Randomized Control Study Answers

Several nationwide programs and incentives were administered in the last couple of decades to promote awareness of diabetes and hopefully help prevent millions of Americans from developing diabetes. Health Agencies, such as World Health Organization (WHO) and Center of Disease Control and Prevention (CDC), have developed objectives to tackle diabetes. Some of these objectives include conducting surveillance and obtaining diabetes data to identify trends in the population, spreading awareness about the condition, and developing programs that will enhance diabetes care and ensure the longevity of the patients. Various programs have been developed but while some excel, others fail to benefit the lives of the patient.

The study had an overall total of 1150 participants. Although there were many participants to begin with, they did not provide all of the feedback the researchers had requested.  This resulted in the expulsion of their participation, so their results were not included in the final reports of the study. The number of patients that did provide the essential information added up to a total of 901. The profile for a participant was a patients diagnosed with Type 2 diabetes in the last 6 months, but has been diagnosed no more than 10 years ago. They had to be between 35-70 years of age. Their BMI had to be more or less than 24 kg/m2 and have an HbA1c more or less than 6.5%. They also had to have treatment with a diet or oral glucose lowering medication. Those needing insulin shots, had been diagnosed with chronic diseases, or had a change in diet or lifestyle 3 months prior to the study were not included in the overall

Over the past decade, virtually every major industry invested heavily in computerization. The heath care industry was no exception to the rise in the use of technology. These technologies are starting to allow health care practitioners to offer faster, and more efficient patient care than ever before. No doubt this is the right direction we expect health care to follow.

The effectiveness of diabetes program that is offered in Sacramento County can be measured and converted into indicators and variables. Different hospitals in Sacramento County measure and convert the concept into indicators differently. Indicators may include the number of patients, changes in mortality, and changes in the nutritional status of the patients. The types of variables that researchers could look at maybe 1) the amount of patients that were serviced in a month to a year at the same facility, 2) the number of people that have diabetes and other illness per 1000 population, and 3) the changes in the weight of diabetic patients.

“Curricula must be aligned with the practice setting (Veltri, 2012). At this time all staff will be handed out a step by step book with screen shots on how to operate the new EMR. This includes opening a patient’s chart, accessing medications, past medical records, and any progress or clinical notes. To accommodate all different types of learning styles to individuals these training sessions will also be recorded for staff to view multiple times or at any time. “Because the purpose of clinical learning is to foster application of theory to practice, clinical learning activities should be related to what is being taught in the classroom” (Gaberson, 2012). Teaching sessions will be mandatory for all staff and their will be make up classes the next week for the individuals who will be off the days of the sessions. A copy of the step by step booklet will also be emailed a power point presentation that they can save to their desktop so they can reference back if they develop any questions. “The lecture method presents information effectively; creative strategies provide diversions that reinforce key material or area of emphasis” (Herman, 2008). During the week there will be small quizzes staff need to take and receive an 90% or higher to show compensates in the EMR system. If someone fails to achieve this percentage they will attend the class again with another quiz at the end of the day. At the end of the week comprehensive test will be given as well and the same 90% grade. The test is very important as it will ensure that staff is able to chart and document in the appropriate section, know where to find vital information such as medications, past medical and surgeries history. Staff who achieves thee highest percentage will have the opportunity to become “super users”

One of the many ways technology is improving PA and nursing is that it makes promoting patient education much easier. Patient education is when health professionals give information about how to alter your lifestyle to stay healthy. The traditional way of doing this was seeing your PA or nurse through doctor appointments, but now through technology there is a much faster and effective way of doing this.

Due to innovations in technological tools and information management systems while collaborating and coordinating care with other health professionals, nurses have been called upon by the IOM committee to acquire higher levels of education to help them meet the needs of the population. The educational systems to prepare nurses for the work force today, needs to be geared towards community settings like primary care, public health, and long-term care. Nursing curricula in schools, need to be reviewed, updated, and adaptive enough in science, technology, research, and rich fundamental concepts that will enhance decision making skills, involving dynamic clinical situations in all settings to meet the ever changing needs in health care according to the IOM committee.

