...important part of the body. If someone has diabetes he/she is more likely to have to foot problems. Diabetes can damage your nerves. This, in turn, may make you less able to feel an injury or pressure on the skin of your foot. You may not notice a foot injury until severe damage or infection develops. This may led to gangrene in the through simple injuries eventually amputation will be the final choice. So a diabetes patient always has to wear specialized footwear that can protect the foot in more sophisticated way. Diabetes changes your body's ability to fight infections. Damage to blood vessels causes because of diabetes results in less blood and oxygen getting to your feet. Because of this, small sores or breaks in the skin may become deeper skin ulcers. The affected limb may need to be amputated when these skin ulcers do not improve, get larger, or go deeper into the skin. Worldwide, 50% of all leg amputations happen to people living with diabetes. In India, an estimated 50,000 amputations are carried out every year due to diabetes related foot problems. By employing reconstructive and corrective footwear, to remove the high pressure points, a large number of such amputations can be prevented. Thus the patient can lead a near normal life, free from complications. WHO predicts that developing countries will bear the brunt of diabetes epidemic in the 21st century. Currently, more than 70% of people with diabetes live in low- and middle income countries. ...
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...Critique Diabetes Education Guideline Simmons College Patient and staff education is an important component of the healthcare field. It is seen as a necessary tool to fight disease progression. One particular disease where education has a strong impact is Diabetes. Among the many areas that require education, disease management, medication administration and self-care checks are paramount in slowing the progression and neurologic sequelae that most often follows this diagnosis. Therefore, instruments of education such as signage, literature/brochures and treatment guidelines have been developed and implemented in the clinical setting. Although it is important for the patient to be informed and evaluated for disease management, the healthcare provider too needs to be knowledgeable. As Diabetes type 2 is projected to impact future and present populations globally and continue to grow as a financial burden in this country, education about the disease continues to be an important preventative measure (Dalal, Mehul, Robinson & Sullivan, 2014). This paper will provide a review of an article titled Guidelines for the practice of diabetes education as outlined by the U.S Department of Health & Human Services. This publication is relevant to clinical practice as it serves as a guide on how to correctly educate patients diagnosed with type one or two diabetes and targets a wide area of healthcare providers as it’s user. Education is important in keeping the patient...
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...Teaching plan for a new-onset juvenile diabetic Introduction Diabetes causes chronic health conditions and comorbidities, and if left untreated it has negative health consequences for individuals and also nation’s economy. According to a 2014 report from Centers for Disease Control and Prevention (CDC) conducted in 2012 that diabetes affects more than 29.1 million Americans and of them 8.1 million are undiagnosed (CDC,2014). The estimated cost of Diabetes in the United States in 2012 was 245 billion dollar that includes medical cost, disability, and premature death (CDC, 2014). According to Healthy People 2020, diabetes is the seventh leading cause of mortality, lowers life expectancy by up to 15 years, increase the risk of heart disease, kidney failures, blindness, and so forth (U.S Department of Health and Human Services, 2014). Type I diabetes is one of the most common endocrine diseases of childhood which is why it is also called juvenile onset diabetes. It is an autoimmune disease where the beta cells of the pancreas are destroyed resulting in the inability of insulin production. People with type I diabetes need to take insulin daily to regulate their blood sugars (Lamb, 2015). Background and Importance of Research Diabetes is a severe and chronic disease that causes chronic disabilities. The inability of the pancreas to produce insulin results in abnormally high blood sugar levels. Over years, high blood sugar levels can damage...
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...Summary The common-sense model of self-regulation of health and illness was developed in the 1980s by Howard Leventhal and his colleagues (Diefenbach & Leventhal, 1996). It was based on Leventhal’s research from the prior decade that studied the effect of fear in relation to health related behaviors. The theory has various titles such as the, Self Regulation Theory, Common Sense Model of Illness Representation or Leventhal’s Theory (Hale et al, 2007). For ease of communication it will be referred to as the Common Sense Model (CSM). It’s primary goal and function is to explain how a person processes an illness threat. The CSM is centered on the individual and his or her idea of health and illness. It works under the premise that the individual is “an active problem solver.” CSM also theories an individual’s representation of the illness will be the primary cause of their actions and behavior and the process of illness representation will lead the individual to make common sense health behaviors. (Diefenbach & Leventhal, 1996). Self-regulation is the processing of information by a patient regarding their health and the actions that an individual takes to return to a normal state of health. A stimuli such as a symptom of an illness or a diagnosis starts a three-phase feedback cycle of self-regulation. First, the individual constructs a cognitive “representation” of the illness. Secondly, the individual acts and “copes” with the illness. In the third stage, the...
