Advanced Nursing Role Among The Diabetic
Introduction
The National Patient Safety Goals (NPSG) has emerged as one of the critical approaches through which Joint Commission enhances and push for significant dynamism in patient safety (Ramke, Lee & Brian, 2012). For example, in diabetic medication, the Joint Commission has been able to ensure safety advancement in medication usage to treat the various cases of diabetes among the aged. Mostly, for elderly patients, between age 52 and above, the Joint Commission, through the NPSG, has put a lot of efforts to minimize the possible infections associated with type 2 diabetic (TTD) health care. TTD has been an alarming health concern, with past research and studies on the same reporting that most of the newly admitted and diagnosed patients with the disease are the aged. As an advanced nursing role (ANR) to research on, I have realized that adopting flexibility as well as uniqueness during the treatment period and diabetes diagnostic can be relevant among the aged patients. This paper comes up with an ANR to research on; diabetes among the aged, showing how the role is clinical in promoting safety among the aged diabetic patients, and how it will be undertaken in all avenues such as schools where Family Practice are present.
Background
In my ANR, I am interested in the case of Mr. Beckham, an 80-year old granny, who has had a long history of health and medication concerns that have all originated and linked with TTD and obesity. Mr. Beckham has had unremarkable medical history, neither a smoker nor a drinker, with the only other significant problem being knee surgery he happened to go through some five years back. He always has in the frontline in some physical activities as well as the recommended dietary arrangements, driven by the prime motive of weight reduction and other health objectives, though none has ever been successful. Mr. Beckham has a grandson who is in his second year at Harvard Law School and would like to witness his graduation, though he has the full knowledge regarding the risks that the condition is exposing him including the developing cardiovascular diseases. He also frustrated of failing to lose the projected weight thereby sought to explore interventions with the best procedures that would advance his health status.
Clinical ANR Approach
The Clinical ANR approach regarding the case of Mr. Beckham entail the first assessment steps, interrogating him about the condition, with an expectation that he will provide the entire background information on his health and medication status. Therefore, the ANR question entails the management of Mr. Beckham’s diabetic condition at the age of 80 years; that will be derived from the expected responses with respect to the relevant clinical interrogations. Facilitating the process of realizing the appropriate and exact solution for the diabetic concern, the question will be phrased as per the patient, intervention, comparison and outcome (PICOT) format.
With respect to the patient problem (PO), there is a detailed description of the selected group of patients reported to be having a similar case to Mr. Beckham, including the identified relevant characteristics, the primary problem as well as other co-existing conditions. Through intervention and prognostic factors, the research will entail taking care of the major exposure, undertaken clinical guidelines, appropriate drugs for prescription as well as the identified factors that are likely to influence his prognosis among other significant factors. With regard to the comparison element, the research entails coming up with the primary alternative that is compared with the just concluded prognostic factor, which is drugs and medication among other diagnostic tests. The outcome element comprises of the duration that the entire mediation team is expecting to spend in order to accomplish the medication fully, minimizing the identified adverse events such as weight reduction.
Desired Outcomes
The ANR research has some of the desired outcomes including reduction of blood sugar level, with an aim of normalizing it, in order to get rid of high as well as extreme blood sugar levels (Atalla, 2016). The other outcome entails normalization of the tissue functioning realized through prevention of the entire concerns of tissue damage which are likely to originate from high sugar levels in Mr. Beckham’s blood stream. In this particular case, after the whole clinical operation, Mr. Beckham’s blood sugar level is expected to range from 65-105 mg/dl during meal time and 135 mg/dl after meal time.
Significance
Mr. Beckham’s problem is quite significant in ANR, since the outlined as well as set procedures with the EBP approach, will result in minimal health care-associated infections and upgrading safety of medication usage. The ANR research is likely to enhance the diabetic clinical management among the aged patients, hence advancing efficiency and better care in the clinical medication of similar cases in future (Resnick, 2014). The ANR research avails safe assurance through which nurses will get rid of the possible injuries to the patient while providing medication to them (Gallagher-Ford, 2011) . Also, there will be improved effectiveness during the management of diabetic cases through service provision, among the aged with respect to the underline scientific know-how to the whole aged diabetic patients. This will be done for the entire elderly members of the community, who are diabetic, including all avenues such as schools where Family Practice are present.
References
Atalla, H. (2016). Effectiveness of nursing intervention regarding self insulin administration among diabetic patients. Clinical Nursing Studies, 4(2). http://dx.doi.org/10.5430/cns.v4n2p57
Gallagher-Ford, L. (2011). Advanced practice nurses use role modelling, teaching, clinical problem solving and change facilitation to promote evidence-based practice among clinical staff nurses. Evidence-Based Nursing, 15(2), 55-56. http://dx.doi.org/10.1136/ebnurs.2011.100382
Ramke, J., Lee, L., & Brian, G. (2012). Prevalence of diabetes among adults aged ≥40 years in Timor-Leste. Journal Of Diabetes, 4(4), 392-394. http://dx.doi.org/10.1111/j.1753-0407.2012.00217.x
Resnick, B. (2014). Dissemination of research findings: There are NO bad studies and NO negative findings. Geriatric Nursing, 35(2), S1-S2. http://dx.doi.org/10.1016/j.gerinurse.2014.02.012