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Diabetes Self-Care Term Paper

… Diabetes Self-Care

This research study conducts an extensive review of relevant academic literature including professional nursing journals in a qualitative review in order to determine the factors that exist in relation to barriers and challenges of specific groups of patients in self-care management of diabetes mellitus. Findings in this study include race/ethnicity differences in self-care management as well as psychological, social, and family predictors of the probability of self-care management of diabetes success for patients.

DIABETES SELF-CARE

The objective of this research is to examine diabetes self-care with an emphasis on evidence-based clinical management and education which addresses the patient and nurse practitioner's concerns related to this problem and specifically appropriate nurse practitioner clinical management including non-pharmacologic treatment, pharmacotherapy, patient education, patient and family psychological…. [read more]


Interventions Management Self-Care Diabetes Education Research Paper

… School age is considered to be a very important stage in the growth of self-care skills. It means middle and late childhood, referred to as the elementary school years or the developmental -period lengthening from roughly 6 -- 11 years of age (Marjatta Kelo, 2011). All through this time the aptitude to think rationally develops, children begin to appreciate the reasons and outcomes of an illness and they obtain an idea of previous and future. They come to realize that the disease requires continuous management (Marjatta Kelo, 2011). At school, children pursue in order to master conditions (Santrock 2007).

Diabetes Education

One study discovered that more than two-thirds of the patients were not getting the right information in regards to their illness while they were…. [read more]


Diabetes Evidence-Based Practice Essay

… At the same time, EBM has garnered critiques, particularly from social scientists, who question its underlying assumptions, impact on professional practice, and broad reinforcement of medical authority. Little empirical work has been done, however, to explore these concerns (Gabbay, 1999).

The term "evidence-based medicine" was formalized at McMaster University in the 1980s as part of a new approach to problem-based learning in medical education (Gabbay, 1999). Its philosophical roots, however, can be traced to the mid-nineteenth century when medicine began aggressively to position itself as a science. The concept has spread widely beyond medicine and is often referred to as evidence-based practice to encourage its adoption by diverse health disciplines such as nursing, midwifery, physiotherapy, psychology, and dietetics (Bogdan-Lovis and Sousa, 2006).

The founders of…. [read more]


Diabetes Mellitus Research Paper

… However, how ethical is it to offer financial compensation to individuals to take care of their own health? Ethical issues such as this regarding maintaining patient involvement in their own healthcare and well-being need to be further explored and addressed in the public health context.

Effective diabetes prevention programs in primary care will need to be widely accessible to the general population and be highly visible. The use of technology and new media may be effective in allowing people to easily access and navigate diabetes prevention and treatment programs conveniently from their homes. Chorbev et al. (2011) investigated the efficacy of virtual communities for the promotion of education, self-help, discussion, and support regarding chronic diabetes. The authors of this study purported that this type of…. [read more]


Diabetes Type 1 As a Long-Term Illness in the Community Essay

… Managing Long-Term Health Care Needs

The management of patients with type I diabetes presents a number of challenges to health care professionals. Of all the various chronic conditions, complicated diabetes is particularly challenging. In order for diabetics to achieve the medical goals suggested by current guidelines diabetic patients are required to self-monitor their blood glucose, take frequent insulin injections, properly administer their various medications, attend to their diet, pay particular attention to their foot and dental care, maintain a proper diet, and make sure they get proper exercise. It is a daunting task and it is one that few diabetics are able to manage on their own. Most diabetic patients require frequent and consistent monitoring. The intent of this care plan is to provide an…. [read more]


Self-Care Management of the New Graduate Nurse Term Paper

… Art

Self-Care Management for New Nursing Grad Students

Introduction (Outline precedes bibliography)

This research paper describes self-care management of new graduate nurses. As more and more hospitals lose nurses, the result of multiple stressors including an increased workload without appropriate increases in compensation, it is critical the subject of self-care management be addressed (Zalumas 3). The author provides an explanation or definition of the topic, then discloses the role of the RN to self-care management among new graduate nurses and finally provides insights about the implications of self-care management of new graduate nurses for nursing practice. It also touches on the ways the scope of nursing care or nurse practice may change under the influence of self-care management of the new graduate nurse.

