Introduction The final course project was creating an interprofessional team (IPT), function as a leader and take part in the stages of group development, setting of the team roles and goals, identifying communication patterns, and team analysis to discuss an issue at the microsystem level at our facility. The issue that is being addressed is post-transplant steroid associated hyperglycemia. For patients that have new onset diabetes after transplant (NODAT) whether immediate post-operative period or during a rejection episode is an issue that needs attention. The patient has a poor understanding of the blood sugar monitoring, insulin administering, and dieting. A date, time, and location were secured that was conducive to the IPTs …show more content…
Fresh kidney transplant patients will be tapered from steroids over four months, however, they will always take a small dose of steroids. Both types of patients will receive one gram of steroids intravenously on two separate days. Now, those patients that are admitted for steroid recycle due to rejection will receive one gram of steroids for one day. Then, the steroids will be tapered for a week via intravenously until the oral form of prednisone can be started. And then, the taper starts as listed above for each organ. Even though this regimen starts in the hospital, it will extend over to the outpatient clinic. Because steroids cause the blood sugars to rise in some patients, insulin is a medication is to bring down the glucose. There are short and long acting insulins that a patient is prescribed. A glucometer, a device used to measure blood sugar is also prescribed for these patients. A provider prescribes for the patient at discharge a diabetic diet, short acting insulin, sliding scale to use with the short acting insulin, long acting insulin, glucometer, and testing supplies. Patients become overwhelmed and confused very easily and some are just in denial.
The participants of the IPT were chosen for their expertise, years of experience, certification, and passion for the patient-centered challenge. The interprofessionals work together in transplant
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You will be given oral medications to reduce the glucose level in the body. Insulin will be needed for type 1 diabetes and this will be taken for life. Insulin is also used in type 2 diabetes along with oral medicines.
Blood glucose needs to be tested to ensure the blood glucose is not too high or too low to determine how much insulin is needed.
Patients are usually given a blood test to show if diabetes is present, the test may be given because of questionable symptoms one has had or from genetic history. If after testing hemoglobin levels in your blood, and diagnosed with diabetes, insulin will then be a part of a patients’ daily routine (Insel, Deecher, & Brewer, 2012).Tests are taken to determine whether or not hyperglycemia or hypoglycemia is present. When this is discovered, the tests become more frequent. A variety of tests are done in order to keep one in good health. If diagnosed in time, and with proper care, many complications can be prevented. JDRF will be supporting
Answer: The combination of Insulin as well as oral hyperglycaemic drugs may be prescribed for Diabetes because they help in lowering the blood glucose levels. However the primary treatment doesn’t consist of these drugs. The primary treatment comprises of Diet control, Physical activity and Weight control. If after following the primary treatment strictly, no improvement in the blood glucose level is achieved then medication is suggested for the same. Insulin helps in maintaining the blood sugar levels. Note that insulin is not to be taken orally because the acids and digestive juices in the stomach destroy it. It has to be injected under the skin only. Taking insulin leads patient to experience Hyperglycaemic condition. The Hyperglycaemic drugs helps our body to react appropriately with the insulin so that the insulin hormone is able to help transfer glucose from blood to the cells successfully.
Working in a multidisciplinary team means the patient with type 2 diabetes can receive a better all-round level of care. All ideas and treatment plans can be discussed weighing up the advantages and disadvantages of each situation. For example, a nurse might suggest something that would be disadvantageous to a person’s occupational needs. It is also less likely that things are missed, as more than one person is involved. From an operational point of view, all team members are aware of progress and major decision meaning if sickness or annual leave happens the patients care does not stop.
Interprofessional Education, IPE event took place on July 22nd, 2016. The purpose of IPE is for us to learn how to work together as a health care team effectively collaborating with other health care members. In order to do so, each individual needed to understand not only his or her role and responsibility of a given role but also other team members’ roles and responsibilities. In our event, it was Interprofessional Health care Team Simulation with roles of a registered practical nurse and a Food Service supervisor, and a registered social worker and a personal support worker and a patient and her family member. We were given the scenario with the patient, Mrs. Johnston, 93 years old resident of a nursing home. My role was a RPN. The situation given was that we were asked by the patient’s family member to have a meeting with the health care team since her family member was concerned about her declining health status accompanied by her body weight loss.
