Do elderly patients with Type 2 diabetes show improvement with episodes of hypoglycemia, FBS and HgBA1C with Degludec?

/in /by

Manage Discussion Entry

Hello Professor and class,

I chose case study #3 of an 80 year old retired army officer living along with type 2 diabetes, who had episodes of hypoglycemia using insulin and OHA’s.  The patient was dependent on an attendant to administer injections and due to irregularity of insulin dose administration this would lead to episodes of hypoglycemia.  The patient was then put on Degludec insulin and over a period of time, the patient’s HgBA1C and fasting blood sugars showed improvement. The patient also had no further episodes of hypoglycemia (Kumar, 2015.  p. 877).

Formulating a clinical question in the PICO (T) format I questioned: Do elderly patients with Type 2 diabetes show improvement with episodes of hypoglycemia, FBS and HgBA1C with Degludec?

According to (Stillwell et al, 2010. p. 59), PICOT is an acronym used for elements of the clinical question.  They are helpful for summarizing research question that explore the effects of therapy (Riva et al, 2012. p. 168).

P- Patient population

I-Intervention or issue of interest

C- Comparison of intervention or interest

O- Outcome of intervention or interest

T- Time it takes for intervention to be effective

(Stillwell et al, 2010. p. 59), Also points out there are 2 types of clinical questions, background and foreground.  Foreground question appear to use questions asked using the PICOT format to determine which interventions are most successful for patient outcomes.

Nursing research strives to understand phenomena that impact health, seeks solutions to problems, tests approaches to improving nursing care, and generates new knowledge to further our profession (CCN, 2017)

My clinical question using the PICOT format:

P- Elderly patients with type 2 diabetes

I- On Degludec and OHA’s

C- On regular insulin and OHA’s

O-Improvement of FBS, HgBA1C and no further episodes of hypoglycemia

T- No time frame measured

In asking the question: Is Degludec effective in improving hypoglycemic episodes the focus of my question would be on the prognosis of treatment.  Are patients having less episodes of hypoglycemia, is disease control with treatment?  According to the case study once the patient had started on Degludec it was noted that there was improvement in FBS and HgBA1C and no further evidence of hypoglycemia.

 

References:

Chamberlain College of Nursing. (2017). Introduction to Evidence Based. Practice.  Week 1 [Online lesson].  Downers Grove, IL  DeVry. Retrieved from: https://chamberlain.instructure.com/courses/12226/pages/week-1-lesson?module_item_id=1191535

 

Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, A. R., & Busse, J. W. (2012). What is your research question? An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 56(3), 167-171. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=awh&AN=88935392&site=eds-live&scope=site (Links to an external site.)Links to an external site.

 

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201003000-00028&LSLINK=80&D=ovft (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.

PreviousNext

Why must market research be conducted?

/in /by

Health Care Marketing Plan Presentation

Create a hypothetical health care organization or social program, using a real organization or program as a model, and develop a comprehensive marketing plan to market it. Examples include cancer hospitals, home health agencies, nursing homes, durable medical equipment companies, weight loss programs, and insurance programs.

Develop a comprehensive marketing plan to market your organization or program.

Create a 20- to 25-slide Microsoft® PowerPoint® presentation, with speaker’s notes, detailing your plan. Speaker’s notes must be between 100 to 200 words per slide. Include the following:

•Background information

◦What is the name of the organization or program?

◦What is the geographic location?

◦What is the organizational mission?

•Industry background: Describe the industry’s historical background.

•Situational SWOT analysis: Assess the organization’s environment. Address why your marketing plan is necessary. Include the following:

◦Strengths (internal)

◦Weaknesses (internal)

◦Opportunities (external)

◦Threats (external)

•Market research

◦Why must market research be conducted?

◦What kind of data will you use: primary, secondary, or both? Why?

•Marketing objectives: List your quantifiable marketing objectives.

◦Explain what you want to achieve.

◦Define estimated dates by which you want to achieve those goals

•Marketing strategies: Describe the general approach or best way to meet your objectives.

