Diabetes Management Strategies

Diabetes Management Strategies

This project is comprised of related assignments. This week, you will identify a client-focused clinical problem for which a nurse practitioner (NP) could advocate for an evidence-based practice (EBP) change. You will conduct a literature review to determine what is currently known about the problem so that you will be able to develop a concise question for next week’s assignment.

Include the following sections:

Address the discussion questions below by using your self-appraisal proficiency/competency skill ratings identified on the TANIC survey.

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
   • Identify a clinical problem for which an NP could advocate for an evidence-based change that is client-focused. Avoid topics that are related to full practice authority, staffing, or burnout. The problem should be centered around clients and the care nurse practitioners provide for the population.
   • Describe the scope and impact of the problem.
   • Discuss the role of the NP in addressing the problem.
   • Explain why the problem is of interest to you.
   • 2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectationsLinks to an external site.:
   • Cite a scholarly source in the initial post.
   • Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
   •  Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.

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APA

Diabetes Management Strategies

Scope and Impact of the Problem:

Type 2 diabetes mellitus (T2DM) is a prevalent chronic condition that significantly impacts older adults. According to the Centers for Disease Control and Prevention (CDC), nearly 26% of adults aged 65 and older have diabetes, with the majority being undiagnosed. This age group is particularly vulnerable to complications such as cardiovascular disease, neuropathy, and renal failure, which can dramatically affect the quality of life. The prevalence of T2DM is expected to increase due to an aging population, making it a significant public health concern. The economic burden of managing diabetes is also substantial, with millions of dollars spent annually on medical care and treatment. Despite advancements in pharmacologic interventions, many patients fail to achieve optimal glucose control, contributing to the worsening of comorbidities.

Role of the Nurse Practitioner (NP):

The NP plays a pivotal role in managing T2DM in older adults, offering comprehensive care that includes assessment, education, and the implementation of evidence-based interventions. NPs are well-suited to provide primary care, disease prevention, and chronic disease management to this population. They can advocate for lifestyle modifications, initiate appropriate pharmacologic treatments, and collaborate with multidisciplinary teams to ensure the comprehensive management of the disease. By using evidence-based practices, NPs can promote improved outcomes for patients, reduce the risks of complications, and enhance patient education regarding the disease process.

Why the Problem is of Interest:

As a future NP, I am particularly interested in addressing the challenges of managing chronic diseases in older adults, as this population faces unique health disparities. Older adults often experience polypharmacy, cognitive decline, and mobility issues, making it more challenging to manage complex conditions like T2DM effectively. I believe that evidence-based interventions, including the promotion of lifestyle changes and the optimization of pharmacologic therapies, can significantly improve patient outcomes. This area of care aligns with my interest in chronic disease management and patient advocacy, especially in improving the quality of life for older individuals.

Integration of Evidence:

1. Buse, J. B., Wexler, D. J., Tsui, E., & Buse, J. B. (2020). Management of diabetes in older adults: The role of lifestyle and pharmacologic interventions. Diabetes Care, 43(3), 563-573. https://doi.org/10.2337/dci19-0054