The importance of tight glycemic control has been shown to prevent and/or delay long-term complications of diabetes.3 The success of insulin therapy, however, depends on its physiologic properties as well as on its proper use. Barriers to patient use of subcutaneous insulin include anticipated pain, anxiety, inconvenience, fear of hypoglycemia, and concern about weight gain. Evidence suggests that patients may be reluctant to start insulin when prescribed or to delay starting treatment.4
At SNHU, I have acquired a lot of skills that allowed me to complete my capstone project. I have learned many concepts that help me to successfully finish with my entire program. To prepare such a capstone project, it is indispensable to have some skills and knowledge. I received that knowledge from the course I had at SNHU. I got the project management skills. I now have knowledge of the healthcare informatics. My communication skills have been ameliorated. Since the project is about the healthcare system, I used my knowledge of healthcare studies to prepare my report. Those studies included, but not limited to: Health Policy and Financing; Leadership in Clinical Microsystems; Global Health and Diversity; and Health Policy, Law, Ethics and Regulations. In Addition to that knowledge, the marketing skills have been helpful for preparing the report. In sum; the courses I took at SNHU have considerably helped me to appropriately prepare the capstone project.
Insulin is a crucial thing in a Type One Diabetics life. It is the only treatment for them. Not to confuse you, but insulin is no cure by any means. Their pancreas has stopped making insulin, so they must inject themselves with insulin several times each day in order to stay alive. They also must check their blood glucose levels at least every five hours throughout the daytime to make sure it does not go to high or low and before each meal. The only real treatment for Type Two Diabetics is eating healthy foods and exercising daily. They also must check their blood glucose levels regularly, but not near as often. Some people do take insulin for their Diabetes to help their pancreas produce a little more insulin, but it is only required if food, exercise and medicine (pills) are not working.
This requires knowledge sharing of interdisciplinary teams and extensive responsible communication with patients, families, colleagues, and the community. Interprofessional communication is crucial since thorough and responsive information exchange and shared decision-making are the foundation of a successful IPE/CP.
The final course project was creating an interprofessional team (IPT), function as a leader and take part in the stages of group development, setting of the team roles and goals, identifying communication patterns, and team analysis to discuss an issue at the microsystem level at our facility. The issue that is being addressed is post-transplant steroid associated hyperglycemia. For patients that have new onset diabetes after transplant (NODAT) whether immediately post-operative period or during a rejection episode is an issue that needs attention. The patient has a poor understanding of the blood sugar monitoring, insulin administering, and dieting. A date, time, and location was secured that was conducive to the team members schedule.
IPP involves collaboration of multiple AHP working together sharing a common goal regarding the patient. These professionals are of different educational backgrounds and have a variety of training in different areas (Palanisamy, 2015). They include physicians, nurses, dietitians, nutritionists, pharmacists, social workers, mental health workers, health coaches, community health workers, exercise physiologists, and other specialists (Nester, 2016). IPP includes communication and decision making influenced by coordination, cooperation, conviction and admiration (Bridges, Davidson, Odegard, Maki & Tomkowiak, 2011). Use of these skills can ensure that AHP work together efficiently to achieve the best patient outcome. (Bridges et al.,
It seems as if it is not always easy to get a physician to champion one’s cause. I faced the same barrier with my practicum project in the beginning. In the end, the head of the surgical team capitulated and championed my project. It is essential to have a project champion when changes are inevitable to ensure success. According to Woodward, Imboden, and Martin (2013), a project champion can play a vital role in the successful implementation of a project. The authors further stated that a project champion is one who is committed to the effective execution of a project. He or she is the main thrust behind the project and is generally the project’s
The topic for my capstone project was to gain introductory knowledge for penetration testing. I had little knowledge on the subject itself, but I was interested in it enough to base this project around it. What I knew before hand was very basic information and I would need to learn a lot more before I could consider myself fully introduced to penetration testing. The goal of my capstone was to learn how to safely practice penetration testing, set up a virtual machine penetration lab, learn why a lab would need to be set up, and lastly to find out why penetration testing is important.