Student Name
Capella University
NURS 4900 Capstone Project for Nursing
Prof. Name
Date
Hi, my name is Cindy and I am a Baccalaureate nurse. Today I am presenting a capstone reflection video on the management of type II diabetes for chronic diabetics. Type II diabetes is one of the chronic diseases which is characterized by persistent uncontrolled blood sugar levels especially hyperglycemia or raised blood sugar levels after the intake of carbohydrates. This is non-insulin-dependent diabetes because hyperglycemia persists despite high insulin levels in the body, which is termed insulin resistance (Westman, 2021). According to CDC’s statistics, more than 37 million Americans are diagnosed with diabetes and about 95% of these people have type II DM (CDC, 2022).
This statistic develops room for bringing reforms in the population related to the management of diabetes. These reforms involve the education and reinforcement of behavioral changes in the patients who are diagnosed with the condition. Healthy People 2030 defines health behavioral modification as a key objective in terms of decreasing the global burden of diseases (U.S. Department of Health and Human Services, n.d.). Some of the non-pharmacological interventions for the management of diabetes include lifestyle modification (dietary changes, stress management, and physical activity) and self-management of diabetes through blood glucose monitoring and tracking the records.
For this capstone project, I have been working with a patient, John, who has been a chronic type II diabetes patient. He is also suffering from obesity, blurred vision, and extreme fatigue. He has a family history of the same condition and his uncle and father have been suffering from the disease already. John has certainly been trying various lifestyle modification techniques and medicinal treatments to control his blood sugar levels. Despite his efforts, he still encounters uncontrolled sugar levels. In this capstone project, I have developed several interventions for John which included the introduction of Continuous Glucose Monitoring (CGM) devices for self-management and record keeping, a smartphone app for live coaching, some pharmacological advancements, and consultation with a multidisciplinary team through telehealth.
Contribution of the Interventions to the Patient’s Satisfaction and Quality of Life
Next, I will present the contribution of these interventions to John’s quality of life and satisfaction. Evidence-based interventions are proven to be effective in improving patients’ satisfaction levels and quality of life. Self-management of diabetes has been considered an effective intervention for chronic diabetics. This includes self-monitoring of blood glucose levels, ensuring a healthy diet, engaging in physical activities, complying with medication, and preventing further complications (Adhikari & Santosh, 2021).
The successful ways of performing these actions are through monitoring blood glucose levels, keeping track of the readings, medicines, eating a healthy diet, and exercising, and consulting with the healthcare team for effective management. For this purpose, a CGM device was introduced for John. The CGM is a device that provides continuous glucose readings for patients and healthcare providers, which helps in the identification of hypo/hyperglycemia events with no symptoms and tracking the record (Miller, 2020). He was given complete training about the use of this device and how to report his blood glucose levels to healthcare providers.
This device was connected to his smartphone app, where as soon as he entered the glucose reading, he received live health coaching from the providers. This coaching included immediate actions (medicine and rest) if needed, short-term actions (coping from stress, physical activity, and diet changes), and/or long-term actions (medicine modifications, nutritional consultation, physical rehabilitation, doctors’ visit, etc.). Moreover, on his appointments with doctors, his ">
Hi, my name is Cindy and I am a Baccalaureate nurse. Today I am presenting a capstone reflection video on the management of type II diabetes for chronic diabetics. Type II diabetes is one of the chronic diseases which is characterized by persistent uncontrolled blood sugar levels especially hyperglycemia or raised blood sugar levels after the intake of carbohydrates. This is non-insulin-dependent diabetes because hyperglycemia persists despite high insulin levels in the body, which is termed insulin resistance (Westman, 2021). According to CDC’s statistics, more than 37 million Americans are diagnosed with diabetes and about 95% of these people have type II DM (CDC, 2022).
This statistic develops room for bringing reforms in the population related to the management of diabetes. These reforms involve the education and reinforcement of behavioral changes in the patients who are diagnosed with the condition. Healthy People 2030 defines health behavioral modification as a key objective in terms of decreasing the global burden of diseases (U.S. Department of Health and Human Services, n.d.). Some of the non-pharmacological interventions for the management of diabetes include lifestyle modification (dietary changes, stress management, and physical activity) and self-management of diabetes through blood glucose monitoring and tracking the records.
For this capstone project, I have been working with a patient, John, who has been a chronic type II diabetes patient. He is also suffering from obesity, blurred vision, and extreme fatigue. He has a family history of the same condition and his uncle and father have been suffering from the disease already. John has certainly been trying various lifestyle modification techniques and medicinal treatments to control his blood sugar levels. Despite his efforts, he still encounters uncontrolled sugar levels. In this capstone project, I have developed several interventions for John which included the introduction of Continuous Glucose Monitoring (CGM) devices for self-management and record keeping, a smartphone app for live coaching, some pharmacological advancements, and consultation with a multidisciplinary team through telehealth.
Contribution of the Interventions to the Patient’s Satisfaction and Quality of Life
Next, I will present the contribution of these interventions to John’s quality of life and satisfaction. Evidence-based interventions are proven to be effective in improving patients’ satisfaction levels and quality of life. Self-management of diabetes has been considered an effective intervention for chronic diabetics. This includes self-monitoring of blood glucose levels, ensuring a healthy diet, engaging in physical activities, complying with medication, and preventing further complications (Adhikari & Santosh, 2021).
The successful ways of performing these actions are through monitoring blood glucose levels, keeping track of the readings, medicines, eating a healthy diet, and exercising, and consulting with the healthcare team for effective management. For this purpose, a CGM device was introduced for John. The CGM is a device that provides continuous glucose readings for patients and healthcare providers, which helps in the identification of hypo/hyperglycemia events with no symptoms and tracking the record (Miller, 2020). He was given complete training about the use of this device and how to report his blood glucose levels to healthcare providers.
This device was connected to his smartphone app, where as soon as he entered the glucose reading, he received live health coaching from the providers. This coaching included immediate actions (medicine and rest) if needed, short-term actions (coping from stress, physical activity, and diet changes), and/or long-term actions (medicine modifications, nutritional consultation, physical rehabilitation, doctors’ visit, etc.). Moreover, on his appointments with doctors, his medicines were also changed so that effective results can be checked. For monitoring and evaluation of these outcomes, telehealth was used for constant updates, and for healthcare providers to ensure that interventions introduced for John are effective and successful.
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