Nursing Topic…. [read more]


Improving Diabetes Self-Care Among African-American Women 50 Years and Older Thesis

… Improving Diabetes Self-Care among African-American Women 50 years and older

Diabetes is the fourth leading cause of death worldwide (International Diabetes Foundation, 2007). Diabetes is a condition that can cause serious side effects, in addition to the potential for death, if not managed properly. For a majority of patients management is not difficult. It requires monitoring of blood sugar levels on a daily basis and adherence to a diet and exercise regime. Yet, many do not manage their diabetes properly and experiences serious complications as a result.

Certain populations are at greater risk for diabetes and are at a greater risk of complications due to improper management. These tendencies towards lack of management can be culturally based, making certain populations prone to diabetes and the…. [read more]


Orem's Theory of Self-Care Deficit Research Proposal

… Orem's Theory of Self-Care Deficit

WHEN HELP DOES NOT COME or ISN'T ENOUGH'

Orem's Theory of Self-Care Deficit

Theory Description

Nursing theorist Dorothea Orem believed that every normal functioning person has the ability or power to care for himself or herself (Weir 2007, Bruce et al. 2008). It keeps the entire person functional and contributes to his total development. The overall purpose of Orem's theory is to view the person as a whole entity and to use nursing knowledge to restore or maintain his optimal health (Weir). In a word, it aims at achieving or maintaining health of mind, body and spirit (Bruce et al.).

Scope

Self-care is a learned behavior, in turn influenced by the meta-paradigm of person, environment, health and nursing (Weir 2007).…. [read more]


New Healthcare Challenges for a Divers and Growing Elderly Population Term Paper

… There were an estimated 3.3 million African-Americans over 65 in 2010, according to the Administration on Aging (AoA). By 2050, it is expected that the elderly population of African-Americans will account for about 11% of the 65-and-older population in the United States (AoA).

And although African-Americans are living longer, the majority of those over 65 years of age have had "at least one chronic health condition and many have multiple conditions" (AoA). The AoA provides a breakdown into the most frequent chronic conditions that afflicted older black people between the years 2005 and 2007.

Topping the list is hypertension, with 84% of elderly African-Americans reporting this medical problem. The following medical ailments are listed with percentages of black elderly people in parentheses: a) diagnosed arthritis…. [read more]


Innovative Nursing Care Delivery Models Essay

… An initial orientation in the model is required, specifically designed to prepare staff to convey medical knowledge to laypersons.

Change is always difficult for any organization, but for a healthcare organization it can be particularly entrenched. Often, the focus is simply upon dispensing care rather than teaching others how to give care. Unfortunately, the result of this gap between the ability to convey understanding and knowledge can leave caregivers under-informed. The organizational model of change integration is one in which participants must be convinced of the need for and the value of the change (the unfreezing process); the change process itself; followed by the refreezing process whereby the change become a standard operating procedure of the organization (Kurt Lewin Change Model, 2013, Change Management Coach).…. [read more]


Diabetes Term Paper

… Diabetes Type 2

Type 2 diabetes can be described a one of the most common forms of diabetes that exists today. It need to be understood that what happens to an individual when he suffers from type 2 diabetes is that he would not be able to produce enough insulin, which is needed for the body in order to be able to use sugar effectively, or perhaps his cells would ignore the insulin that his body is producing. It would help to remember the important fact that it is sugar that provides energy for the body, and unless the sugar is absorbed and taken in to the body and to the blood and thereafter to the cells by the insulin, the individual would suffer from…. [read more]


Diabetes Management Goes Mobile Term Paper

… Diabetes Management Goes Mobile

Diabetes is, "a disease that affects nearly 21 million people -- about 7% of the United States' population -- including 1 in every 8 African-Americans. And while diabetes has no cure, new high-tech tools -- as well as good, old-fashioned, hands-on education -- are being used in an effort to make it easier to manage the deadly disease." (Chappell, 2006, p. 158) Diabetes management has been a monumental challenge since diabetes was first identified as a disease that could be effectively treated in the long-term. (Jones, 2006, p. 132) Many individuals have problems with treatment compliance and managing diabetes from a medical standpoint can be complicated and ever shifting, depending on many external factors as well as issues involving medication dosage…. [read more]