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...Individual Wellness Change Project The client I selected for this project is a 70 year old female. This client resides in a household with her husband, and adult son. Retirement has not equated with rest and relaxation for my client as she also takes care of two of her adult brothers in poor health. Three granddaughters have been the source of joy for her as they’ve grown from precious infants to teenagers. My client also assumes the role of family matriarch for her other nine siblings. With many demands for time and attention, I predicted the needs assessments to direct us towards stress management. The results we received sent out project in another direction. With my initial prediction of the focus needed being on stress management, I had my client complete the Holmes and Rahe Stress Scale (Holmes and Rahe, n.d.) first. In spite of numerous responsibilities and various family members always seeking advice, her score was only a 16. Scores below 150 represent only a slight risk of illness due to stress. The one area where stress does affect my client is in her sleeping habits. Many nights she experiences insomnia while contemplating current family situations, and consequentially suffers from fatigue. My client’s concern over taking care of everyone else leaves little time for her to focus on herself. The remainder of our assessments helped to point out what she already knew about her nutrition and physical activity levels. The results of the LiveWell assessment...
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...DIABETES TEST KIT MANUFACTURING INDUSTRY ANALYSIS STRATEGIC MANAGEMENT 1 SECTION A | GROUP 9 IIM RAIPUR Submitted by: Anshoo Saini 15PGP008 Gautham Balaji 15PGP015 Isha Tayal 15PGP018 Koundinya Niggamadda 15PGP026 Piyush Gaurav 15PGP037 Shekhar Suman 15FPM009 Index Industry Definition…………………………………………………………………………………………………………………………….2 Industry Activities 2 Similar Industries 2 Market Participants 2 Porter’s Five Forces Analysis 3 PESTEL Analysis 4 Industry Outlook 5 Products & Markets 6 Future Outlook 7 Competitive Landscapes, Success factors and Business Locations 7 Major Companies 8 Strategic Recommendations 10 Industry Analysis Industry Definition This industry develops and produces blood glucose meters and testing supplies that help users monitor blood glucose levels. Most manufacturers also develop other medical devices. Industry Activities * Diabetes market research * Glucose meter monitoring research and development * Glucose meter * Glucose meter accessory Similar Industries * Dental Laboratories * Diagnostic & Medical Laboratories * Dialysis Equipment Manufacturing * Health & Medical Insurance * Hearing Aid Manufacturing * Medical Device Manufacturing * Medical Instrument & Supply Manufacturing * Ophthalmic Instrument Manufacturing * Pacemaker Manufacturing * Robotic Surgery Equipment Manufacturing * Syringes & Injection Needle Manufacturing ...
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...fully developed and their may be some ethical concerns concerning this form of treating disease. In your research consider the following points: 1. What is gene therapy? 2. What are the advantages of gene therapy as opposed to conventional therapy for some disorders? 3. What procedures are used in gene therapy, eg., what is a vector? 4. Are there some types of cells which are more suitable for gene therapy than other types? 5. What are some conditions in humans which could be potentially treated with gene therapy? 6. Are there any conditions in humans which are being successfully treated with gene therapy on a routine basis? 7. Does gene therapy have any practical potential? 8. What is diabetes? How many kinds of diabetes are there and what are the differences between them? 9. Are there any ethical concerns surrounding gene therapy? 10. References of all your research sources are required. There are no marks allocated for Part 1, but you will need the information obtained in Part 1 to answer the questions in Part 2. PART 2 Part 2 is an ‘open book’ examination BUT only original, personal, individual hand written notes will be allowed into the examination to be...