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

The tools for the project plan includes a Demographic Survey Item from the Behavioral Risk Factor Surveillance Survey System (BRFSS) and a diabetic self-management (DMSQ) surveys questionnaire (Carter, Barba, Kautz, 2013). The Behavioral Risk Factor Surveillance System (BRFSS) is the nation's premier system of health-related telephone surveys that collect state data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services (CDC, 2015). Whereas, The Diabetes Self-Management Questionnaire (DSMQ) is an instrument that assesses diabetes self-care activities associated with glycaemic control (Schmitt, Gahr, Hermanns, Kulzer, Huber and Haak, 2013). The ulilization of both BRFSS

As a healthcare provider, you have to engage patient in their care, what they want done, and what are their goals while they are under your care. The nurse in the article did not show her competency in dealing with an elderly patient. As a nurse, you have to assess the learning ability, styles, and needs of your patient. Don’t assume that they all learn the same way. Some patients may be comfortable with computers, while others are more comfortable with paper. In either circumstances, you have to be prepared in what your patient needs. I agree with Millen (2015) that “many patients need a translator, or guide, with the abilities and skills necessary to assist patients with their health information” (p. 22). Nurses are the first line of patient

Were all of the patients who entered the trial properly accounted for at its conclusions?

The subjects were stratified according to glucose-tolerance status, and then Randomization was performed by a vital, was stratified according to base-line glucose tolerance, used blocks of random, variable sizes, and programmed structure. There were clinical sites (3 of which) that participated in this study, and out of the three of those sites – there was also 9 clinical centers (had a affiliate and satellite locations all through Canada and the US). Staging would be performed at experimental centers plus affiliate; experimental centers and a lot of affiliates followed the randomized subjects. The procedure was accepted by the institutional appraisal boards at participate locations. Subjects (or their parents) provided printed knowledgeable permission prior to each one of the steps that included intervention, screening, and staging , and annually for continuance in the study. Printed or verbal assent was gathered from the minor subjects. The participant in the involvement grouping had receive parenteral insulin; and they had to do subcutaneous injections two times a day, in addition yearly intravenous infusions. The participants also gotten a subcutaneous injections of Humulin U and Eli Lilly in the crack of dawn when, they awoken, in the evening time, and when they were getting ready for bed; the original dosage for each insertion was Zero point one-two-five U per kilogram of body mass. The objective blood glucose level was sixty to eighty mg per

On November 15, 2017, I attended a professional meeting called “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The sponsors for this meeting were SNDA and CVD. The speaker who presented at the meeting was Gary Scheiner Ms, CDE. He is an author of the book “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The general objective for this meeting helped people gain more knowledge about diabetes, and learned more from author personal experiences with type I diabetes. After I attended this meeting, I become more knowledgeable about diabetes. I have a chance to learn more about diabetes nutrition, different type of medications, and many tools that are available for diabetes patients to keep track on the blood glucose.

Technology and innovation have transformed the way people function personally and professionally. In the past, writing and mailing a letter was standard but now most people send electronic messages and text messages to phones. Healthcare has been changing tremendously as well, not only are paper charts and records becoming obsolete, but now many facilities are sharing test results, visit information details, and prescribed drug lists. This move into the digital age has helped improve healthcare by cutting costs in the long-term, increasing efficiency with decreased wait times, and reducing medical errors. This evolving technology expansion, commonly referred to as nursing informatics has created many

As technology has and continues to advance so will the expansion of nursing informatics. Data from (19th annual 2008 himss leadership survey, 2008) hold this statement true showing a steady increase in the implementation of technologies. As computers became smaller, it became easier and efficient for hospitals and physicians office to implement their use. (sutton, 2007)The first computers were large, expensive, and inefficient. Now, computers are compact, inexpensive, and efficient. The smaller technology allows for portability of information. PDA’s are small enough to fit in your pocket. With these small devices, you can look up a patients medication, drug interactions, side effects, and just about anything, you could think of to