Diabetes Simulation Analysis

Diabetes is everywhere in the world now, since more people have it than ever before. Still, we have a lot more to learn about this illness if we are to fight and overcome it. There are some things about diabetes that most people just don't know. Stay tuned for part two, coming soon!

Diabetes Data for Bexar County: According to the 2014 City of San Antonio Diabetes Fact Sheet, The percentage of adults with diabetes in Bexar county has been on the increase in the last few years. In 2012, 11.4% of the population in Bexar county had been diagnosed with diabetes; in 2013, number of diagnosed residents increased to 12.7%, and in 2014, it had increased to14.2%. Diabetes prevalence did not differ significantly between adult males (13%) and females (15%). Percentage of adults with diabetes by age was 1% for adults 18-29 years; 6% for adults age 30-44 years; 22% for people age 45-64 years and 33% for people age 65 years and older. In 2014, percentage of adults with diabetes by ethnicity was: Hispanics 15%; non-Hispanic

During the simulation I needed to make quick decisions on what to do and how to help. I was the float nurse during the simulation so my job was to help any of the other nurse, staff. There were several times during the simulation that a child was crying or screaming so I had to think on my feet to help them. One example was when I was helping patient number 3, she has started to choke so I held her up so that her nurse, Rylie, was able to suction her without problem. After we suctioned her she stopped crying and seemed to be less irritated. When helping with patient 1 I need to explain to her how to use an incentive spirometry. She is only 7 years old so I needed to explain how to use it at an appropriate level. I used to colors to help explain and let her tough it to help her feel comfortable. During the simulation I was jumping from room to room helping the patient and nurses so I need to keep my prioritizes organized and help the nurses as much as I could.

Upon completion of the twenty-five day on-site Joslin affiliate training program, the endocrinologist, certified diabetes educator and medical assistant can begin servicing the diabetic patients. During the twenty-five days of on-site training the following services are to be implemented and customized according to the program’s outline; appointment schedulers for the physician and CDE are to be completed within the first week of training, EMR progress notes, EMR templates, diagnostic and laboratory testing orders entered to database, and entry of specified CPT coding along with corresponding insurance reimbursement for each code. Coordinate all these tasks with the practice manager to ensure consistency and accuracy as these tasks are added to the existing EMR’s data base.

Before the vital sign assessment simulation examination, I felt jumpy and a little stressed. Although classmates and I had done a lot of practices and kept reading the notes we had dropped down in the 1st and 2nd simulation, we still worried the examination, which is examined in our daily performance score. I expected that I could pass the examination because of my adequate exercise. And I expected I could avoid the careless mistakes such as counting the pulse or the respiration rate of the human simulator wrongly. I also expected I could treat the simulator well as pretend treating to a real person. I should have a conversation to the simulator and explained what I would be done to it. These should be performed in real life.

Chronic elevated glucose in blood (hyperglycemia) with disturbances metabolism of protein, fat and carbohydrate resulting from disorder in insulin secretion, insulin action, or both. (1) Expected to increase diabetic patients by 2025 to approximately 300 million people in the worldwide (2) In ancient times it was difficult to identify diabetes as the ability of patients to heal weak, the researchers think the diabetes resulting from defect in the bladder and kidneys are the cause of diabetes. (6)

The life is beautiful, nothing is impossible. This documentary about simple raw reversing diabetes in 30 days. Diabetes is chronic disease and have two types (type one produce very little or no insulin usually accrue in children , type two diabetes don’t produce enough insulin this type common in the females than males).This disease is "major pandemic situation" because 246000 of people had it and 1 out of 3 children born after year 2000 will get it .I learned this information from the documentary and some subjects I had it in this semester. In the beginning I felt bored when I saw this documentary but I enjoyed and interested it later. In the documentary they choose people from different places in America.

