Nursing Research: Diabetes and Self-management

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My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease. 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. In both the clinical experience and the class settings, we have learned how the process of DKA can be life threatening, the importance of following the recommended medical regimen, and the various food types. Financial constraints sometimes make it difficult for families and individuals with DM1to comply with the medical and dietary recommendations. My former clinical instructor has DM1, and she taught us about carbohydrate counting, the importance of exercise, and what keeping up with insulin does. We did a carbohydrate counting project that we presented to the nurses and then to the patients. We made sure to an... ... middle of paper ... ...d adolescents: An evolutionary concept analysis. Journal of Advanced Nursing, 37(1), 87-99. doi:10.1046/j.1365-2648.2002.02061.x Skinner, T., John, M., &Hampson, S. (2000). Social support and personal models of diabetes as predictors of self-care and well-being: A longitudinal study of adolescents with diabetes. Journal of Pediatric Psychology.25 (4), 257-267. doi: 10.1093/jpepsy/25.4.257. Retrieved from http://jpepsy.oxfordjournals.org/content/25/4/257.full.pdf+html Voltarelli, J. C., Couri, C., Stracieri, A., Oliveira, M. C., Moraes, D. A., Pieroni, F., Burt, R. K. (2007). Autologous nonmyeloablative hematopoietic stem cell transplantation in newly diagnosed type 1 diabetes mellitus. JAMA: Journal of the American Medical Association, 297(14), 1568-1576. Retrieved fromhttp://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2009556 12&site=ehost-live&scope=site

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