]
Diabetes Prevention in Marshall Islands
In their 2001 article published in Health Education and Behavior, Cortes, Gittelson, Alfred, and Palafox presented the findings of their formative research conducted in the Marshall Islands concerning attitudes, beliefs, and statistics impacting the growth of diabetes in that population. The purpose of the study was to provide informed guidance in the development of a diabetes education and prevention program in the Marshall Islands. While the study was substantively enlightening and methodologically sound, some gaps in both substance and method call into question the viability of its practical implications.
The article was relatively thorough in its presentation of the background information justifying the study. It offered the necessary information concerning the rise of both obesity and diabetes in the general Marshallese population, and cited studies medically linking obesity and diabetes. However, more specific information on the causal relationship between diet, obesity, and diabetes may have…… [Read More]
Diabetes and Obesity: What Are the Choices?
Diabetes is becoming an increasingly serious health problem across the United States, and indeed across the world. The majority of cases of diabetes, both in terms of new diagnoses and of current cases, are those of Type II diabetes, which is a condition generally brought on by overweight or obesity and lack of exercise, that prevents an individual's body from being able to metabolize the glucose in food in an efficient and healthy way. Individuals with Type II diabetes (as opposed to individuals with Type I diabetes) can generally be quite successfully treated by losing weight and increasing exercise. Individuals with Type II diabetes can often bring their symptoms and risks under control and even potentially eliminate them through good diet and weight loss.
Given that Type II diabetes can have very serious long-term consequences (including early death due to stroke or heart…… [Read More]