Diabetes insipidus is a disorder that causes an imbalance of water in the body because the kidneys are not functioning correctly (cite). It is caused by a lack of antidiuretic hormone (ADH) which prevents dehydration. Individuals with this disorder produces excessive urination and polydipsia (cite). Although diabetes insipidus and mellitus sound related, they are not. Diabetes mellitus type 1 and type 2 are more common forms of diabetes (cite). To diagnose diabetes insipidus, a doctor could use the fluid /water deprivation test or an MRI scan. The fluid/water deprivation test involves allowing an individual to reframe from drinking fluids for a number of hours to become extremely dehydrated while collecting blood and urine samples. An MRI scan of the head can be used to observe abnormalities in the hypothalamus and pituitary gland (cite).

The American Diabetes Association (ADA) and Pediatric Endocrine Society (PES) developed guidelines for managing type 1 and type 2 diabetes for children attending ADA-sponsored camps. The article Children’s Learning and Goal-Setting at a Diabetes Camp evaluated how well goals, made by children and parents, were achieved by the end of camp. Out of the 144 children between the ages of 8 and 16 who attended this camp, 130 children completed the goal evaluation. This research was highly influenced by the notion to create a teamwork approach between parents, staff, and child in regards to goals associated with educational experiences at camp. Goal-setting was successful in the improvement of campers to recall their self-management, and they benefited

Diabetes insipidus is a rare condition that causes the body to create more urine than normal, which leads to thirst and dehydration. The urine is made mostly of water (dilute urine). There are several types of diabetes insipidus. The most common forms are related to decreased production of the hormone that regulates urine production (antidiuretic hormone) or resistance to the antidiuretic hormone.

After we (me and Amandeep) introduced ourselves to ten junior nursing students and professors, we were like observers through the simulation. The professor (Kerstin) divided those students into two groups. Certainly, students had a medical surgical nursing lab. Each group included four students and one family member. During that nursing practice, the both patients had surgery post-operative, one of the patient was male and the other one was female. There were two scenarios during that simulation. In the first scenario, students had a few mistakes, such as given water to the patient who was supine position, late change the fluids, wear socks strongly and incorrect way. However, during the second

Thank you for your support of the diabetic clinic disease management pilot. I would like to further discuss the results based on the p value. As you may know the p value represent the probability or chance of a random outcome. An example would be the toss a a fair coin. The probability of heads would be 50% or 0.5. The error would be around the number of tosses. If there was only two tosses and both heads, the probability of heads would not be 100%. In research the usual probability (p value) is 0.05. That means the likelihood of the experiment outcome to be due to chance alone is 5 out of 100 times. In the clinic pilot the p value used was 0.01. The likelihood of the results were due to chance was 1 in a hundred.

Diabetes self-management is vital, requiring patient knowledge, education, and a lifelong commitment. Peterson & Bredow (2013) acknowledge that the change in focus form disease prevention to health promotion expands the role of nursing. HPM identifies the nurse as a change agent. Based on Pender’s Health Promotion Model (HPM), the study emphasized the significance of health-care professionals’ need to understand what motivates our patients’ diabetes self-management. The use of the HPM proved significant for this research and a guide to facilitate a patient’s diabetes self-management.

We are laid down on this Earth, born with a mission. A mission that defines who we are and we would rather die than fail to accomplish it. It is my mission to seek the annihilation of diabetes from the face of this Earth. A disease that is claiming lives left and right, even including my own family who is suffering because insulin is ineffect and leaves them vulnerable to other diseases. I can and will not stand to watch their suffering, if there is something I can do to stop it. It has become my life long goal to become a diabetes doctor to help find the cure for all types of diabetes and later on become a politician to seek government funding for diabetes and other diseases that continue to not have a cure. Both ways promote and will inspire

Diabetes is the name given to disorders in which the body has trouble regulating its blood-glucose, or blood-sugar levels. In understanding diabetes and how it develops, we need to understand what happens in the body without diabetes. Sugar (glucose) comes from the foods that we eat, specifically carbohydrate foods. Carbohydrate foods provide our body with its main energy source – everybody, even those people with diabetes, need carbohydrates. Carbohydrate foods include bread, cereal, pasta, rice, fruit, dairy products and vegetables (especially starchy vegetables). When we eat these foods, the body breaks them down into glucose. The glucose moves around the body in the bloodstream. Some of the glucose is taken to our brain to help us think