...how the process of evidence-based practice can be utilized in the case of Mr. Banks to provide viable solutions to challenges faced as a result of depression and type 2 diabetes. The work commences with the problem identification. Then an answerable question is developed to guide the work in identifying the best evidence-based literature to address Mr. Banks’ issue. The identified scholarly material...
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...Prevalence of Anxiety and Depression among Outpatients with Type 2 Diabetes in the Mexican Population ´ ´ ´ ´ Carlos Tovilla-Zarate1,5*, Isela Juarez-Rojop2, Yesenia Peralta Jimenez1, Marıa Antonia Jimenez1, 1 1 1 3 ´ ´ ´ ˜ ´ Silvia Vazquez , Deysi Bermudez-Ocana , Teresa Ramon-Frıas , Alma D. Genis Mendoza , Sherezada ´ ´ ´ Pool Garcıa4, Lilia Lopez Narvaez5 ´ ´ ´ ´mica Multidisciplinaria de Comalcalco, Comalcalco, Tabasco, Me ´xico, 2 Universidad Juarez Autonoma de ´ ´ 1 Universidad Juarez Autonoma de Tabasco, Division Acade ´ ´ ´xico, 3 Servicios de Atencion Psiquia ´ ´trica, Secretarıa de Salud. Me ´xico D. F., Me ´xico, ´ Tabasco, Division Academica de Ciencias de la Salud, Villahermosa, Tabasco, Me ´xico, 5 Centro de Investigacion Genomica, Comalcalco, Tabasco, Mexico ´ ´ ´ ´ 4 Hospital General de Comalcalco, Tabasco. Secretarıa de Salud, Comalcalco, Tabasco, Me Abstract Background: Depression and anxiety are common in diabetic patients; however, in recent years the frequency of these symptoms has markedly increased worldwide. Therefore, it is necessary to establish the frequency and factors associated with depression and anxiety, since they can be responsible for premature morbidity, mortality, risk of developing comorbidities, complications, suffering of patients, as well as escalation of costs. We studied the frequency of depression and anxiety in Mexican outpatients with type 2 diabetes and identified the risk factors for depression and anxiety. Methods and Findings:...
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... I have chosen diabetes as a subject of interest; partly because this condition has more recently become prevalent in my own extended family, and partly because I‘m interested to explore the impact that hypnosis may have upon what is now classified as a worldwide epidemic The problem in people with diabetes is that either they don’t produce enough insulin, or the insulin they do produce doesn’t work properly, or their cells don’t respond properly to insulin. The net result is that glucose isn’t cleared from their bloodstream. Their blood glucose levels are then too high and the body tries to clear them away by various compensatory methods, such as increased urination. Insulin helps to reduce the glucose levels produced by the breakdown of carbohydrates in food. As more studies have been conducted, medical professionals now understand that diabetes brings with it the hidden risk of depression. In fact, diabetes can increase the odds of a person developing depression by 50% With depression comes a distancing of relationships, difficulty in the workplace or in school, and an overall sense of doom and defeat. Considering that 35% of all diabetics have significant depression and 11% have major depression, it is easy to understand why hypnosis can be so beneficial. Nearly all the family members I consulted with to ascertain their own experiences of diabetes confirmed that they too have experienced diabetes-related bouts of depression For many doctors, the first...
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...previous award. Date …17/5/2015……. Managing the Needs of Patients with Diabetes Mellitus LO1 Type 2 diabetes is a serious chronic condition affecting the body’s ability to regulate blood glucose levels. According to Diabetes UK (2012), there were 2.9 million people in the UK diagnosed with diabetes in 2012, and this is estimated to increase to 5 million by 2025. Up to 90% of people with diabetes are thought to be type 2. According to Diabetes UK (2006), many are unaware they have the condition and it can lead to long-term complications including eye problems, kidney disease, foot ulcers and cardiovascular disease. Gregg et al (2005), states advances in preventative medicine have seen an effective reduction in the burden of risk from hypertension and hyperlipidaemia but the incidence of diabetes has continued to rise, driving cardiovascular rates. There has been much done in recent years to identify people who are at high risk of developing diabetes. This assignment will discuss the link between diabetes, obesity and cardiovascular disease. It will also identify lifestyle and behaviour changes involving the multi-disciplinary team and structured patient education of diabetics. The case study for this assignment is Mrs Smith, newly diagnosed with type 2 diabetes and a family history of heart disease and diabetes. She leads a sedentary lifestyle, is overweight and has a poor diet (see appendix). The Health...