•Consumer analysis

◦Determine the demographics of the program’s potential consumers.

◦Determine the psychographics of the program’s potential consumers.

◦Identify common consumer behaviors of the program’s potential consumers.

•Target market

◦Determine the primary market: What are the characteristics of the primary market?

◦Determine the secondary market: What are the characteristics of the secondary market?

◦Market segmentation: How will you segment the market? Why?

•Competitive analysis

◦Identify your competitors.

◦Briefly describe your competitors’ strategies.

•The four Ps

◦Product

◾What types of products, programs, or services are involved, as in a good, service, or idea?

◾What are the features? How is it positioned and differentiated from the competitors?

◾How is the product, program, or service identified, as in brand name, label, or packaging?

◦Place

◾What are the channels of distribution?

◾Where are the facilities located?

◦Pricing

◾What aspects must be considered in developing pricing?

◾Determine a suggested selling price.

◦Promotion

◾How will you promote the organization or program?

◾Personal selling

◾Advertising

◾Media mix: television, magazines, outdoor, direct mail, radio, or website

◾Slogan and message

◾Sales promotion activities: trade show or promotional materials

◾Public relations

•Regulations: Identify the regulations that affect your plan.

•Social marketing strategies

•Ethics and patient privacy

•Monitoring the plan: Create a way to monitor and evaluate your plan’s success.

Here is what we did in week 3

I. Background Information

A. Name of the organization

1. Health South Rehabilitation Center

B. Geographical Location

1. Woburn, Massachusetts

C. Organization’s Mission

1. Commitment to quality

2. Results driven care with specialization in services

3. Continuum of care for patients with traumatic injuries

II. Industry Background

A. Historical background of the industry

1. Importance of continuum of care

2. Little to no focus in the past on rehabilitation services

3. Patient care improvements

B. Historical background of the organization

1. Strong leadership efforts in staying current with most up to date technologies

2. Cost effectiveness for high quality care

(This is part of the assignment that you did for me on 1/21/18) This assignment is based on that one.

Do you think that the health care beliefs influence the delivery of evidence base nursing care? 

/in /by

People of Haitian Heritage.

People of Iranian Heritage.

Read chapter 15 and 32 of the class textbook and review the attached Power Point presentations.  Read content chapter 32 in Davis Plus Online Website.  Once done answer the following questions;

1.  Discuss the historical background of these two heritages.

2.  Discuss the health care beliefs of these two heritages and mention if there is any similarity with the health care beliefs in United States.

3.  Do you think that the health care beliefs of these two heritages influence the delivery of evidence base nursing care?  Explain why.

As previous weeks and stated in the syllabus please present your assignment in an APA format word document, Arial 12 font, attached to the forum in the discussion tab of the blackboard title “week 8 discussion questions”.  A minimum of 2 evidence based references (excluding the class textbook) are require.  You must post two replies sustained with the proper references to any of your peers postings.  A minimum of 500 words are required.

What treatment seems to be most effective for opiate addiction?

/in /by

#6 Opiate Explanation Summary

Reflection Paper: Current Opiate Epidemic in the US. News reports there is a rising heroin abuse problem in the USA.

How many people are abusing prescription opiates compared to abusing heroin?

What is the relation between the rise of Rx opiates use and the current rise in heroin use?

Use specific numbers and statistics to explain this.

How are Rx opiates different or the same as heroin?

What treatment seems to be most effective for opiate addiction?

NIDA, Dr. Nora Volkow Presentation to Congress: http://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2015/americas-addiction-to-opioids-heroin-prescription-drug-abuse

CDC, Injury Prevention and Control: Prescription Drug Overdose: http://www.cdc.gov/drugoverdose/pubs/index.html

NCBI/National Library of Medicine: PubMEd article 2012 http://www.ncbi.nlm.nih.gov/pubmed/22786464

Atlantic Magazine report, Oct 2014 : http://www.theatlantic.com/health/archive/2014/10/the-new-heroin-epidemic/382020/