This research paper stresses that evidence based nursing draws on some of the traditions of evidence based medicine. Nurses are required to identify solid research findings and implement them in their practice as a way of increasing quality patient care. …
As the discussion highlights dozens of methods exist for keeping staff nurses informed. In order for a nurse to be competent in diabetes nursing in general practice, he/she should have the necessary knowledge and skills required. A competent nurse should be able to identify whether the patient has a blood history of diabetes that has not been controlled by the administration of oral drugs, and or, if the patient’s blood glucose levels were over 300 for the fasting plasma glucose (FPG) test or with the random plasma glucose test . The nurse should measure blood glucose and determine how much insulin is required, administer insulin according to the results of the blood glucose test performed, help patients commencing insulin develop management techniques within guidelines and access secondary care specialist services when needed. The nurse should as well demonstrate clear knowledge of the pathophysiology of diabetes. It is also important for the nurse to be able to monitor patient’s progress and management of their condition, appropriately help patients achieve self management of their diabetes condition, make proper clinical referrals within the practice, have enough and appropriate material for patient education, initiate discussion to provide necessary advice to the patient when required to, provide psychological support to patients and their families, have an organized objective approach for the diagnosis of diabetes according to protocols, use results of the diagnosis for the treatment and incorporating patient preferences in the process. ...
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One possible physiologic effect of pregnancy is the alteration of specific cytokines associated with inflammation, insulin resistance, and angiogenesis; which eventually lead to the development of gestational diabetes mellitus (GDM) and preeclampsia (PE) (Thadhani, 2009).
His tests indicated extremely high blood sugar levels, but he was only put on oral diabetes medications by the PCP. The patient has been feeling the symptoms of diabetes, including polyuria, polydipsia, and lethargy among others. He is 38 years old, African American, and is relatively active in his lifestyle.
It is estimated that approximately 600 million American citizens suffer from diabetes and its related complications. Consequently, a significant proportion of the population is at risk of developing diabetes and adverse health effects associated with obesity and cardiovascular diseases.
There is a need to decrease the gap between the theory and practice of nursing because when students exit the theoretical world of nursing education they experience lack of practical ability as in what they have learned in their institutes is not applied in practiced in nursing settings.
Our discussion revealed that diabetes mellitus was the most common chronic disease with greatly debilitating outcome and high mortality rate. It is a silent disease whose symptoms are not easily discernible in early stage which makes it more dangerous. Diabetes mellitus was chosen as research topic as it would greatly facilitate better understanding of the disease, including its widespread ramifications and treatment thus enabling informed decision making within nursing paradigm.
Type 2 diabetes has a long asymptomatic phase and significant clinical risk markers (Caterson 2005).
The decreased ability of insulin to act effectively on peripheral target tissues especially muscle and liver is a prominent feature of type 2 DM, and this is presumed to result from a combination of genetic susceptibility and obesity.
diabetes mellitus; age of 35 and above; high blood pressure; history of delivering babies heavier than 4000g; women of Hispanic, African American, Native American, South or East Asian and Pacific Islands descent (Manzella, 2008).
One possible physiologic effect of pregnancy
Modern lifestyles contribute a lot to obesity which accounts for the increasing prevalence of T2DM (Whitlock et al., 2013). What worsens the condition is its existence with a number of other conditions, some of which are by far more fatal than obesity such as heart disease, hypertension, stroke and some forms of cancer.
16 Pages(4000 words)Research Paper
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