...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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...Education on Wound Care for Diabetic Patients Education on Wound Care for Diabetic Patients Abstract Non-compliance of wound care management has increased the risk of infection and amputations. Diabetes wound care management is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations...
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...of those outcomes. Bloom’s wrote his first book in 1950 which led to the work , the “Taxonomy of Educational Objectives.” His most distinguished contribution to teaching and learning was developing a theory for teachers to provide correct instruction for their students. The revised Bloom’s Taxonomy is used as a framework for continuing education . The purpose of continuing education is to improve nurses’ skills to provide quality patient care. Nurses need to transfer her knowledge from continuing education to everyday practice. Educators can aid the process or transferring knowledge but not to acquire instructional outline. The revised Bloom’s taxonomy incorporates instructional outline into the taxonomy plan to support transfer of knowledge and helps educators to create correct instruction. The application of the research conducted on Bloom’s taxonomy on nursing education provides guidelines to teach , organize lesson plan, assess the strategies in teaching and to evaluate the strategies of teaching. The application of the research is also used to create learning objectives and instructional outline for written educational materials; for example, when teaching a non-compliance diabetic patient instructional material must outline the purpose of the teaching . Instructional outline also help educators to develop reasoning skills when educator encounter problems in the clinical setting....
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...diabetes Before you begin your teaching plan be sure to define the characteristics of the clinical site and patient population. The teaching plan should be customized to this population. This is a sample teaching plan that you can use and customize to your needs. You may want to design a pre-test and post-test to give your patients would are attending the teaching program. Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes. Of this 17 million people, 11.1 million are diagnosed and 5.9 million are undiagnosed. In the different age groups, about 151,000 people less than 20 years of age have diabetes, approximately 0.19% of people in this age group. In the 20 and older age group 16.9 million and 8.6% of people have diabetes. The 65 and older age group has 7.0 million and 20.1% of all people with diabetes (www.cdc.gov/diabetes). The Identified Learning Need Patients with Diabetes have very comprehensive learning needs. The learning needs are focused on managing their glucose levels and preventing complications of diabetes. Learning needs for managing diabetes are complex and include: monitoring blood glucose levels, menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to manage hypo/hyperglycemic episodes. Many patients are diagnosed with diabetes every...
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...Before you begin your teaching plan be sure to define the characteristics of the clinical site and patient population. The teaching plan should be customized to this population. This is a sample teaching plan that you can use and customize to your needs. You may want to design a pre-test and post-test to give your patients would are attending the teaching program. Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes. Of this 17 million people, 11.1 million are diagnosed and 5.9 million are undiagnosed. In the different age groups, about 151,000 people less than 20 years of age have diabetes, approximately 0.19% of people in this age group. In the 20 and older age group 16.9 million and 8.6% of people have diabetes. The 65 and older age group has 7.0 million and 20.1% of all people with diabetes (www.cdc.gov/diabetes). The Identified Learning Need Patients with Diabetes have very comprehensive learning needs. The learning needs are focused on managing their glucose levels and preventing complications of diabetes. Learning needs for managing diabetes are complex and include: monitoring blood glucose levels, menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to manage hypo/hyperglycemic episodes. Many patients are diagnosed with diabetes every year and many...
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...prevalence, diabetic ketoacidosis, insulin pump complication, and insulin pump therapy today. At the end of literature review, chapter’s author will discuss the critical of patient safety and team in management for diabetes mellitus. The methodology will be in the following chapter number...
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...who has an Associate Degree in Computer Drafting, needs more education on the insulin pump usage. Lilly and her husband have reported to the community health clinic that there was malfunctioning of Lilly’s insulin pump and having difficulty of following the manufacturer’s instructions. According to the health clinic personnel, the insulin pump was functioning normal. Lilly and her husband need to have reinforced insulin pump education that will satisfied their needs and for Lilly’s safety. Lilly’s age and her husband is unknown in this case study. In this paper, various communications, teaching methods and tools will be used to help and to assist Lilly and her husband about the safety uses of the insulin pump in three different possible age groups to fit their learning needs. Physical and mental assessments are need to give clear understanding what needs to be address before teaching the insulin pump for both Lilly and her husband. Is Lilly capable of using the insulin pump? Do Lilly or her husband have any history of cognitive disabilities such as dementia, Parkinson’s disease, Alzheimer’s disease and other neuro impairments? Does Lilly check her glucose finger sticks accordingly as prescribed by the healthcare provider before pressing the insulin pump for bolus surge before meals or insulin pump has a basal rate for continuous timed insulin administration? By assessing their cognitive status to determine their apprehension of the insulin pump instructions, the health...
