Results The article by Ayers and colleagues (2013) goes into depth on recommendations from the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), but this is not the topic of this paper. The specific recommendations chosen are extremely important regarding how to provide safe care to the patient and avoidance of complications associated with glycemic control during PN therapy. The authors recommend that each health care facility has a PN policy in place. The article goes on report “that the PN ingredients should be “only ordered for one day at a time, for adults, or amount per kilogram per day, for pediatric and neonatal patients, rather than in amount per liter, percent concentration, or volume” (p. 299). A health care provider …show more content…
All health issues should be treated within a delicate timeframe. This type of care also involves the whole family. The parents and child need education regarding the risks and benefits of PN therapy. In addition, the authors Worthington and Gilbert (2012) acknowledge that if careful PN therapy is monitored, early complications will be noticed and will result in a quicker responds from the health care team. Careful monitoring will also empower health care providers to see the effectiveness of the PN therapy. When looking at the cost of this therapy, it is important to note that the risks related to PN therapy can result in a longer hospital stay and time away from school if illness occurs during the winter months. Another important component regarding cost is, that the Centers for Medicare and Medicaid Services (CMS) will not pay for certain hospital acquired conditions. One of the most recent complications that was added to this list in 2008 are “certain manifestations of poor control of blood sugar levels” (Medicare nonpayment for hospital acquired conditions, 2018). All complications related to blood glucose level can be decreased by closely monitoring laboratory values, glycemic control, objective and subjection status of the patient, and having all members of the health care team involved during this
Karen is a post visit register nurse (PVRN) at Cincinnati Children’s Medical Center (CCMC). She has been an employee at CCMC for nine years but has only had this position for about four years. PVRN’s are responsible for following up on any positive culture results to make sure the patient is on an appropriate treatment plan. If they are not receiving the correct treatment, the PVRN must contact the doctor to get orders for the necessary medications and educate the family of the updated treatment plan. PVRNs also make follow up calls to patients who have been seen in the Emergency Department (ED) within the last 24 hours. During these calls, they make sure the discharge plan has been implemented and any follow up care is arranged.
Medical nutrition therapy for people with GD should be individualized based on a persons, height, weight, physical activity, food aversions, and other medical conditions. Monitoring of metabolic parameters, including glucose, lipids, blood pressure, and body weight, as well as the health of the developing baby, is important to assess the need for changes in medical nutrition therapy and to ensure successful outcomes.
In an evidence based research, evaluation plan is very important. Evaluation is a systematic approach to assess the information, data or statistics collected through a research on a specific problem. Nurses should always practice evidence based approach and collect data so these can be compared with other studies done on this specific topic.
John Steinbeck and Martin Luther King, Jr. (MLK Jr.) have both gone down in American literature as some of the most influential authors, but why? Steinbeck was an influential author throughout the 20th century with pieces in many genres. On the flip side is Martin Luther King, Jr., a civil rights leader in the fight against racial discrimination. In order to gain a deeper understanding of the style of these two authors, it is necessary to compare them on the bases of repetition, tone, and purpose.
P ICOT? Individuals with type II diabetes as well as their families and their healthcare professionals are impacted by this problem. The intervention identified as best practice focus on direct nursing support as the most effective management in diabetes patients. Interventions focused on management strategies prescribed by nurse practioners and medical doctors. The study results indicate that the use of direct patient support provided by nurse practioners were most effective for compliance and increasing management in diabetes
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Many diabetic patients undergo minor surgery in an ambulatory care setting. Basal insulin management must occur as outlined above. However, no evidence exists that perioperative blood glucose control improves outcomes after one-day surgery. Thus, it is not advisable to use a perioperative insulin drip, even if blood glucose values exceed the recommended goal. In the event of an excessively high blood glucose level, deliberation for postponement of elective surgery should be given. The definition of a cutoff point for cancellation should be in consensus with a hospital policy.
In the critical care population, patients on ventilator support require nutritional supplementation. To support the metabolic processes, healthcare providers address the initiation of feedings within the plan of care (Khalid, Doshi, & DiGiovine, 2010). For therapeutic nutritional support, providers compare the risks and benefits of enteral and parenteral feedings. Following intubation, one goal is to initiate feedings within 24 to 48 hours, to provide optimal patient outcomes, and decrease the risk of ventilator-acquired pneumonia (Ridley, Dietet, & Davies, 2011).
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
During one of my rotations, I was assigned a young adult patient who had run out of insulin and had been admitted to the hospital following a Diabetes Ketoacidosis (DKA) episode. I realized that my patient was probably torn between buying insulin and buying healthy food because her chart showed several admissions in the past following the same problems. This particular patient was in her room, isolated in a corner, and she was irritable. As her student nurse, I was actively involved in her care; I was her advocate for the day. The patient lived with her single mother and worked at a fast food restaurant. Since this was my first time dealing with a patient with DKA, it became a definite challenge for me.
The IRS plans to have Christian non-profits take down the Social Security numbers of donors who give $250 or more in one year, which will put thousands of philanthropists at risk of identity theft and associated complications, experts say.
After meeting with our patient twice, I believe we have set into place a relationship where the patient is very open to us about her health. This is helpful for my partner and I as an open and honest patient is beneficial as we assist them in their health. Goals for next semester include reducing our patient’s blood sugar as well as reducing our patient’s fibromyalgia pain. Our patient has expressed to us that her glucose is high but she is ok with the high number as long as she is feeling relatively healthy. We hope to give practical ways to reduce blood sugar throughout next semester so hopefully we can reduce that number by semester’s end. Our patient is going to see her physician soon, so we hope to get an update on the patient’s fibromyalgia
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
Every action of my day, every bite of food and every amount of exercise affects my health. I have had Juvenile Diabetes for thirteen years, and now I have decided to take on the task of not only managing my own health, but other’s as well. Managing my diabetes has not always been a huge struggle for me, but with the new stress of nursing school, it is becoming a balancing act between school and my own health.
Diabetes is a common disease, which can be a serious, life-long illness caused by high levels of glucose in the blood. This condition is when the body cannot produce insulin or lack of insulin production from the beta cells in the islet of Langerhans in the pancreas. Diabetes can cause other health problems over time. Eye, kidneys, and nerves can get damaged and chances of stroke are always high. Because of the serious complications, the purposes of teaching a plan for diabetes patients are to optimize blood glucose control, optimize quality of life, and prevent chronic and potentially life-threatening complications.