Provide an evidence-based rationale for each intervention included in the plan of care (include references)

QUESTION

Provide an evidence-based rationale for each intervention included in the plan of care (include 5 references).

Complete each Active Learning Template listed below for the condition depicted in the scenario (diabetes).

You will have a total of five (5). a. Medication b. Nursing Skills c. Therapeutic Procedure d. Diagnostic Procedure e. System Disorder for the health condition in the scenario Spend at least 60 minutes working in the assigned Real Life scenario.

Review cultural considerations when caring for patients.

ANSWER

Evidence-Based Rationale for Interventions in the Plan of Care for Diabetes

Introduction

Diabetes is a chronic metabolic disorder characterized by elevated blood glucose levels due to inadequate insulin production or impaired insulin action. The management of diabetes requires a comprehensive plan of care, including medication, nursing skills, therapeutic procedures, diagnostic procedures, and considerations of the system disorder. This essay will provide an evidence-based rationale for each intervention included in the plan of care for diabetes, supported by relevant references.

Medication

Medication plays a crucial role in diabetes management. The following interventions are commonly included in the plan of care:

Insulin Therapy: Insulin is essential for individuals with type 1 diabetes and may also be necessary for those with type 2 diabetes who cannot achieve glycemic control through lifestyle modifications and oral medications alone. Insulin therapy helps regulate blood glucose levels and prevent long-term complications (McFarlane, 2009).

Nursing Skills

Nurses play a vital role in supporting individuals with diabetes. The following nursing skills interventions are included in the plan of care:

Diabetes Education: Providing comprehensive diabetes education to patients is essential in promoting self-management and glycemic control. Education should include information on diet, physical activity, medication administration, blood glucose monitoring, and recognition and management of hypoglycemia and hyperglycemia (Powers et al., 2016).

Therapeutic Procedure

Therapeutic procedures are interventions aimed at managing the symptoms and complications associated with diabetes. The following intervention is commonly included:

Diabetic Foot Care: Diabetes increases the risk of foot ulcers and lower extremity amputations. Regular foot assessments, proper foot hygiene, wearing appropriate footwear, and early identification and management of foot problems are essential therapeutic procedures to prevent complications (Song, 2022).

Diagnostic Procedure

Diagnostic procedures are crucial for the identification and monitoring of diabetes. The following procedure is commonly used:

Glycated Hemoglobin (HbA1c) Testing: HbA1c provides an estimation of average blood glucose levels over the previous 2-3 months. It is a key diagnostic tool for assessing long-term glycemic control and guiding treatment decisions (Sherwani et al., 2016).

System Disorder

Understanding the system disorder of diabetes is crucial in providing holistic care. The following consideration is important:

Cultural Considerations: Cultural factors can significantly impact diabetes management, including dietary preferences, health beliefs, and language barriers. Healthcare providers should consider cultural practices and beliefs when developing a plan of care to ensure effective communication, adherence to treatment, and positive health outcomes (Rebolledo & Arellano, 2016).

References

Rebolledo, J. A., & Arellano, R. (2016). Cultural Differences and Considerations When Initiating Insulin. Diabetes Spectrum, 29(3), 185–190. https://doi.org/10.2337/diaspect.29.3.185

Sherwani, S. I., Khan, H. A., Ekhzaimy, A., Benabdelkamel, H., & Sakharkar, M. K. (2016). Significance of HbA1c Test in Diagnosis and Prognosis of Diabetic Patients. Biomarker Insights, 11, BMI.S38440. https://doi.org/10.4137/bmi.s38440

Song, K. (2022, July 25). Diabetic Foot Care. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK553110/

Powers, M. A., Bardsley, J. K., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Wang, J., & Vivian, E. M. (2016). Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Clinical Diabetes, 34(2), 70–80. https://doi.org/10.2337/diaclin.34.2.70

McFarlane, S. I. (2009). Insulin Therapy and Type 2 Diabetes: Management of Weight Gain. Insulin Therapy and Type 2 Diabetes: Management of Weight Gain, 11(10), 601–607. https://doi.org/10.1111/j.1751-7176.2009.00063.x

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