In today’s world, research and it implications to nursing practice are paramount to positive patient results. The following critique of the quantitative research article entitled “Nurse-Patient Interactions Related to Diabetes Foot Care” written by Lisa Sue Flood. This is a critique of her research study dated November of 2009 Oakland University, Rochester Michigan. Problem Statement, Study Purpose, and Research Question Diabetic foot care is becoming an ever increasing concern as diabetes has reached epidemic proportion. This has increased the associated diabetic problems such as amputations and non-healing ulcerations. The increase in education in this area is of extreme importance in order to control this epidemic from affecting …show more content…
Conceptual Model The Interaction Model of Client Health Behavior (Cox, 1982) was used as a framework for this study because of its focus on identifying nurse factors and elements of nursing interactions with potential impact on client health outcomes. The inception of the study indicated an importance of nurse-patient interaction in regards to diabetic foot care. At each juncture in the study it reiterates this importance, finally concluding by keeping nurse-patient interactions the center of nursing practice (Shattell, 2004); nurses may be able to have a positive impact on foot health of patients with diabetes. This was all in keeping with the health model. Review of Related Literature The literature review as it pertained to this study was pertinent from the inception of the research all the way through to the results and conclusion. It was used to keep the researcher focused toward completion of this quantitative study. This was seen by her comparison of her study to several articles that were used for review. Study Design A descriptive correlational design was used during this study. The correlation design is proper in this situation as they are trying to find the correlation between nurse-patient interactions to diabetic foot care. The correlation between the two is evident throughout the study as a direct comparison was continually made between them.
This essay will discuss the nurse’s role in giving holistic care to patients and their family members and also promoting a healthy life style. It will give a brief description of the pathophysiology of type 2 diabetes and its impact on individual and their family across their lifespan. In addition the determinate factors that plays a major role, with increasing the risk of an individual to become type 2 diabetics will be addressed. A conclusion will follow summarizing with aids, especially form the governing body for nurses which advocates their role, contribution and the professional responsibilities to individual’s with type 2 diabetes and their family members/careers according to (NMC, 2008).
It is estimated that 387 million people, globally live with diabetes (Phillips & Mehl, 2015). According to Medical News Today [MNT], diabetes is a metabolic disorder; which causes patients to be extremely thirsty and produce a lot of urine. Diabetes arises due to high blood pressure, due to the body not being able to produce enough insulin or because the body does not respond well to high insulin levels (MNT, 2016). There are four types of diabetes; there is the pre-diabetic stage, type 1 diabetes, type 2 diabetes and gestational diabetes. In 2014, 29 million people died due to diabetes. This equates to 1 diabetic patient dying every seven seconds due to preventable complications (including complications affecting lower limbs) caused by diabetes. It is said that 20-40% of health care costs are spent on the treatment of lower limb complications due to diabetes. The risk of a diabetic patient developing a foot ulcer is 25% and foot ulcers account approximately 85% of lower limb amputations. Diabetic complications that affect lower limbs are caused by both type 1 and type 2 diabetes (Phillips & Mehl, 2015). It is said that the World Health Organization described diabetic foot syndrome as including all possible complications in relation to the feet of a diabetic patient. Diabetic foot syndrome is defined as the ulceration of the foot, from the ankle downwards. Causes of foot ulceration include peripheral sensory neuropathy, vascular disease (ischaemia) and infection
Vascular diseases that prevent blood flow to the small vessels are common in people with diabetes. This condition can affect the feet in particular, so you should make regular visits to a podiatrist. People with diabetes also have a reduced ability to heal even minor blisters and cuts. A podiatrist can monitor your feet for any serious infections that could lead to gangrene and amputation.
The recommendations for change to practice at the level of the provider would include first treating the underlying problem that Mrs. Smith was admitted for. According to the literature, a progressively worsening diabetic foot ulcer involves implementing a multitude of strategies to prevent amputation of the limb. This allow for decreased rates in mortality and can increase quality of life. Adequate wound management such as debridement, and offloading techniques should be instilled. Furthermore, education by the provider would be of critical importance for Mrs. Smith in terms of consistent foot care and management of her disease process (Yazdanpanah, Nasiri, & Adarvishi, 2015). Due
This paper will address and evaluate the research problem itself, the design of the study, the sample, how the data is collected, its limitations, and its findings. Furthermore, how does this study impact the overall nursing process?
Diabetic Peripheral Neuropathy (DPN) is one of the most common microvascular complications in diabetes and can result in foot ulceration, ampuation and an impaired quality of life(Carrington AL, et al 2002,Boulton AJ,et al 2004). The reported prevalence of diabetic peripheral neuropathy ranges from 16% to as high as 66%2 and its prevelance is believed to increase with the duration of diabetes and poor glucose control.(Boulton AJ.et al 2000) It’s accounts for 50–75% of non-traumatic amputations in diabetic patients.(Holzer SE, et al 1998, Boulton AJM, 1998,Malay DS, et al 2006)
I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.
The recommendations for change to practice at the level of the provider would include first treating the underlying problem that Mrs. Smith was admitted for. According to the literature, a progressively worsening diabetic foot ulcer requires implementing a multitude of strategies to prevent amputation of the limb. Adequate wound management, including debridement if required, and offloading techniques should be instilled for Mrs. Smith. Furthermore, education by the provider would be of critical importance for Mrs.
In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.
It does not appear within the context of the study that the literature review has bias or undue influence on the findings but rather to support their validity as the method of the study and findings of this study are presented from a different perspective. However to maintain a balanced perspective we should consider the reasons that to date only one previous study has been a
One of the key elements in healthcare is the response of a patient and their experience in receiving care. The relationship between a nurse and patient can bring about a positive or negative response. Understanding the analytical components of this relationship is a essential aspect of training nurses and progressing in professional development. In interviewing Katsia Rene and hearing about her experience before and after her surgery, there is justification in what it means to be taken care of, by healthcare professionals, in a positive environment.
(Penckofer et al., 2011) This study implied that the nurse-patient relationship made a great impact on the patient’s continued participation. At the end, researchers came with the conclusion that establishing trust, and demonstrating a caring attitude are all essential motivators for participant participation.
According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to
Within nursing, there is a very delicate balance between a nurse and her patient that must be maintained if the patient is to receive the care that he or she is entitled to receive. The patient must feel comfortable trusting his nurse to hear his needs and respond to them appropriately and in order for this to be the case, the nurse must first provide therapeutic communication effective enough to elicit such a response in her patient. There are both verbal and non-verbal components within the nurse-patient relationship. These components greatly influence how a nurse and patient will relate to each other and, ultimately, greatly influence the care that the patient receives.
An estimated 16 million Americans are known to have diabetes and a substantial amount more are at risk for developing this disease. In Americans, approximately 3-6% of the population has diabetes (AADE, 2014). As you age, Type 2 diabetes begins to rise affecting how your body metabolizes glucose. With Type 2 diabetes, glucose continues to build and lead to high blood sugar causing a variety of symptoms contributing to the development of a diabetic foot ulcer. According to the American Podiatric Medical Association,