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...I. Introduction Diabetes is on the rise in the United States and the resultant health problems are leading to visits to physicians’ offices and hospitals more than ever before. Diabetic neuropathy, a debilitating nerve disorder which can affect almost any part of the nervous system, occurs in nearly 50 percent of patients with diabetes. Diabetic peripheral neuropathy is found in 12 percent of insulin dependent diabetics and 32 percent of those who are not, equaling approximately 3 million people in the United States. (Chen et al. 2007) The number of patients with other neuropathies, such as autonomic, proximal, and focal, comprises the other 1 million diabetic neuropathy patients, most of whom suffer in pain from the dysfunction of the nervous system. (Chen et al. 2007) This disorder’s elusive nature is such that it can not only present in any part of the body but it can be completely without symptoms that the average patient would report to their physician. Since the patients themselves are less likely to naturally disclose their suffering through their assumption that their symptoms are not relevant to their diabetic condition, the physician’s role in the diagnosis and recognition of this disorder is even more critical. II. Definition and Types of Diabetic Neuropathy The most common type of diabetic neuropathy is peripheral, considered, more generally, sensorimotor. Peripheral neuropathy causes pain or loss of feeling in the toes, feet, legs, hands, and arms....
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...Strategy Overview Online Communication Objectives 1. To draw attention to different types of diabetes. 2. Bring forth the knowledge to the public health on the importance of diabetes treatment. 3. Identify the correct audience to build the foundation for the new program. 4. Obtain knowledge of causes diabetes 5. Establish the right direction patients need to take for treatment 6. Provide active research for 7. Address the cost and benefits for those in need. 8. Use effective methods of communication such as the channels of social media. 9. Plan a survey to should the statics on the growth and education Target Audiences 1. The target audience for the new diabetes are different generations 2. The generation X, persons who are born between 1965-1982 would be the first audience targeted. This audience would embrace the information and understand with all the analysis. 3. The baby Boomers who are born between 1946-1964. The elderly audience are more face to face, but this audience will be more detailed. 4. The Generation Y, known as Millennials, get most of the information base for the generations before them. This audience in very technologic influenced. 5. Different cultures. African Americans are more susceptible in have diabetes. Hispanics, American Indians and Alaska Natives are also likely to have diabetes than non-Hispanic whites. 6. Different associations the supports the cause of...
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...Diabetes transition Assessment of current best practice and development of a future work programme to improve transition processes for young people with diabetes. Transition in healthcare is only one part of the evolution from dependent child to independent adult (David, 2001). Submitted by Ruth Gordon, Ruth Gordon Associates Ltd to NHS Diabetes. Supporting, Improving, Caring August 2012 Acknowledgements This project was funded by NHS Diabetes and supported by Gillian Johnson, North East Regional Programme Manager. The expert panel was made up of a group of clinicians and others who provided information, commented on the process and contributed to the views included in this final report. Others have influenced the later stages of the work and will be involved in planning how to take this project forwards. Therefore thanks go to: • Fiona Campbell • Deborah Christie • Chris Cooper • Julie Cropper • Gail Dovey-Pearce • Jane Edmunds • Gavin Eyres • Sue Greenhalgh • Peter Hammond • Gillian Johnson • Susannah Rowles • Carolyn Stephenson • Helen Thornton • Peter Winocour • Alison Woodhead Without the two clinical leads, Peter Hammond from Harrogate and Fiona Campbell from Leeds, this work and report would not have been possible. Contents Executive summary Context Background and rationale Aims of the project Timing of the project Process undertaken for the project Evidence base and policy background Results from the snapshot research Good practice Examples of good practice...
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...Culturally Sensitive Teaching Project for Nurses Joseph H Cortez NUR/440 January 8, 2012 Leslie Rowan Culturally sensitive Teaching Project for Nurses Diabetes is growing at an epidemic rate in the United States, and Hispanics in the city of Los Angeles are at especially high risk. This high-risk minority population requires extra efforts on the part of providers to decrease the rate of diabetes and related complications. The focus of this project is to educate nurses about cultural competency, barriers that Hispanics face, and how to improve their quality of life by making a lifestyle change. Experience at the Workplace Working with Hispanic immigrants and Hispanic nationals at my facility has given me firsthand exposure to their struggles and barriers that they face in the healthcare system. Working with other nurses has exposed me to the sad reality that the majority of them lack cultural competency, sensitivity and understanding for this particular vulnerable group. In my experience, most of my co- workers view Hispanic clients as a burden to the system rather than as a person that needs support, understanding and guidance to overcome the health disparities and barriers they face in our healthcare system. During this project, I interviewed and shared with two of my co-workers a brochure I developed, designed to increase awareness about the vulnerability of Hispanics, based on their culture and illness. Concepts were covered about the importance of health...