Health Care System Evolution Organizational Analysis and Continuum Essay

… Health Care System Evolution, Organizational Analysis and Continuum of Care

The objective of this work is to examine the evolution of the health care system and how health care delivery systems have influenced the current health care system in regards to Medicare/Medicaid. This work will conduct an organizational analysis for the Centers for Disease Control and Prevention including the stakeholders impacted by this component and how they are affected. Finally, this work will examine the continuum of care for Diabetes care program in the United States including the services provided and how these fit in the continuum of care. This work will examine how the equity contributes or fails to contribute to the overall management of healthcare resources and will examine the future trends of…. [read more]


Diabetes Prevalence of Diabetes (Diabetes Mellitus) Research Proposal

… ¶ … Diabetes [...] prevalence of diabetes (diabetes mellitus) in the urban areas of the United States. Diabetes is a growing healthcare problem in the United States because there are more overweight Americans than ever before, and obesity is a leading cause in the most prevalent type of diabetes, adult onset diabetes, or Type 2 diabetes. Diabetes is especially prevalent in the urban African-American and other ethnic communities, and there are differing opinions about why this is the case.

Diabetes is extremely prevalent in the United States. Two authors note, "Approximately 18.3% (8.6 million) of the U.S. population age 60 and older has diabetes. This population is more likely to experience heart attacks, strokes, hypertension, blindness, end-stage renal disease, and lower-limb amputations than their nondiabetic…. [read more]


Home Telehealth for Chronic Disease Diabetes Management in Rural Community Research Paper

… Improving Diabetes Outcomes in Rural America Through Telehealth Solutions
The United States is a nation characterized by deep socioeconomic
divisions which are prompted by racial, ethnic and geographical patterns.
In spite of the nation's relative affluence, indications persist in its
public health outlook to suggest both the increasing permeation of epidemic
health conditions precipitated by lifestyle tendencies and the lopsided
distribution of healthcare access. The latter concern is of particular
relevance to us as countless Americans suffering from a treatable condition
are nonetheless incapable of accessing the healthcare facilities and
professionals that can help them. With the condition of diabetes, which is
fast proliferating today in the United States due to poor nutritional
habits, negative lifestyle tendencies and cultural patterns encouraging
both, its appearance in…. [read more]


Diabetes Management Early Detection Term Paper

… Small but significant reduction in blood glucose levels. Patients in the intervention group reported more confidence in their medications as prescribed but they expressed more doubt about their ability to manage their diabetes in general

172 diabetes patients 18 to 64 years of age - 87 Standard Disease Management

remote monitoring by cell phone, Symcare Glucometer and Bluetooth Cradle

85 Standard Disease Management with Remote Monitoring

DM plus group reported greater satisfaction with their disease management experience in terms of believing program staff were helpful, articulate, better educated, and accessible. The results also showed the DM-Plus group improved self-care and had more stable glycemic control.

Referred through various sources, including a review of new hospital admissions that identifies patients with specific diagnoses monitoring services system…. [read more]


Public Health Diabetes Case Study

… Diabetes Education

Public health Diabetes

Arizona: Diabetes programming and services

As is the case throughout the United States, the prevalence of diabetes has been rapidly escalating in the state of Arizona. The Arizona Diabetes Coalition was developed "to reduce the burden of diabetes on individuals, families, communities, the health care system, and Arizona. This is done by increasing awareness of diabetes, advocating for and promoting policies and programs that improve access to care, treatment, and outcomes for people with diabetes and those at risk for developing diabetes" (Arizona Diabetes Coalition, 2013, ADHS). The Arizona Diabetes Coalition releases bulletins offering suggestions on healthy meal planning and maintains a website intended to inform the public of the symptoms and seriousness of the disease. The focus of the…. [read more]


