Identify a research or evidencebased article that focuses co

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

Prepare this assignment according to the APA guidelines.

Would prefer orginal work

Solution

Chosen topic: Nursing management of diabetes - Diabetes Care in the Hospital & Nursing Home, and Skilled Nursing Facility

Synopsis:

The main theme of nursing management in this article is to prepare the best nursing care plan to the two different types of patients such as “critically ill patients with insulin dependent diabetes” & non-critically ill patients with diabetes” with a basal plus correction insulin regimen. This ian evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children. The insulin regimen is the main intervention mainly included to correct the dose if there is higher incidence of hypoglycemia with good nutritional intake for 500 diabetic patients of both adults & child. Apart from , diabetes care to the patients in nursing home & hospitals, it is crucial to prevent persistent hypoglycemia using specific hypoglycemia management protocol finally these events must be documented in the patient electronic medical record and tracked (Diabetes Care in the Hospital ADA 2015)

Patient care & new diagnostic tool for the treatment of diabetes in adults or children - the research findings for a specific patient population: The impact of the article has describing that the “critically ill patients (adults or children) with diabetes” must be given insulin treatment regimen at a threshold of no greater than 180 mg/dL by observing blood glucose level (hyperglycemia of glucose range 140 – 180 mg/dL) for chosen patients in the nursing home or hospital without significant hypoglycemia

The non-critically ill patients ((adults or children) must be given insulin that have premeal glucose concentration targets of 140 mg/dL & random blood glucose levels are 180 mg/dL with stringent glycemic control in which stable glycemia. It has preferred to less stringent targets in patients with severe co- morbidities

A plan of care:

Random blood glucose monitoring in 500 patients: Regular blood -glucose level checkups are essential to check the level of type I diabetes in both 250 adult diabetic patients & 250 diabetic children

Anti-hyperglycemic agents use in hospitalized diatbetic patients: Nurses must respect patient autonomy and implement ethical based decisions to control hyperglycemia. This glycemic control can be obtained by “preparing adequate insulin dose for intravenous infusion for adults or children. In case if the patient is ICU, it is crucial to insulin administration as subcutaneous therapy. Apart from insulin therapy, it is crucial to use metformin & glipizide as anti-hypertensive agents. Correction of insulin dose is essential if patient experience severe hypoglycemia to avoid fainting (Diabetes Care in the Hospital ADA 2015)

Medical nutrition therapy in nursing home & hospital as per American Diabetic Association diet guidelines must be prepared as nursing care plan for diabetes patients for optimization of glycemic control. This nutritional diet is going to provide adequate calories of energy for metabolic demands followed by creating discharge plan

Medication reconciliation is essential for cross-checking patient medication. Patients’ self-management care education is given to patients (Diabetes Care in the Hospital ADA 2015)

Reference:

American Diabetes Association (2015). “Diabetes Care in the Hospital, Nursing Home, and Skilled Nursing Facility” Diabetes Care 2015;38(Suppl. 1):S80–S85