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Week 11 discussion

Diabetes

In the United States, 25.6 million adults age 20 years or
older have diabetes (American Diabetes Association, 2011). If not properly
treated and managed, these millions of diabetic patients are at risk for
several alterations including heart disease, stroke, kidney failure,
neuropathy, and blindness. Proper treatment and management is the key for
diabetic patients, and as the advanced practice nurse providing care for these
patients, it is your responsibility to facilitate this process. Patient
education is critical, as is working with patients to establish a regular
pattern for daily activities such as eating and taking medications. When
developing care plans for patients, you must keep the projected outcomes of
treatment in mind, as well as patient preferences and other factors that might
impact adherence to treatment and management plans. In this Discussion, you
draw from your Practicum Experience and consider factors that impact the
education and treatment of patients with diabetes.

To prepare:

Review Chapter 205 in Part 17 of the Buttaro et al. text.

Reflect on the clinical presentation of diabetes, as well as
your Practicum Experiences and observations. Select a case from these
experiences that involve a diabetic patient. When referring to the patient, make
sure to use a pseudonym or other false form of identification. This is to
ensure the privacy and protection of the patient.

Recall the medical details of the patient in the case that
you selected including patient history, clinical presentation, physical exams,
diagnostics, and the recommended treatment plan.

Select one of the following patient factors: genetics,
gender, ethnicity, age, or behavior. Reflect on how this factor might impact
the treatment plan and patient education strategies.

Post on or before Day 3 a description of the case that you
selected including the diabetic patient’s medical details. Then, explain how
the factor that you selected might impact the treatment plan and patient
education strategies.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to at least two of your
colleagues on two different days who selected different factors than you. Pose
questions for your colleagues regarding their treatment plans and/or patient
education strategies. Then, expand on your colleagues’ postings by providing
additional insights based on readings and evidence.

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