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...Diabetes Case Study Granna Clay Diabetes Case Study Charles, age 45, has recently visited his physician with complaints of weight loss, excessive thirst and frequent urination. Review of his record indicates a new diagnosis of diabetes. Charles, a busy CEO, is recently divorced and now living on his own. Due to his busy schedule, he feels he does not have time to worry about himself. Our goal is to discover what Charles already knows about diabetes, dispel any myths or misconceptions he may have, answer questions and help him develop a plan to manage his disease. Education regarding lifestyle changes and proper diabetes management is paramount if Charles is to continue to lead a healthy life. Evaluating the psyco-social aspects of Charles’ life must be done to ensure long-term success in managing his chronic disease. Overview of Diabetes in the United States According to the American Diabetes Association (2008), diabetes rates increased in the United States 13.5% from 2005-2007. Charles is not alone, nearly 8% of the total US population affected with the disease. This number is expected to rise to 12% by 2050 (ADA, 2008). According to the ADA (2008), this increase is attributed to increasing obesity, improved detection, decreased overall mortality, and an increase in the minority population in whom the prevalence of diabetes is increasing. The impact on healthcare expenditures and the overall economic cost of diabetes care is staggering. The ADA...
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...| Type 1 Diabetes Mellitus | | | | Type 1 Diabetes Mellitus Diabetes Mellitus (DM) is a metabolic disorder that is rising at an alarming rate across all age groups in the United States and around the world. Because of the surge of new diagnoses of DM, medical journals are referring to this disorder as an epidemic and pandemic. According to Brass (2014), “diabetes kills one individual every six seconds across the globe, and it is expected to rise 55 percent in the next 20 years” (p. 6). The article goes on to state that according to the American Diabetes Association (ADA), “about 26 million individuals in the U.S. or 83 percent of the population have had a diabetes diagnosis (p. 6). Unfortunately this number will only begin to keep climbing and affect future generations to come. Professor Nam Han Cho wrote in a report on diabetes that “if current demographic patterns continue, more than 592 million people (worldwide) will be affected with diabetes within a generation” (Brass, 2014, p.7). Diabetes can be divided up into four categories including the following: Type 1 DM, Type 2 DM, gestational diabetes, and pre-diabetes. This paper will discuss the aspects of Type 1 diabetes. Information from the article Primary and secondary prevention of Type 1 diabetes was obtained from the Wiley Online Library database using the search terms diabetes type 1, and prevention. The Wiley Online Library database was also used to obtain information from the article titled...
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...1 NURS 1442 Cohort: 9/13 PGT Leader: Debbie Dorsett Submission Date: 25th August 2015 Word Count: 3250 This essay will be exploring a patient pathway in a clinical environment. The pathway to be investigated is the national diabetes pathway from the National Institution for Health and Care Excellence (NICE), which was published in February 2015 (NICE, 2015). I will also exploring local agendas and guidelines that are available from a local trust. I will be exploring one patient in particular, who cannot be named for confidentiality reasons, in accordance with the Nursing and Midwifery Councils (NMC, 2008) the code of conduct governing patient confidentiality, (NMC, 2008). Diabetes is growing in the United Kingdom (UK) at an alarming rate, (Diabetes UK, 2012). In 2010, evidence showed that approximately 3.1 million people in the UK aged over 16 years old have diabetes. By 2030, this figure is estimated to rise to 4.6 million, (National Health Service [NHS], 2014). It is important as an adult nurse, that I understand the pathway of diabetes as individuals with the condition are at risk of developing further health complications (Diabetes UK, 2012). This includes conditions such as heart disease, stroke and blindness (Diabetes UK, 2012a). A pathway is a “foreseen care placed in an appropriate time frame, written and agreed by a multidisciplinary team. It has locally agreed standards based on evidence where available to help a patient with a specific condition or...
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...Women and Diabetes: An Examination of Quality of Care for Medicare Recipients Abstract In recent years, diabetes has become one of the top 10 causes of death among women. Research has revealed that women 65 years and older account for 40% of the population and numbers are expected to increase exponentially. Vigorous medication management and coordination of care is instrumental in treating diabetes effectively. The patchwork of health insurance that exist today, particularly Medicare Part D, is culpable in allowing unequivocal disparities among race, gender, and socioeconomic status. This paper will examine quality of care among Medicare beneficiaries, particularly women, and implications for revision in social policy. Maintaining an active and healthy lifestyle is a necessity for achieving longevity. A nutritional, well balanced diet coupled with regular exercise is a simple, yet effective way to sustain healthy living. Neglecting to address diet and exercise, as part of a weekly regimen, is a precursor to the onset of an acute, lifelong illness. Diabetes is one of the largest and fastest growing causes of chronic disease mortality, morbidity, and disability in the United States (Robbins & Webb, 2006). Currently, there is no vaccine to prevent diabetes and no cure for the disease once acquired. According to the American Diabetes Association, more than twenty-three million Americans have diabetes. Patients age 65 years or older account...
