PICOT Question: “In patients between the ages of thirty and above with advanced diabetic condition why are clinicians reluctant in using evidence based practice in encouraging taking of insulin jabs and therefore curbing the diabetic related cases that are currently pronounced?”

Literature Evaluation Table

Summary of Clinical Issue (200-250 words): The nursing practice problem that has become pronounced and can no longer be ignored is handling diabetes patients. The number of patients that are experiencing diabetes each and every day is growing by a factor of times five annually and the figure is not properly contained, (Meyer, 2017). Diabetes has been analyzed and found to be a lifestyle disease and is also hereditary. The lifestyle part is more concentrated on since it has also been found that in a family of five siblings, probably one would contact diabetes and on further research, it is found that their lifestyle is a bit careless as compared to the other siblings. If it was only the hereditary factor that determined the occurrence then we would not have a reason to focus on the lifestyle part. The challenges that nurse faces when handling these patients are varied for each patient is unique in their own way. The patients with advanced diabetic condition are required to administer insulin jabs occasionally, (Ghaderian, Hayati, Shayanpour, & Mousavi, 2015). Since most of these patients experience a careless lifestyle pattern, some of them forget to take their medicine or don’t care so much about their condition. At the end of the day, the condition worsens. Also these patients are required to give themselves these jabs when they are not close to a person who can assist them. The nurses have faced a lot of challenges in teaching them on ways to administer the jab effectively with cases where the syringe needle has stuck on somebodies tissues to cases where they miss the vein totally and the process is not conducted as it should be. The patients need to administer insulin occasionally to facilitate breaking down of sugars to give them energy. Actually diabetes is occasioned by the incapability of the body to breakdown sugars effectively as it is supposed to. The challenge that the clinicians and nurses at large faces is ensuring that the patients are disciplined in the administering the insulin. Several researches have been conducted to enable patient get insulin intake without necessarily putting it on schedule as they are not supposed to miss their dose. An evidence based practice has been proposed to enrich this research as different patients have unique expectations and therefore need different approach to ensure that this research process is successful. For instance, patients below the age of thirty are exposed to lots of gatherings and partying and are vulnerable as far as taking of alcohol is concerned. They are most likely to miss their dose and therefore should be encouraged to eat diets that supplement their insulin and also given stronger medication that they would require to take less number of times as compared with patients who are fifty years and above, (Ghaderian, Hayati,  Shayanpour, & Mousavi, 2015). Also patients between forty and fifty years are mostly married or in some sort of relationship and would be advised to attend education sessions with their spouse so that their spouse can be better equipped as far as taking of them is concerned.

 

 

 

 

 

Download this sample    Order this paper