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American Association of Nurse Practitioners (A.A.N.P.) Diabetic Patient

  Diabetes is a global epidemic. An estimated 382 million people worldwide have diabetes, including 25.8 million Americans (Kreider, 2019). In the US, diabetes is the seventh leading cause of death. Overall, the risk of death among people with diabetes is about twice the risk of death for people of similar age without diabetes. Multifactorial barriers prevent primary care clinicians from helping their adult patients with type 2 diabetes achieve good control of hemoglobin A1c (HbA1c) levels. Patients’ depression and low self-efficacy can complicate diabetes management by impairing tasks needed for effective disease self-management. American Association of Nurse Practitioners (A.A.N.P.) provides an inclusive, unbiased approach to implementing professional continuous glucose monitoring (CGM) into the medical practice.

  The American Association of Diabetes Educators (AADE) developed and produced this educational tool through support from AANP (American Association of Nurse Practitioners, 2019). A policy initiative implemented by nurse leaders is an intervention or action by a nurse leader to better or change the health or well-being of the patient. The nurse plans an intervention that fits the patient’s needs and lifestyle. The intervention is a treatment that is set by the nurse, which is a goal of the patient. The major effects of an intervention are to improve patient’s health. There is a different type of nursing interventions, including independent, dependent, and interdependent (Butcher, Bulechek, Dochterman, & Wagner, 2018). The independent intervention doesn’t require many doctor’s orders; a nurse can initiate that intervention without a doctor’s order. An example of independent intervention is educating patients about walking daily to reduce blood sugar for a diabetic patient. Gestational diabetes mellitus (GDM) has been associated with multiple complications, including increased risk of gestational hypertension, cesarean delivery, macrosomia, stillbirth, and preeclampsia (Wooton, & Melchior, 2017). AANP’s most popular flipchart, created by expert NPs to support the education of patients with type 2 diabetes, comes with a two-sided document of information to give to the patients to take home. Insulin control designed to inform patients about the side effects, dosage adjustment and administration of long-acting basal insulin combined with oral medication, this handout also includes a worksheet for providers to fill out and give to patients to take home. The treatment goal includes an enjoy an active, healthy lifestyle, Control blood glucose levels, Control symptoms, Lower risk of heart disease and stroke, lower your risk of eye, nerve, foot, and kidney problems, Lower risk of other health problems and advice to stop smoking. The nursing interventions prioritizes patient’s needs, lifestyle, blood sugar management, a side effect of medication, emotional support, and medical management. The nursing intervention improves patient’s quality of life, better management of blood sugar, and ongoing treatment and support. The prevalence of type 2 diabetes is expected to double or triple by 2050, and many health care organizations are under considerable pressure to find cost-effective interventions to care for this population of patients (Wooton, & Melchior, 2017).  Integrating NPs into primary care teams to provide innovative methods of support to improve the clinical metrics of patients with type 2 diabetes may be a cost-effective alternative to provide care. The nursing intervention that is tailored to the patient’s both physical and psychological aspects of life will improve the quality of life for the patient. Thus, the patient will adhere to the nursing intervention and get the full benefit.

References

American Association of Nurse Practitioners (2019). Patient Education Tools and Resources. Living with Type 2 Diabetes. Retrieve from https://www.aanp.org/practice/clinical-resources-for-nps/clinical-resources-by-therapeutic-area/endocrinology

Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing Interventions Classification (NIC)-E-Book. Elsevier Health Sciences.

Kreider, K. E. (2019). The Diagnosis and Management of Atypical Types of Diabetes. The Journal for Nurse Practitioners, 15(2), 171-176. Retrieve from https://www.sciencedirect.com/science/article/pii/S1555415518307517

Wooton, A. K., & Melchior, L. M. (2017). Obesity and type 2 diabetes in our youth: A recipe for cardiovascular disease. The Journal for Nurse Practitioners, 13(3), 222-227. Retrieve from https://journals.lww.com/jaanp/Fulltext/2018/06000/Impacting_diabetes_self_management_in_women_with.5.aspx

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