Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare

• Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
• Select one type of diabetes to focus on for this Discussion.
• Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
• Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

By Day 3 of Week 5

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

 

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 Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare

• Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
• Select one type of diabetes to focus on for this Discussion.
• Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
• Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

By Day 3 of Week 5

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.
5 references not more than 5 years   ZERO PLAGIARISM 

 

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Discussion1: Diabetes

According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus.

To Prepare

· Review Chapter 19 in the Huether and McCance text and Chapter 18 in the Hammer and McPhee text. Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

·  

Post an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. Describe the differences and similarities between resulting alterations of hormonal regulation. Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Discussion 2 : Disorders of the Reproductive Systems

While the male and female reproductive systems are unique to each sex, they share a common function—reproduction. Disorders of this system range from delayed development to structural and functional abnormalities. Since many reproductive disorders not only result in physiological consequences but also psychological consequences such as embarrassment, guilt, or profound disappointment, patients are often hesitant to seek treatment. Advanced practice nurses need to educate patients on disorders and help relieve associated stigmas. During patient evaluations, patients must feel comfortable answering questions so that you, as a key health care provider, will be able to diagnose and recommend treatment options. As you begin this Discussion, consider reproductive disorders that you would commonly see in the clinical setting.

To Prepare

· Review Chapter 22 and Chapter 23 in the Hammer and McPhee text, as well as Chapter 33 and 34 in the Huether and McCance text.

· Select two disorders of the male and/or female reproductive systems that interest you. Consider the similarities and differences between the disorders.

· Select one of the following factors: genetics, ethnicity, age, or behavior. Think about how the factor you selected might impact the diagnosis of and treatment for the reproductive disorders. 

Post a description of the two reproductive disorders you selected, including their similarities and differences. Then explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders. 

Use Resource below

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

• Chapter 32, “Structure and      Function of the Reproductive Systems”

This chapter establishes a foundation for examining alterations of reproductive systems by examining the female and male reproductive systems. It covers the development of both reproductive systems and effects of aging on the systems.

• Chapter 33, “Alterations of      the Female Reproductive System

This chapter covers alterations of the female reproductive systems. It also explores the epidemiology, clinical manifestations, evaluation, and treatment of sexually transmitted infections.

• Chapter 34, “Alterations of      the Male Reproductive System”

This chapter covers alterations of the male reproductive systems. It also explores the epidemiology, clinical manifestations, evaluation, and treatment of sexually transmitted infections.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.

• Chapter 22, “Disorders of      the Female Reproductive Tract”

This chapter reviews the normal structure and function of the female reproductive tract. It then examines disorders specific to the female reproductive tract such as menstrual disorders and infertility.

 

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Review the Topic Materials and the work completed in NRS-433V to  formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular  clinical area and identifies clinical problems or issues that arise  from clinical care. The intervention should be an independent,  specified nursing change intervention. The intervention cannot require  a provider prescription. Include a comparison to a patient population  not currently receiving the intervention, and specify the timeframe  needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the  assigned readings. The PICOT statement will provide a framework for  your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem  and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing  Practice

Prepare this assignment according to the guidelines found in the APA  Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to  beginning the assignment to become familiar with the expectations for  successful completion.

USE PICOT STATEMENT WRITTEN BELOW

In Hispanics Americans adolescents, newly diagnosed with type 2 diabetes, how does dietary, and lifestyle changes compared with no intervention reduce A1C levels in the first 3 months after diagnosis? 

The  topic is diabetes in Hispanic americans. 

PLEASE REVIEW THE RUBRIC BELOW

 

