Diagnosis and Classification of Diabetes Mellitus
Added on - 21 Apr 2020
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Running head: PICO QUESTIONPICO QUESTION ON PATIENT WITH NEWLY DIAGNOSED T2DName of the StudentName of the universityAuthor’s note
1PICO QUESTIONIntroductionDiabetes mellitus is a metabolic disorder in which the blood sugar level in the blood rises alongwith prolonged high blood pressure. If diabetes is left untreated then it may lead to serious acuteconditions such as hyperosmolar hyperglycemic state, ketoacidosis. Long term conditions mayinclude chronic kidney disease, cardiovascular diseases, eye damage and ulcers (Dorresteijn &Valk, 2012). Diabetes is a life style disease and can be maintained by maintaining proper dietand life style. Therefore education is necessary for the proper self management of the disease. Itis a common ailment that is found all over the world afflicting more than 30% of the populationin almost every country. Due to the wide prevalence of diabetes it is necessary to take first handactions.This paper aims to provide a critical research regarding the importance of education tothe acute care patients newly diagnosed with diabetes. It is necessary to address a PICO question,in order to perform an evidence based search regarding the importance of education to newlydiagnosed patient. In order to do this a comparison has been brought between those diabeticpatients with education and without any education.Each of the PICO terms is described by a wide range of literatures and a literature reviewis provided supporting the PICO questionP- Newly Diagnosed patientsdischarged from acute care with type 2 diabetesI- Educating patients regarding diet, exercise, medication and insulin therapy and regular checkup to control diabetes.
2PICO QUESTIONC- Compared to patients with no education and not following the recommended practices tocontrol diabetes.O- Increasing nursing comfort with teaching the information.The population chosen for this study is the patients with newly diagnosed diabetes who havebeen recently discharged from acute care.Management of the glycemic level in acute care patients is critical. Acute care patientswith T2D require specific glycemic control protocols. Early diagnosis and proper management ofdiabetes can reduce the detrimental effects of diabetes to some effect even if it cannot be curedfully (Haas et al., 2012).This type of population has been taken for the research due to the fact that the acute carepatients, who are already under the burden of other ailments, require additional education tomanage the effects of diabetes. Further more different studies that patients having diabetes havethree fold chances of hospitalization compared to those with diabetes and the chances becomesmuch higher with the acute care patients. Reports say that here had been 7.7 millions of hospitalstays with diabetes. Furthermore since diabetes can be easily managed by maintaining properdiets and exercises and adherence to medications. This population had been suitable for myresearch.Literature reviewAccording to the reports byDorresteijn & Valk, (2012), Hyperglycemia greater than140mg/dl is reported in22-46% of the non-critically ill patient. The data indicates that patientswithout the prior diagnosis in patients can increase the risk of complications.
3PICO QUESTIONAccording to the International Diabetes federation, more than 415 million of people are affectedwith diabetes globally. Most of the detrimental effects of diabetes are associated to the acute carepatients.Reports say that about 70-80% of the patients with critical illnesses have become thevictims of the acute care diabetes.According toMayberry & Osborn, (2012), in patients without diabetes the plasmaglucose level is maintained within the range 70-100mg/dl. Maintenance of the normal glucoselevel is essential for the proper functioning of the brain.According to Evert et al., (2014), the primary goal for the study is the rapid evaluation ofthe disease. Patients who are under acute care should be undergoing a clinical history andphysical examination including a metabolic panel. The critical evaluation of this paper isnecessary it discusses about the hoe the critically ill patients under acute care should be assessedwith diabetes. After the necessary assessments and examinations, the second step to themanagement of diabetes is imparting education to the patient regarding the management ofdiabetes.Diabetes self management education may be considered as the critical element of care forthe people with diabetes and is essential in order to improve the outcomes in patients withdiabetes. It is necessary to provide an evidence based education to the acute care patients.According to the paper by Peyrot et al., (2012), Being a newly diagnosed with diabetescan be confusing and precautions and preventions taken from the beginning can really improvethe quality of life. At first it is really important to educate the patient regarding thepathophysiology of the disease. They would be taught about the different ranges of the blood