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...United States” (pg 563). The Centers for Disease Control and Prevention estimate that 23.6 million people in the United States have DM. Collectively 17.9 million people were diagnosed and 5.7 million people were undiagnosed with DM in the year 2007. Of all the documented cases 90-95 percent have type II DM and the remaining 5-10 percent have type I DM (Centers for Disease Control and Prevention, 2008). In the United States DM is the sixth most leading cause of death by a disease. Deaths are commonly caused by the cardiovascular effects associated with DM that result in coronary artery disease, atherosclerosis, and stroke. People diagnosed with DM are two to four times more likely to have heart disease or have a stroke than people who are not diabetic. DM is the leading cause of end-stage renal disease in the United States. DM is also the most common cause of nontraumatic amputations and newly diagnosed blindness (LeMone & Burke, 2008). Signs and Symptoms Before someone is diagnosed with DM he or she usually experiences common signs and symptoms of the disease that leads him or her to see a physician. In type I DM the signs and symptoms that commonly present are the result of hyperglycemia. According to LeMone and Burke (2008), “Hyperglycemia causes serum hyperosmolarity, drawing water from the intracellular spaces into the general circulation. The increased blood volume increases renal blood flow and the hyperglycemia acts as an osmotic diuretic” (pg. 566). The resulting osmotic...
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...diabetes exhibit similar symptoms or no symptoms at all. In this paper, we report the incidence of diabetes, typical signs and effect diabetes has on the body, teaching requirements and psycho-social challenges that go along with the disease. Diabetes mellitus affects about 17 million people, 5.9 million are undiagnosed. In the United States, approximately 800,000 new cases of diabetes are diagnosed yearly (Bare, 2006). Among working adults diabetes is the leading cause of non-traumatic amputations, blindness and end-stage renal disease. Diabetes is the third leading cause of death by disease, primarily because of the high rate of cardiovascular disease (Bare, 2006). Hospitalization rates for people with diabetes are 2.4 times greater for adults and 5.3 times greater for children than for the general population. Among adults in the United States, diagnosed cases of diabetes increased 49% from 1990 to 2000, and similar increases are expected to continue (Bare, 2006). According to the Centers for Disease Control and Prevention, approximately 5% to 10% of people with diabetes have type 1, which the insulin-producing pancreatic beta cells are destroyed by an autoimmune process. As a result, they produce little or no insulin and require insulin injections to control their blood glucose levels. Approximately 90% to 95% of diabetics have type 2, which results from decreased sensitivity to insulin and impaired beta cell functioning resulting in decreased insulin production (Bare, 2006)...
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...Abdelhamid Hadjahmed Drug: Metformin 1. Introduction of the medication (Case Study) A 54 year old male with obesity, and 6 year history poorly controlled type 2 diabetes. Complains of polyuria, polydipsia, fatigue, blurred vision, and headaches. Recently admitted to the hospital for diabetic ketoacidosis. He would like to get control over his diabetes so this doesn't happen again. 2. Demonstrates knowledge of the content through a teaching presentation? Actions of the medication- Metformin decreases the production of glucose or sugar in the liver, it decreases the absorption of glucose in the intestines, and it also helps increase the sensitivity of the insulin your body produces by increasing uptake and utilisation. Why is the patient taking...
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...------------------------------------------------- Clinical Preparation Worksheet- Information Necessary for Care ------------------------------------------------- ------------------------------------------------- Your Name _ Date of Care_3/17/2014_____ Pt. Initials__M.A.____________ ------------------------------------------------- Pt. age__51_______ Code Status _Full Code______________Braden /SKIN Score __K_____ ------------------------------------------------- Fall Risk- Fall risk with high injury probability __Level 2________________ ------------------------------------------------- ------------------------------------------------- Admitted from: Home/extended care facility? __Home___________________ ------------------------------------------------- ------------------------------------------------- Reason for admission - also called CC or Chief complaint: (This is in the pt.’s words. Ask them why they came to the hospital and record what they say as a direct quote.) ------------------------------------------------- Fell in the shower and became unconscious, tried to call girlfriend but couldn’t move left side ------------------------------------------------- ------------------------------------------------- Admitting Medical Diagnosis/Diagnoses: ------------------------------------------------- Stroke ------------------------------------------------- ------------------------------------------------- Medical and Surgery History:...