Healthcare Information Technology (IT) Research Paper

… Telemedicine

Healthcare it

Telemedicine is the exchange of medical information via electronic communication in order to improve a patient's health status. Telemedicine use various applications like email, video, wireless tools, smart phones, and other telecommunication technologies. This has been a rapidly growing application technology, which is aimed at providing remote medical examinations and procedures. When two medical professionals share a case via telephone, it can also be referred to as telemedicine. This is quite simple, but telemedicine also incorporates the use of satellite technology or video conferencing for conducting real-time patient consultation. In short telemedicine can be defined as the use of information technology and communications in the delivery of clinical care. Telemedicine started over forty years ago when hospitals used to extend care to…. [read more]


Healthcare Economics Evaluation Essay

… ) use (CDC, 2011)(SAPRP, 2013).

Another main dimension of healthcare costs being inflated artificially by bad choices and behaviors is mostly through chronic and/or catastrophic events like heart disease, Type II Diabetes (but not Type I) and other maladies that are sometimes engendered through heredity and other genetic factors but are often the result of protracted and wide-spread bad habits such as lack of exercise, bad diet or a combination of the two.

If the body is abused enough over time, it will eventually start buckling from the abuse and the health care costs skyrocket for that person. People that are poorer and less educated often tend to fall into this group and they often do not have the resources to combat their health problem…. [read more]


Healthcare Reform Essay

… As a nurse administrator, one has to be vigilant so as to make sure that the nursing and other paramedic staff is working with honesty and competence to help the people who are sick. It is also the role of the nurse administrator to make sure that all the equipment required for primary or preventive care is available at the hospital or the health care center. The nurse administrator has to see whether or not the attendance of the nursing staff is up to the mark or not. The aim of the nurses should not just be to provide treatment or services, but also to counsel the patients. The patients need to be told that if they develop the same symptoms again they should come…. [read more]


Universal and Development Self-Requisites Term Paper

… However, the younger patients found the subcutaneous infusions more uncomfortable and were less determined to continue with the therapy as compared with the older individuals.

In this case, the universal self-care requisite is the maintenance of patients' human function and well being through the proper self-administration of medicine. The responsibility for self-infusions at home is accepted by the patients, leading to an increased independence from the health care personnel and to a feeling of flexibility and freedom. The developmental self-care requisite that needs to be addressed by nursing staff is the discomfort experienced by younger patients. According to Orem, the nurse has five general ways of assisting a self-care-deficient patient acting for him or her, teaching, guiding, supporting and providing a developmental environment. As these…. [read more]


Personal Professional Healthcare Communication Paper Essay

… There must be feedback arrangement after the message is delivered and then constant supervision of the subject after delivering the information. (Berry, 2007) So there is a need to be "health literacy" for using health information and can be annoying and fruitless to persons with lesser literacy skills. The study in 1992 conducted by the U.S. Department of Education, over ninety million adults have low literacy skills such that they have difficulty in performing simple tasks. There are many more that have great difficulty in understanding health-related information. Based on race, ethnic origins and a lot of social situation, including low income levels and poor understanding of language and those who are in pain or poor health require simplification of information first and foremost. (U.S.…. [read more]


Healthcare Spending the United States Essay

… The Medicare and Medicaid programs are also reformed and designing Insurance-like setups that would help people getting direct access; thus, cutting down the expenses on healthcare programs.

Moreover, insurers and healthcare providers are directly dealing with each other and making new payment models thus sharing the risk of healthcare coverage. This has also increased the level of employers' interest in workers' healthcare. These shifts are improving the healthcare system but the economic downturn has increased. However, these changes will make significant improvements in healthcare till 2014. (Matthews, 2011)

Conclusion

Currently, the condition of U.S. Health Care System is worse than any other industrial countries. Expenditures are high and health outcomes are quite poor. But since the Healthcare Reform Law 2010, the future of healthcare in…. [read more]


Rural Healthcare Term Paper

… ¶ … Rural Healthcare Facilities

Context of the Problem

Twenty-five percent of the total population in the United States are living in rural areas and compared with urban Americans and healthcare facilities in rural areas generally serve low-income, the elderly, and individuals who are less informed and armed with less knowledge concerning health care prevention measures. Moreover, rural individuals accessing healthcare in rural facilities face barriers to healthcare such as fewer doctors, hospitals and health resources in generation and face difficulty in accessing health services.

