Graduate Project in Nursing
Clinical question.
The clinical question for the project is “Does exercise along with diet and medication play an important role in diabetic type 2 patient to improve Hemoglobin A1C level?"
Intervention
The project explains the importance of exercise in diabetic type 2 patients along with diet and medication. It will be conducted in the outpatient clinic. The participants will be hundred men with type 2 diabetes from ages 40-60 years from different ethnicity and who have Hemoglobin A1C level of 8-10. The men will be randomly divided in two groups (each group with 50 men). Group A’s therapy will include medication and diet and Group B’s will have diet, medication and exercise. Group B will get education on the importance of exercise and they will need to do moderate exercise at 4 times in a week for 30- 45 min. All
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First the data will be collected electronically. The patients who are newly diagnosed, males from the age of 40-60 with type 2 diabetes will be selected. Then the questionnaire will be given which will include the mode of therapy used for treatment of diabetes. The patients who are not exercising will be selected for the study. All the participants detailed history regarding present and past medical conditions, religion, age, sex, address, occupation, economic status, and personal habits will be asked and recorded (Grove, Burns, Gray, 2013). The participants weight, height, body mass index will be checked and recorded
Expected Outcome
The expected outcome for the study is to see decrease in the Hemoglobin A1C level in Group B compared to Group A. Group B was extensively educated about the importance of exercise. The studies have shown that Hemoglobin A1C is decreased by 1.1 in the people who exercise over 4 months and reduction on Hemoglobin A1C level by 0.6 % decreases the microvascular complications by 25% (Huimin et al.,
Diabetes education is a structured education and self-management (at diagnosis and regularly reviewed and reinforced) to promote awareness. Diet and lifestyle, healthy diet, weight loss if the person is overweight, smoking cessation, regular physical exercise. Maximizing glucose control while minimizing adverse effects of treatment such as hypoglycemia. Reduction of other risk factors for complications of diabetes, including the early detection and management of hypertension, drug treatment to modify lipid levels and consideration of antiplatelet therapy with aspirin. Early intervention for complications of diabetes,, including cardiovascular disease, feet problems, eye problems, kidney problems and neuropathy.
...so discuss making a exercise plan that will work for the patient, and will not cause him/her any pain. If all of the correct measures are taken, and the patient is taking care of themselves, they can prevent more serious complications from occurring. They must know that they are serious complications from one not taking care of themselves, or living a unhealthy life style. It does involve a lifelong commitment to change. Medication will help, but one must also be willing to change.
7. Sae Young, J., Heffernan, K., Fernhall, B., & Yoon-Ho, C. (2012). Cardiorespiratory Fitness and Carotid Artery Intima Media Thickness in Men With Type 2 Diabetes. Journal Of Physical Activity & Health, 9(4), 549-553.
Diabetes has been a growing problem for many years among adults in the United States. There is a growing number of Hispanic being diagnosed with type 2 diabetes. Hispanic people are at a higher risk of developing type 2 diabetes than non-Hispanic people (American 2013). Type 2 diabetes, in Hispanic should be addressed because the disease can be prevented. This disease can lead to number of medical problems if it goes untreated or if significant life style changes aren’t made. Simple changes can be made to prevent getting this disease. Such as, adding more fresh fruits and vegetables, drinking more water and limiting fast food intake (American 2013). Losing excess weight is an excellent way to reduce developing type 2 diabetes. A good way to do this is getting the whole family involved in biking or walking. If this issue isn’t addressed more people will develop the disease, that is preventable. Another result of this would be that the government will have to budget more money towards healthcare.
...revention through awareness and education is achieved via the work of government initiatives such as the National Diabetes Services Scheme and health campaigns including Measure Up. The NDSS also works to improve the self-management of diabetes. Physiotherapists also have a role in the management of diabetes through implementing exercise programs. An evidence-based approach was used to create the proposed exercise program that aimed to manage the high blood glucose levels associated with insulin resistance in type 2 diabetes (Sigal et al., 2007). It utilized both aerobic and resistance training in accordance with current knowledge of the most effective dosages for the population group. Physiotherapists must work alongside other healthcare professionals such as dietitians and general practitioners to provide optimal support and management for patients with diabetes.
