DKA simulation 1. Describe the pathophysiologic changes in DKA. Diabetic ketoacidosis (DKA), is caused by insulin deficiency. Signs of DKA include hyperglycemia, ketosis, acidosis, and dehydration. This condition most likely to occurs in people with type 1 diabetes but may also be seen in type 2 diabetes and also in conditions of severe illness or stress that may cause the pancreas to be unable to meet the extra demand for insulin.
Objective: To determine whether a pharmacist-led telehealth disease management program is superior to usual care in improving diabetes medication treatment adherence in patients with concomitant diabetes and depression. Methods: We propose to conduct a randomized, controlled pilot study of 80 patients with concomitant diagnosis of diabetes and depression with a hemoglobin A1C > 8%. Forty patients will be randomly assigned to receive the pharmacist-led telehealth program (experimental arm), which will include an initial visit to learn about the technology, weekly monitoring of telehealth data, followed by telephone calls when alerted by the telehealth system for 6 months. Another 40 patients will be allocated to usual care (control arm). The primary outcome will be the change in diabetes and depression medication adherence rates.
Polonsky William. Encouraging effective self-management in diabetes. US Endocrine Disease 2006, Issue 1, pp.28-31 (accessed 18 June 2008). Abridged version of an article adapted from an interview given by Dr. Polonsky. Cited from the Open University Resources K101 An Introduction to Health and Social Care p. 19 NHS Diabetic Support Team 2006 p.1 Open University.
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The study was carried out on 122 randomly, from January 2009 to April 2009. The study showed that health education was an effective tool that implicated change in diabetic patients' knowledge, attitude towards diabetes, random blood sugar and HbA1c levels. A quazi-experimental study with pre-post assessment conducted by Ali (2011) to estimate the effect of nursing care programs provided for diabetic patients at Helwan hospitals. The conceptual framework that guided this study was Orem's model which focused on each individual's ability to increase knowledge and perform self care. The study revealed improvement of patient's knowledge and self-care
Diabetes specialist nurse The Diabetes Specialist Nurse is a registered nurse that has chosen to specialise in a particular field so they can take on more responsibilities for patient care and treatment. To become certified as diabetes specialists they have a program that are available for nurse that what to take this role and work specifically with diabetes patients. Responsibilities The responsibilities of a diabetes specialist nurse are to provide patient care and the same role as practice nurses. The practice nurse provides patient care in a number of settings this is similar to diabetes specialist nurses work primarily with diabetic patients, helping them control, understand and manage their diabetes; and helping physicians care for diabetic patients. Education Another role that Diabetes specialist nurses are responsible for is educating the patient on what exactly is diabetes and how they
Personal Impact Paper Sidoney Roache Nur427 Professor Shannon Smith Diabetes, also known as diabetes mellitus is a chronic disease which affects the level of sugar in a person’s body. The glucose or sugar level becomes elevated and the body is not able to maintain it. Diabetes affects the metabolic system in the body, the pancreas. If it is not properly treated it can result in other serious conditions affecting other organs of the body. Diabetes is a very dangerous disease and there are 3 different types.
A multisystem approach is necessary when assessing a patient with diabetes. It’s important to obtain a family history along with dietary habits and trends in blood sugar. Although this patient has been a diabetic for twenty years, ongoing education regarding diet, exercise, monitoring blood sugar, foot care, and medication is needed. It may also be necessary to refer the patient to a registered dietician to formulate a diet specific to the patient. References Bell, L.
Go to the Families>Reyes Family> Angelo Reyes>Biography and then go to Families>Riley Family> Jenna Riley>Biography you should review their biographies for all three seasons. Read the biography of Angelo Reyes or Jenna Riley in The Neighborhood. Write a 700- to 1,050-word paper focusing on the case study of either Angelo Reyes or Jenna Riley in The Neighborhood. Your paper must include the following: * An introduction * An overview of the incidence of diabetes in the United States * The typical presenting signs * The potential effects of diabetes on the body as a chronic process * The teaching requirements with two measurable learning objectives from each of the domains * The psychosocial challenges that patients like Angelo Reyes or Jenna Riley encounter * A summary * At least five references in addition to the texts with publication date of no earlier than 2008 unless it is a germinal
x. Caused from the breakdown of stored glucose, protein, and fat to produce ketone bodies xi. When the accumulated ketones exceed the body's capacity of extracting them, they overflow into urine (ie, ketonuria). If the situation is not treated promptly, more accumulation of organic acids leads to frank clinical metabolic acidosis (ie, ketoacidosis), with a drop in pH and bicarbonate1 serum levels. Respiratory compensation of this acidotic condition results in rapid shallow breathing (Kussmaul respirations.