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...Modern Technology and Depression: Traditional Chinese Medicine Alternatives Sabura Abstract The 20th century brings with it a plethora of the useful and convenient inventions including a continuous introduction of the latest digital gadgets and services including cell phones, computers, televisions, and cable and internet services. With all of these conveniences, studies show that there is a steady increase of depression, mania, and suicides over recent years. As technological advances increase, the need to preserve and strengthen our ability to make bonds with each other through interpersonal intimacy. Since advancements are inevitable, there still remain some simply and ancient healing methods to counteract some of the devastating effects of modern technology. Traditional Chinese Medicine and simple lifestyle changes have been a highly effective and inexpensive natural alternative, breaking down many of the barriers to living a healthy and happy life. Modern Technology and Depression: Traditional Chinese Medicine Alternatives In 2013, modern technologies of internet, cell phones, laptops, and tablets have given us access to a larger capacity and quality of information, and productivity. The internet has also been noted for giving us the convenience of connecting to more people from different cultures of places around the country and the world than we would be able to have access to every day. In contrast, all of these modern technologies have also...
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...public transport. Also, many of her lifelong friends and her daughter have left the small town. Carla’s husband has an unstable and dangerous job, and he still lack of job security he did not report the occupational injury to his casual employer. The majority (85%) of the 531,800 person who experienced a work-related injury or illness continued to work in the job where their injury occurred (Australian Bureau of Statistics (ABS) 2014). Of 61% or 326,200 people who did not apply for workers’ compensation. Carla’s daughter is an unmarried mother with gestational diabetes. Her and her boyfriend live in a tiny one room apartment. She always feels tired and need Carla’s assistance. Social determinants of heath apply to the case study The social determinants of health can be defined as ‘the conditions in which people are born, grow, live, work and age.’ There are several social determinants that apply to the case study: early life, food, social support, stress, social gradient. Carla is an orphan, she lack of early childhood education a. There is abundant evidence that children’s early life is strongly influenced by disadvantage and impoverish environments and create vulnerability to health and wellbeing (Keleher and MacDougall 2004). Carla raised two children alone since young age, it makes her stressful. Thus, she had to concentrate on work and on children simultaneously which easily lead mental and physical exhaustion. According to American Psychological Association(APA), chronic...
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...Diabetes [Name of Author] [Name of Institution] Introduction The examination profile of Mr Ward is not satisfactory and predicts he is confronted with several risk factors. Triglyceride level of Mr. Ward is 1.8mmol/l which is considered to be borderline high. Likewise, the cholesterol is 5.2mmol/l which again is very high. He also has a blood pressure higher than a safe range and a BMI below satisfactory level. This paper aims to highlight the facts and interventions which can be used for disease management for Mr Ward. Discussion The major challenge for maintaining a suitable glycemic control for diabetic patients is to restrict the progression of disease or development of the risk factors which turn pertinent over the course of time. The progression of disease can be restricted through considering the factors leading to weight gain, the pharmaceutical considerations, incurrence of glycemic conditions, and by taking into account the inherent restraints for administering exogenous insulin (Nichols et al, 2000). According to Davies (2004), there are number of factors which influences the consultation for diabetes patients amongst which the prominent ones include age, span of diabetes, the BMI, and measure of physical exercise. The glycaemic control remains the first and foremost target for every healthcare provider to enable insulin uptake in patients suffering from type 2 diabetes. Janes et al (2013) have highlighted the significance of daily routine and activities...
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...Case study – Gestational Diabetes and the effects it has on mothers and neonates As midwifery becomes more complicated and the numbers of women becoming pregnant, who present with or develop medical conditions which can impact on the health of themselves and their babies increases; it is important midwives are knowledgeable in order to recognise and help manage the risks and complications that may arise as a result of these conditions. Furthermore able to discuss these risks with expectant mothers and their families, to ensure women are able to make informed decisions about care which they receive, even if choices available to them are restricted as a result of the condition which they are suffering from. For this case study I have decided to explore diabetes and the affects it has on care mothers and their babies require antenatally, during the intrapartum period and postnatally. As 87.5% of pregnancies affected by diabetes are due to the development of gestational diabetes (NICE,2008) and therefore the most common type, I have decided to focus on gestational diabetes, although many of the guidelines put in place are similar when caring for women who have diabetes prior to becoming pregnant. With no previous medical experience prior to embarking on my midwifery degree, I had limited knowledge of gestational diabetes and the impact it can have on women physically and emotionally; especially if left undiagnosed or the care they receive is lacking. I wanted to gain a better...