For this assignment I had the pleasure sitting down with Emily Petermeier and getting an insight on what the real nursing world is like. Emily graduated from the University of Minnesota School of Nursing in May 2015, and got a job at Fairview East Bank Hospital. This interview really helped me understand what it is like to be a new nurse and the dedication that I have to have going through nursing school and throughout my career. In the interview you will see the perspective of Emily’s endeavors after college and insight for future nurses or nursing students.
Vuori, I 2007, ‘Physical activity and health: Metabolic and cardiovascular issues’, Advances in Physiotherapy, vol. 9 pp. 50-64, April.
Since Type 2 Diabetes Mellitus is one of the most common health challenges world-wide, I am going to further incorporate the topic in my paper. Through academic research and resources, in my first paragraph I will be providing the health promotion definition along with expressing the importance for patients with Type 2 Diabetes Mellitus. My second paragraph will display the pathophysiology to help comprehend how this health challenge is present in the body. Health promotion interventions will also be incorporated with ideas and specific information to aid individuals in promoting health and preventing development of Type 2 Diabetes Mellitus.
Diabetes is a common disease, which can be a serious life-long illness caused by high level 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 a period. Eye, kidneys, and nerves can get damaged and chances of stroke are always high. Because of the serious complication, the purposes of teaching plan for diabetes patient are to optimize blood glucose control, optimize quality of life, and prevent chronic and potentially life-threatening complications.
A significant rise in the diabetes has been observed in the state of Illinois over the past twenty years. According to the Center for Disease Control (CDC), diagnosed diabetes among adults aged 18 or older in 1994 in IL had been between 4.5% - 5.9%, in 2010 that number jumped to 7.5%-8.9% (CDC Division of Diabetes Translation, 2011). Diabetes has many potential complications that include heart disease, stroke, hypertension, eye problems, and amputations (National Institutes of Health, 2011). Obesity and physical inactivity can lead to diabetes (American Heart Association, n.d.). In order to become a healthier community and not part of the state statistics for increase diabetes the focus
Doctors suggest to the individuals that they should change lifestyle choices, such as an increase in physical activity, a healthier diet and to quit smoking if the individual smokes. These choices are recommended to individuals that are overweight and may be pre-diabetic. Overweight individuals are at a higher risk of contracting Type 2 Diabetes, they are advised to maintain a healthy diet and participate in regular physical activity. Doctors may refer the individual to a dietician to discuss meal options. Losing weight allows the reduction of blood glucose levels in an individual. Any health care professional is able to suggest this treatment to the individual and is mainly carried out through an appointment in a GP surgery or hospital (Patient, 2014). The diet should consist of healthy eating, cutting out a lot of fatty foods and eating a low carb diet. Exercise needs to be regular to ensure that blood sugar levels are kept under
Diabetes mellitus is a group of metabolic disorders which is characterized by hyperglycemia due to insulin deficiency or resistance or both reasons. (1) According to that diabetes mellitus can be divided as type I and type II. This is common and its incidence is rising, 171 million people had diabetes in 2000 it is expected this condition to be doubled in 2030. It is spread in all the countries and therefore has become a major burden upon healthcare facilities. (2)
The interdisciplinary course is a core requirement in the after-degree nursing program as it incorporates the principles of self-directed learning and promotes critical thinking, which is an essential element in nursing practice. As a final year nursing student, I believe that knowledge from this course will enhance my ability to provide patient-centered care.
After each shift, nurses gather to communicate essential information regarding their assigned patients to the oncoming nurse for the next shift. The handover report is normally given at the busy nursing station. This report allows the oncoming nurse to ask questions and receive feedback regarding the patient’s care. This will provide a continuity of care among nurses who are caring for the patients.
1.The characteristics that intrigued me of the nursing practice was as a patient at the Danbury Medical Center. As a patient, the nurses gave me the most delightful patient care ever received. They took their time to make sure my care was an urgency. When my pain had increased the nurses were there by my side. They had taken the time to make sure the proper dose of medicine was given to me at the correct time. Even though my current status was lying in bed with a fractured femur. They took the time to make sure my needs were met. I had never expected that going to the hospital from flying off a cliff on my skateboard would direct me in my future dream job. The nurses showed me what patient care really and truly was. Patient care is putting others in front of your own needs. Being a great nurse is showing your patient that there is hope. Patient care is not only making sure your patient is satisfied but making sure their family and loved ones are cared for as well.