PICOT Statement Paper
                         1
                         Unsatisfactory
                       0.00%                                                2
                         Less than Satisfactory
                       75.00%                                                3
                         Satisfactory
                       79.00%                                                4
                         Good
                       89.00%                                                5
                         Excellent
                       100.00%                         80.0 %Content 30.0 % Identification of Clinical Problem/Issue                                                Clinical problem/issue is not identified, and resolution is not addressed.                                                Clinical problem/issue is identified with little discussion of resolution or patient outcome.                                                Clinical problem/issue is identified but not supported with clinical observations or evidence. The identified problem/issue can be resolved, or a patient outcome shows minimal improvement.                                                Clinical problem/issue is identified based on clinical observation experience or evidence in literature. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can be improved using nursing interventions.                                                Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention.30.0 % Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice                                                Clinical problem/issue is not described with clarity and the corresponding elements are not included.                                                Clinical problem/issue description includes a basic understanding of the problem/issue and setting, with few of the following elements explained: evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice.                                                Clinical problem/issue description includes a basic understanding of the problem/issue, the setting, and the patient population. The following elements are explained: evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice. Minimal rationale is provided to support the resolution of the clinical problem/issue.                                                Clinical problem/issue description includes a thorough understanding of the problem/issue, the setting, the patient population, and why it is a problem/issue. The following elements are explained in detail: evidence-based solution, nursing intervention, and patient care consistent with specific health care agency and nursing practice. Sound rationale is provided supporting the clinical problem/issue resolution.                                                Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution.10.0 % PICOT Statement Focused on Resolution, Improvement, Application, and Intervention                                                PICOT statement does not focus on resolution of a problem/issue, improvement of patient care or application of a nursing intervention.                                                PICOT statement discusses a clinical problem/issue without a focus on improvement or intervention.                                                PICOT statement focuses on the resolution of a clinical problem/issue that improves patient care through the application of a nursing intervention.                                                PICOT statement focuses on the resolution of a clinical problem/issue, with discussion of improving patient care through the application of an evidenced-based nursing intervention.                                                PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.10.0 % PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time                                                Population, Intervention, Comparison, Outcomes, and Time are not included.                                                Population, Intervention, Comparison, Outcomes, and Time are present, but lack detail or are incomplete.                                                Population, Intervention, Comparison, Outcomes, and Time are present.                                                Population, Intervention, Comparison, Outcomes, and Time are clearly provided and well developed.                                                Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.15.0 %Organization and Effectiveness 5.0 % Presentation                                                Paper lacks any discernible overall purpose or organizing claim.                                                Thesis is insufficiently developed or vague. Purpose is not clear.                                                Thesis is apparent and appropriate to purpose.                                                Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.                                                Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.5.0 % Argument Logic and Construction                                                Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.                                                Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.                                                Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.                                                Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.                                                Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.5.0 % Mechanics of Writing  (includes spelling, punctuation, grammar, language use)                                                Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.                                                Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.                                                Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.                                                Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.                                                Writer is clearly in command of standard, written, academic English.5.0 %Format  2.0 % Paper Format  (use of appropriate style for the major and assignment)                                                Template is not used appropriately or documentation format is rarely followed correctly.                                                Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.                                                Template is used, and formatting is correct, although some minor errors may be present.                                                Template is fully used; There are virtually no errors in formatting style.                                                All format elements are correct. 5.0 %Format  3.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)                                                Sources are not documented.                                                Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.                                                Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.                                                Sources are documented, as appropriate to assignment and style, and format is mostly correct.                                                Sources are completely and correctly documented, as appropriate to assignment and style, and format 

 

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Power point Presentation (20 slides each WITH NOTES, GRAPHICS)

Topic:

Diabetes in Older Adults. Target group is nursing staff from one facility.

Provide a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents.

Incorporate at least four current literature review findings as a theoretical base for your project/paper.

Describe community resources available to meet the need of the specific community in this problem area. Summarize the resources available and describe their effectiveness for the community.

Describe your selected group. Identify and summarize the learner needs of your selected group. What are the needs? Why does this group need to be educated on your chosen topic?

Identify and describe developmental and teaching/learning theory/theories used and why they are appropriate to the learners you targeted.

Describe in behavioral terms your specific planning process for your project and overall teaching goal for your participants.

Evaluate your teaching experience. Reflect on the following questions. What went well? What did not? What would you change if you were teaching this topic to a similar group at a later date and why?

RUBRICS

Provides a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents. Describes the selected group, and identifies and summarizes the learner needs of the selected group, including why this group needs to be educated on the chosen topic.

Describes the community resources available to meet the need of the specific community in this problem area. Summarizes the resources available and describes their effectiveness for the community. Identifies and describes developmental and teaching/learning theory/theories used and why they are appropriate to the learners targeted. Describes in behavioral terms the specific planning process for the project and overall teaching goal for the participants. Incorporates at least four current literature review findings as a theoretical base for the project/paper.

Evaluates the teaching experience. Reflects on the following questions: What went well? What did not go well? What would you change if you were teaching this topic to a similar group at a later date and why?

Writing is clear, concise, formal, and organized. Slides are mostly error free. Information from sources is paraphrased appropriately and accurately referenced and cited in APA style. A title slide, clear introduction and conclusion, and reference slide are included. The number of references required by the assignment is presented. In-text APA citations are used in the presentation.

Good language skills and pronunciation is used; information is well communicated. Still images of the lessons are included if actual video is not.

 

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