Diabetic Medication Process Analysis

Individuals that have been diagnosed with type 2 diabetes are cared for by a variety of people like podiatrist, district nurses, DSNs, GPs, and practice nurses. Good communication between these professionals and the person with type 2 diabetes can lead to better insight into the individual’s life, therefore helping to plan and provide the best care for that person. This can reduce repetition, improve quality of care for people with diabetes type 2 and

This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement.

Exploration of the concept of Medication Administration errors (MAEs) especially regarding Insulin and what contributes to New Grad Nurses (NGN’s) becoming second victims, and the impact of it on and its effects on their nursing. Nearly 1 in 3 hospitals that have patients with diabetes are affected by Medication Errors (National Diabetes Inpatient Audit, 2012). Controlling and managing glucose is essential as some health care professionals often overlook proper handling of this and most common error that occurs is over dosing, under dosing or complete omission of insulin administration (CITE), overlooking this can have a serious impact on the patient well-being and also on the health care team. In the case of MAEs, there are three (3) types of victims involved; firstly is the patient and their family, next would be the nurse or health care professional, lastly it would be the involved health care organization which is involved. In regards with the topic NGN’s are considered second victims in these cases, second victims is defined as a “health care provider involved in an anticipated and/or adverse event in which there has been a medical error, and/or a patient related incident or injury who has become victimized in a sense of that the provider is traumatized by the said event” (Dekker, 2013).

There were numerous limitations to the study; there was heterogeneity in the provision and reporting of nutritional supplementation, which may have influenced the results (Kramer et al., 2012). In implementing findings, nurses must closely monitor blood glucose levels in the intensive care unit. Due to the findings of this systematic review, nurses should implement moderate glycemic control to reduce the mortality rate in ICUs (Kramer et al., 2012).

Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].

There are many different mental illnesses and ailments and just as many medications to treat them. The problem is that sometimes the medications are not correct for your disorders due to similar symptoms. This leads to problems with the patients who need help, but the patients are not getting the right medications and treatment they need.

When I say this, however, most people would picture the nurse giving the wrong medication due to lack of focus on the tasks at hand. While this could happen, I have noticed during my time at hospitals that the doctor orders are still hand written for the most part. Consequently, they can be very hard to be read legibly much less correctly translated into proper medication dosages. The first suggestion I would give to an organization would be that they required all orders to be submitted securely, by the doctors, to the pharmacy be electronic means.

The patient medication list included the pharmacologic primary medical treatment for her diabetes is Metformin (Glucophage) 500 MG, 1 tab, taken orally, twice every day. When asked about her medication she showed the same medication that is documented on the electronic health record. R.O. admits that she has not taken her diabetes medication since she was last in the hospital, which was three weeks ago. She

The reasons could be a lack of motivation, avoidance of information or the ignorance about the health behavior (Virginia Tech Continuing & Professional Education, n.d.). In this initial stage, the patients are still in the hospital. It is the responsibility of the discharge nurse to emphasize the importance of maintaining the blood glucose (BG) levels within the normal range while educating the patient, to prevent the surgical site infections (SSIs). The nurse should stress the need to check the patient’s BG levels at least two to three times a day and document the results in the BG monitoring chart provided to the patient at

In Atria Guilderland, most of the medications that are taken are typically must be witnessed by medical technician and are given to patient based the medication that are in their chart and what are needed. This can because of the fact that many patients are at an elderly age and are not properly be medically adherent. However, there can be an exception in regards to patients who are self- medicating. There is certain procedures and protocols when it comes to patients that qualify or who are able to have self-medications.

In relation to systemic factor, Brown, J. et al (2002) reported that most doctors often have limited time to study and abide to Clinical Practice Guidelines (CPG) that sometimes provide multiple guidelines and implementation changes within short time. This additional task although aids to improve effectiveness strategy in practice somehow considered troublesome especially when the healthcare system unable to address this issue. Brown, J. et al (2002) concluded that challenges arise in type 2 diabetes management were not caused by one factor instead, each roles (patient, doctor and healthcare system) play crucial responsibility and influences the elements that could be important to the others. In regards to the findings, development of diabetes management model that integrate and incorporate the patients together with other roles in diabetic care treatment was recommended by Brown, J. et al (2002). Several limitations were found in the study include the small sample size and the selection process were not explicitly

Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes

When I was 9 I was diagnosed a pre-diabetic, l was also in the 98th percentile for my age.My parents were very concerned and put me on strict eating diets, and were constantly watching me. They helping only made it worse, they made it seem like I was disgusting and as though it was entirely my fault.I felt empty inside it nearly broke me to be looked on the way they looked at me. Though I am mostly to blame for poor eating habits the blame wasn't completely on me they are the ones that bought my food and let me get to that point without intervention.It was a big challenge and it took a lot out of me and everything I had to get through it, but it wasn't my parents "helping" it was me, the thought of being treated and looked at the way my family

The findings of the DAWN study are striking and certainly validate that much work needs to be done to optimize care for people with diabetes. All the findings appear relevant with regard to patient assessment, however given my career niche in intensive insulin management, I am most attracted to the findings relative to effective use of medication. While I routinely see physicians apprehensive to initiate insulin or intensify regimens to achieve improved glycemia, the statistics are staggering and unfortunately validate much of what I observe.

Patients with diabetic require surgical procedures at a higher rate and have longer hospital stays than those no diabetics. The presence of diabetic and/or hyperglycemia in surgical patients also leads to increased morbidity and mortality, with perioperative mortality rates higher than the non- diabetic population.