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...remembering, learning new things, concentrating, or making decisions that affect their everyday life (Centers for Disease Control [CDC], 2011). Non-white Hispanics suffer from cognitive impairment at an alarming rate. The rise in cognitive impairments is the result of several factors including the prevalence of certain medical conditions and socioeconomic status. The term cognitive impairment is classified under several axis I mental alterations. These alterations include delirium, dementia and amnestic disorders (Diagnostic and Statistical Manual of Mental Disorders [DSM-IV-TR], 2000). Many internal and external factors can lead to the development or exacerbation of these mental alterations. Internal factors, such as hypertension, diabetes, neurodegenerative disorders, nutritional, metabolic and endocrine disorders and infectious disorders are all examples of medical conditions that can contribute to cognitive impairment (Round, 2010). External factors include educational background and socioeconomic factors. Already the largest minority, Hispanics are also the fastest growing ethnic population in the United States (The Americano, 2011). The rise in the population of Hispanics also makes the prevalence of certain conditions, such as cognitive impairment, much more visible. That is especially true in large cities such as New York City. Although the term “Nuyoricans” pertains to those persons of 2nd generation decent from Puerto Rico, I will be taking creative license...
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...education that I will provide will be focus on patients’ needs. In order to develop this scenario, I need to know the barriers of the patients such as language, religious, cultural beliefs and their cognitive limitations. Evaluating the outcome of my presentation implies the audience’s ability to meet learning objectives. I will use return demonstrations, questions, and I will provide writing tests as well. If I didn’t reach my goals, I will proceed to modify my teaching plan. 2- A male patient has been newly diagnosed with type 2 diabetes. As you are teaching him, you suspect that he is unable to read and comprehend the information in the brochures you have given him. Describe the interventions you would use in developing teaching plan for this patient. The biggest barrier here it is that the patient is illiterate. In this case, my goal will be to achieve patient’s understanding of diabetes 2 through a detail presentation. In order to do this, I will use simple words that the patient can understand like I will say “check sugar before meals” instead of “monitor your blood sugar level three times a day before each meal”. I will use visualization technique such as pictures, movies, and some other illustrations to ensure total understanding of this illness. I will...
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...health nurse has a primary role to assess the relationship of variables in the community with how they relate to patients and health. Cultural, religious, ethnic, and personal upbringings are variables that are considered to gain a basic understanding of the community framework. The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed interventions for patients. Nurses must be conscious of their responses and actions that may inadvertently...
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...REFLECTION INTRODUCTION The essence of this essay is to reflect on my 'lived' personal experience as a newly diagnosed patient with type II Diabetes. The author's assignment was to pretend to have been diagnosed with type 2 diabetes. As part of this exercise, the author was to maintain a record of exercise, food, and a regular blood sugar monitoring regime on daily basis. This reflection seeks to highlight the impact, experience and changes that occurred in the author's 'lived lifestyle of a patient with type II diabetes' and will include reference to current literature, research, theories and best practice. The author would explain the changes that occurred in her life and how experiencing type two diabetes has helped her to understand the challenges patients undergo in relation to their daily routine of monitoring their blood sugar levels. The author will explain how her 'lived experience' would help her understand and provide the necessary support for people with diabetes in the future. BACKGROUND INFORMATION I am a female non-smoker of African descent. I am married with two children aged 13 and 21. My thirteen-year old daughter currently lives with me in New Zealand. I am of an average height of about 163cm and weigh 80kg which signifies an unhealthy BMI of 30.1 (Health Information for New Zealanders, (n.d.) BMI Calculator section) I am currently out of job and often depressed as a result of my inactivity. I have a normal blood pressure of 136/78 and my pulse rate...
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