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...Case study 76 Endocrine Disorders 1. Interpret Y.L.'s laboratory results • HbA1C is elevated at 8.8% and the goal for diabetics is to keep that value below 7% Hemoglobin A1c. Her number is concerning because it indicates that her blood sugar has been way too high over the past few months. The A1c is an indication of glycosylation in the body which is damaging to the blood vessels and peripheral nerves. It causes thickening of the basement membrane which will impair oxygen transport to the tissues and carbon dioxide removal. • High BP • Total Cholesterol is elevated at 256mg/dL, normal value is below 200mg/dL • Fasting glucose is high at 184mg/dL, normal value is below 126mg/dL • Triglycerides are elevated at 346 mg/dL, normal levels are below 150mg/dL. Y.L. indicates levels that are high. • LDL levels are elevated at 155mg/dL and ideal values are below 100mg/dL; LDL is the value you want to be the lowest. • HDL levels are low and the HDL levels need to be high, 40-60mg/dL is desired. • Urine Analysis indicates that Y.L. is spilling glucose into her urine. 2. Identify the three methods used to diagnose DM. - Fasting blood glucose of > 126 mg/dl - Random Glucose Level >200 mg/dl (plus presence of other symptoms) - A1C > 6.5% 3. Identify three functions of insulin. • regulates glucose metabolism • stimulates lipogenesis • stimulates growth 4. Describe the major pathophysiologic difference between type 1 and type 2 DM. • Type 1 diabetes,...
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...Kaiser Permanente is now one of the largest, not for profit hospital organizations in America. Through a sequence of unforeseen events and the development of the prepaid health plan system, it grew from a simple 12-bed facility in the Mojave Desert to 38 hospitals and 622 medical offices stretching from Hawaii and the Pacific Northwest to Colorado, Georgia and Washington, D.C. and its suburbs. (Press Release, 2015) World War II is the historic event that really impacted the growth of Kaiser Permanente. As the Grand Coulee Dam Project was coming to an end in 1941, America was entering World War II. This meant that ships and other steel products had to be built and would require tens of thousand of workers. Henry J. Kaiser would employ these workers but also had the obligation to provide healthcare for them and their families. Knowing Dr. Sidney Garfield from previous projects, including the Grand Coulee Dam Project, Mr. Kaiser called Dr. Garfield to implement the prepayment healthcare model that was very successful in the past. Upon calling, Mr. Kaiser discovered that Dr. Garfield was entering active duty with an Army Reserve unit and would be leaving in a few weeks. In a plea made to President Franklin Roosevelt from Henry J. Kaiser, Dr. Garfield was released from the military and begin to plan and lead a prepaid group practice for the workers at the shipyards. This is how the innovative healthcare system got to the San Francisco Bay area and formed an association with...
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...North Carolina has diabetes, ranking it 19th lowest in the nation for the ratio of people with diabetes to the general population. 27.6 out of every adult 100,000 deaths in North Carolina are due to diabetes, ranking North Carolina 17th lowest in the nation for diabetes-related deaths. In 2005, 543,000 North Carolina adults were diagnosed with diabetes and by 2007 9% of the total adult population had been diagnosed with diabetes (ipump.org 2009). Since this county has a large population of the at risk candidates for diabetes, there was a need for diabetes education and awareness. On a more personal level, I know many diabetics and many are newly diagnosed. People who are already diagnosed with diabetes pretty much knows the signs and symptoms of the disease. But the ones who are pre-diabetic or who have a family history are the target population for this teaching project. The brochures (15 total) were made and printed up at home with an average cost of less than $5.00. These education brochures were given out at church during family night. The average attendance for this church on Sunday morning is about 600 people and the average attendance for family night is about 60-70 people. During family night there are games and food for entertainment. Of course the food is not healthy, it is usually hotdogs, hamburgers, fries etc. The time frame for this...
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...Los Angeles (UCLA) with double major in psychology and public health. She received BS in nursing from UCLA. In 1966 she received Masters Degree in Mental Health; Public Health Consultation from UCLA ("Nurses Info," “n.d.”, p. 1) Neuman developed a widely used theory model named, Neuman’s Systems Model in 1970. There are many aspects of today’s nursing that uses Neuman’s model. Define Neuman’s metaparadigm in nursing A metaparadigm (or major concept) in the application of Neuman’s system model addresses the person, environment, health, and nursing. The concepts combine to give the nurse an idea of how the client can use prevention to maintain wellness while being exposed to stressors. One example is preventing a pre-diabetic patient from developing into a diabetic patient. Person: Client...
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