Hospital closures and other market changes have adversely affected rural areas, leaving State and Federal policymakers, and others concerned about access to health care in rural America. Considerable changes in the health care delivery system over the past decade have…. [read more]


Diabetes Mellitus Term Paper

… Diabetes Mellitus

In this report, Diabetes Mellitus will be discussed, since there are many factors that influence how patients handle the care and the managing of it due to the physical and emotional need of it. Furthermore, the paper will go through the many factors that influence diabetes self-management. It will be shown that some models have not been tested among veterans, which is a unique population with high rates of diabetes. However it will also that despite any demographic an individual's "readiness to change," their confidence in being able to make change (or self-efficacy), in addition to appropriate advice from medical providers, may impact diabetes self-management behavior. Interventions are designed to increase self-efficacy have improved quality of life, patient satisfaction, and glycemic control, and…. [read more]


African Americans and Diabetes Research Paper

… All of that is highly significant for the future of people with diabetes. The more education they have and the more they are able to put that education to use by seeing their doctor and accepting treatment, the more these people will be capable of living longer, healthier lives (Vaccaro & Huffman, 2012). Type II diabetes can be managed, but it takes commitment and understanding to do so.

Conclusion

Unlike some medical conditions that get progressively worse over time, type II diabetes can be managed and -- in some cases -- even reversed. Because the African-American population is twice as likely to acquire this condition when compared with those who are Caucasian, educating them on the risk factors, signs and symptoms, and treatment options is…. [read more]


Diabetes the Diabetic Epidemic Essay

… Diabetes

The Diabetic Epidemic

The issue of diabetes and particularly type 2 diabetes has reached alarming proportions in many developed societies today. As one study notes; "…approximately 4,110 people are diagnosed every day with diabetes. In 2005, 1.5 million new cases of diabetes were diagnosed in people age 20 years or older" (Galvin, 2006, p. 157). However, while there is a radical growth in the prevalence and the extent of this disease, there is also a concomitant growth in knowledge and this form of diabetes and methods of managing and treating it.

There are two forms of diabetes mellitus. Type 1 is insulin dependent while Type 2 is non-insulin-dependent. In Type 2 sufficient insulin is formed in the pancreas, but the body has difficulty in…. [read more]


Diabetes Is a Disease Research Paper

… 45).

Screening Guidelines

Pre-diabetic screening is taking place on a daily basis around the world. Some of the factors being considered include weight (as a percentage of height), physical activities, parents or siblings who are diabetic, advanced age, and individuals who are living unhealthy lifestyles. The American Diabetes Association suggests that testing should be considered in all overweight adults with the following additional risk factors: physical inactivity, first-degree relative with diabetes, members of high-risk ethnic populations, hypertension, women with PCOS, other clinical conditions associated with insulin resistance, history of cardiovascular disease (ADA, 2010). Additionally, individuals 45 years and older should be tested for diabetes and pre-diabetes and testing should continue every three years thereafter according to the ADA.

Prevention strategies

There is no cure for…. [read more]


Diabetes and Special Education Research Paper

… Such plans allow for communicating information about an individual child's condition, providing a supportive source of information in the case of a medical emergency, as well as promoting the involvement of medical personnel and parents in the management of the condition at schools." (Getch & Neuharth-Pritchett, 1999 in: Getch, Bhukanwala, and Neuharth-Pritchett, 2007, p.1)

VI. Individualized Healthcare Plans (IHP)

Getch, Bhukanwala and Neuharth-Pritchett (2007) report that students who are eligible for special education services should also be encouraged to have an "individualized healthcare plan (IHP)." (p. 1) The IHP makes provision of information concerning the student's healthcare procedure or physical management area." (Getch, Bhukanwala and Neuharth-Pritchett, 2007, p.1) Included in the HIP is specific information concerning:

(1) history;

(2) diagnosis; and (3) assessment data. (Getch,…. [read more]

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