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...Cymbalta case Analysis Mohamed A. Kamara AMBA 650: Marketing Management and Innovation January 22, 2013 Table of Contents 1.0. Identification of the strategic issues and problems. 2.0. Analysis and evaluation. 3.2. Recommendations. 1.0. Identification of the strategic issues and problems. In April 2000, Eli Lilly’s New Antidepressant Team (NAT) convenes to review the potentials of alternative medications, and to subsequently adopt a replacement to the company’s premier antidepressant drug, Prozac, a form of fluoxetine molecule (Ofek & Laufer, 2008). Prozac’s huge market success after its market entry in 1988, these authors argue, is predicated on its ability to produce fewer side effects that resulted from targeted serotonin uptake; its tolerance to overdose; and, of course, its efficacy. However, Prozac’s success, with revenues of $2 billion a year, is without challenges. First, Prozac’s patent term expires in less than three years [in 2003], a patent already challenged by competitor, Barr Laboratories. In addition, the field of drugs that comprises Prozac has become crowded with available substitutes, such as Paxil, Zoloft, and Celexa, to name three. Also the market introduction of a much cheaper generic fluoxetine was imminent (Ofek & Laufer, 2008). The NAT’s task is to formulate a pre-mortem strategy for the highly profitable Prozac, specifically to find a replacement in Cymbalta. Cymbalta, the front runner among Prozac’s successors, bore encouraging...
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...Running Head: CASE STUDY IN INEFFECTIVE PHARMACOLOGICAL MANAGEMENT Case Study in Ineffective Pharmacological Management Southern University A&M College Graduate Nursing 652 Dr. Blair April 23rd, 2015 Introduction In the case study of Mr. J; he has been exhibiting dyspnea upon exertion and fatigue. His blood pressure was 170/95 mmHg. After reviewing his labs; his LDL level was 200 mg/dl. Upon physical examination, he was found to have peripheral edema and jugular vein distention. A chest X-ray revealed cardiomegaly and pleural effusion. An echogram has also been scheduled. Based on his signs and symptoms, the physician suspects Mr. J has new onset Stage C heart failure. Mr. J has multiple prescribed drugs for Hypertension, Hyperlipidemia, Parkinson’s, Gout and Depression. After careful reviewing Mr. J’s medications there is concerns ineffective pharmacological management. Ineffective pharmacological management refers to medication therapy prescribed that does not take into account the patient’s age, diagnoses and comorbidities; therefore leading to complications of existing health problems. Side effects, adverse reactions and drug to drug interactions have to also be considered when reviewing a patient’s medication regimen. The drug categories most commonly involved in adverse reaction are cardiovascular agents, antibiotic, diuretics, anticoagulants, hypoglycemic, steroids, opioids, anticholinergic...
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...Diabetes Mellitus is a common chronic disease of the endocrine system, specifically the pancreas, which beta cell destruction leads to insulin deficiency. Type 1 Diabetes Mellitus is an autoimmune disorder triggered by a viral infection in which beta cells are destroyed leading to absolute insulin deficiency and usually diagnosed in childhood. Type 2 Diabetes Mellitus is a progressive disorder in which the pancreas makes less insulin overtime; most cells reduce the ability to respond to insulin, poor control of liver glucose output, decreased beta cell function, and eventually beta cell failure. The specific cause of type 2 diabetes is unknown; however, it usually occurs in adulthood, heredity, obesity and sedentary lifestyle may play a major role in its development. For both types of diabetes the main feature is chronic high blood glucose levels (Ignatavicius & Workman, 2006) This disease process requires lifelong behavioral and lifestyle changes and complications from this disease can cause many devastating health problems. This paper will include an overview of the incidence of diabetes in the United States, typical presenting signs and symptoms, the potential chronic affects of diabetes on the body, teaching with measurable outcomes and the psycho-social challenges a patient may face. Incidence of Diabetes in the United States According to studies performed by the National Institute of Health (NIH), 13% of adults 20 and older in the United States have diabetes. ...
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