Evidence-Based Nursing Practice

This article discusses the importance of evidence-based nursing practice in providing proper care to patients. It provides insights into the nursing diagnostic and intervention plans for a patient with diabetes type 2. The article also explains the CRC model and its role in nursing.

Running head: EVIDENCE-BASED NURSING PRACTICE
EVIDENCE-BASED NURSING PRACTICE
Name of the Student
Name of the University
Author Note

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EVIDENCE-BASED NURSING PRACTICE
Marcel is a 70 year old person and 3 years ago he retired and sold his farm, and he is a
180.5 cm person with 116 Kg weight. Thus it can be seen that he is an obese person along with
35.6 BMI rate. Not only he is an overweight person but also he has a significant medical history
of hypertension and his family has a history of having both type 1 and type 2 diabetes as well.
Along with all these health concerning factors, Marcel was a heavy smoker. The general
physician on the basis of Marcel’s medical history planned several intervention plans including
medication that is Metformin and Lantus administration, daily exercises and proper diet and
empowerment about self-management.
Based on Marcel's case it has been seen that he gained 14 Kg weight in only nine months
as a result of his retired and sedentary lifestyle. The assessment of the general physician or the
nurse found that Marcel experiencing hyperglycaemia thus generates diabetes type 2 and his lack
of knowledge about the situation and self-care made the situation worse for him (Ohn et al.,
2016). The expected interventions of the nursing diagnostic would be comprised of losing 1 Kg
weight per month, take part in the exercise programs in a local fitness centre, walk every day for
at least 30 minutes, discuss proper diet with a dietician as for his physical requirements. Other
than all these the proper medication administration would also be needed such as Metformin and
Lantus for the better outcomes of Marcel’s health condition (Borch et al., 2016). Metformin is
the oral medication process which was administered by the nurse to control Marcel's diabetes as
his changes in life did not have any effects on his blood sugar level. However, the usage of
Metformin put Marcel in a diarrhoea-tic condition thus Lantus 10 units were prescribed for him
every night, and he would continue to take Metformin 500 mg along with the earlier one for
proper secretion and function of insulin in his body. The nurse would need to let him know about
the insulin accurately in the manner of activity, intake and he would be required to have proper

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knowledge about blood sugar level administration as well for his diabetes type 2 control and self
management of the disease control process. The insulin injections in specific intervals would also
be needed if his condition turns to the diabetes type 1 (Chaudhury et al., 2017).
Self management about the medication would also be needed which include the proper
medication administration and taking the Metformin 500 mg and the Lantus 10 unit medicines
for the intervention of the diabetes type 2. On the basis of the condition of Marcel, an elderly
patient it can be stated that he is developing diabetes type 1 which would be a concern for the
professionals. After the evaluation process it is seen that medication and all the activities did not
have any effect on his diabetes thus it can be said that he did not taken the medications properly.
On the basis of that the nurse needed set alarms by android software pop-up or providing him an
assorted medication box with proper timing and dosage of the medicines for him to take the
medication on time and manage the process on his own as he manages the daily exercise process
for his health (Dalton, Gee & Levett-Jones, 2015).
After gathering information and processing the information according to CRC model the
nurse planned the above mentioned strategies. The next step of the CRC model is to evaluate the
outcomes of the actions and the planning of the nurse prescribed for the patient. The outcomes
would be evaluated by means of observing the patient in a regular basis such as checking the
medication process daily, checking weight of the patient weekly, daily observation for changes
in the symptoms of diabetes type 2, smoking inhibition and others. It has been seen that Marcel
responded to the verbalised empowerment plan of the nurse which includes the dietary planning
and the weight loss factors. The evaluation of the outcome had a positive result as Marcel lost 7
Kg weight in only eight weeks and walks 45 minutes every day (Køster-Rasmussen et al., 2016).
However, the medication did not show positive effects. Marcel’s self-management would play a

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vital role in the process and his smoking habit needed to be controlled or instead required to be
entirely stopped as well in the method of managing his disease as smoking affects the lungs,
heart and nervous system as well (Pan, Wang, Talaei, Hu & Wu, 2015).
Based on Marcel's medical history and the present condition it can be said that the
preventive measures taken for his diabetes type 2 controls positively impacted on his body and
helped in his health as well. Thus the nurse could be able to gain experience from the situation,
and the intervention process could be stated as the evidence-based nursing practice as the
medication process, and all other intervention processes were based on evidence collected by the
nurse (Behrens & Langer, 2016). In the case of Marcel the nurse planned or set goals based on
his health condition and the medical history informed by him. The evidence-based practice
helped the nurse in terms of gathering information from other cases and also helped him or her in
a manner of gathering experience which helped in the reflection of the nurse's knowledge
gathering from the situation as stated in the CRC model of nursing.
Based on the above discussion it can be concluded that the CRC model and the evidence-
based practice are interconnected and helped in the proper care providence of the patient, Marcel.
The medication and the self management process for the intervention are also important as
discussed in the above content. The self management of the medication and the daily exercise in
a proper manner would help Marcel’s health condition change in a positive way.

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References
Behrens, J., & Langer, G. (2016). Evidence based nursing and caring. Verlag Hans Huber.
Retrieved from https://www.mabuse-verlag.de/Downloads/1626/175_Behrens.pdf
Borch, D., Juul-Hindsgaul, N., Veller, M., Astrup, A., Jaskolowski, J., & Raben, A. (2016).
Potatoes and risk of obesity, type 2 diabetes, and cardiovascular disease in apparently
healthy adults: a systematic review of clinical intervention and observational studies. The
American journal of clinical nutrition, 104(2), 489-498. Retrieved from
https://doi.org/10.3945/ajcn.116.132332
Chaudhury, A., Duvoor, C., Dendi, R., Sena, V., Kraleti, S., Chada, A., ... & Kuriakose, K.
(2017). Clinical review of antidiabetic drugs: Implications for type 2 diabetes mellitus
management. Frontiers in Endocrinology, 8, 6. Retrieved from
https://doi.org/10.3389/fendo.2017.00006
Dalton, L., Gee, T., & Levett-Jones, T. (2015). Using clinical reasoning and simulation-based
education to'flip'the Enrolled Nurse curriculum. Australian Journal of Advanced Nursing,
The, 33(2), 29. Retrieved from http://www.ajan.com.au/Vol33/Issue2/4Dalton.pdf
Køster-Rasmussen, R., Simonsen, M. K., Siersma, V., Henriksen, J. E., Heitmann, B. L., & de
Fine Olivarius, N. (2016). Intentional weight loss and longevity in overweight patients
with type 2 diabetes: a population-based cohort study. PloS one, 11(1), e0146889.
Retrieved from https://doi.org/10.1371/journal.pone.0146889
Ohn, J. H., Kwak, S. H., Cho, Y. M., Lim, S., Jang, H. C., Park, K. S., & Cho, N. H. (2016). 10-
Year trajectory of β-cell function and insulin sensitivity in the development of type 2

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diabetes: a community-based prospective cohort study. The lancet Diabetes &
endocrinology, 4(1), 27-34.
Pan, A., Wang, Y., Talaei, M., Hu, F. B., & Wu, T. (2015). Relation of active, passive, and
quitting smoking with incident type 2 diabetes: a systematic review and meta-analysis.
The lancet Diabetes & endocrinology, 3(12), 958-967. doi: 10.1016/S2213-
8587(15)00316-2. Retrieved from http://dx.doi.org/10.1016/S2213-8587(15)00389-7