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Specialty: Nursing
Condition: Diabetes
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Total 100 results found since Jan 2013.
Diabetes training for community health workers on an American Indian reservation
ConclusionThis QI program provided by a public health nurse improved CHW's knowledge of diabetes and the management of diabetes. Next steps include formalizing the Reservation's CHW training program, expanding this training to other AI Health Service areas, and measuring the impact of CHWs in the community.
Source: Public Health Nursing - October 24, 2017 Category: Nursing Authors: Judith M. Policicchio, Katherine Dontje Tags: POPULATIONS AT RISK ACROSS THE LIFESPAN: CASE STUDIES Source Type: research
Prediabetes
is a complex multifactorial metabolic disorder that extends beyond glucose control. Current studies have found that microvascular disease (neuropathy, nephropathy, and retinopathy), macrovascular disease (stroke, coronary artery disease, and peripheral vascular disease), periodontal disease, cognitive dysfunction, blood pressure changes, obstructive sleep apnea, low testosterone level, fatty liver disease, and cancer are some of conditions that are present with the onset of glycemic dysregulation. The presence of prediabetes increases the risk of developing type 2 diabetes 3-fold to 10-fold. The identification and treatme...
Source: Nursing Clinics of North America - October 6, 2017 Category: Nursing Authors: Mara Lynn Wilson Source Type: research
Putative mechanisms of cognitive decline with implications for clinical research and practice
The objective of this narrative review is to provide a synthesis of the intrinsic and extrinsic mechanisms of cognitive decline and conditions that are associated with cognitive decline. Well‐established intrinsic mechanisms of cognitive decline include aging, apolipoprotein E (APOE) ε4 carrier status, SORL1 mutations, neuroinflammation, mitochondrial dysfunction, amyloid deposition, and demyelination. Extrinsic risk factors include obesity, diabetes, hypertension, elevated lipid panel, metabolic syndrome, depression, traumatic brain injury, substance use, heart failure, and stroke. The various definitions of cognitive ...
Source: Nursing Forum - October 1, 2017 Category: Nursing Authors: Tadeu Oliveira, Angela Starkweather, Divya Ramesh, Joseph Fetta, Debra Lynch Kelly, Debra E. Lyon, Lana Sargent Tags: ORIGINAL ARTICLE Source Type: research
Parastomal hernia and physical activity. Are patients getting the right advice?
This article draws on a large nationwide survey (2631 respondents) that investigated the physical health and wellbeing of people living with stomas in the UK. It specifically considers the findings relating to parastomal hernia (where additional loops of bowel protrude through the abdominal wall around the stoma, creating a bulge). In this survey, 26% of respondents reported that they had a medically diagnosed parastomal hernia, which is below average when compared with other estimates. The impact of parastomal hernia on physical activity levels was the most significant finding: 32% of those with a medically diagnosed hern...
Source: British Journal of Nursing - September 28, 2017 Category: Nursing Authors: Russell S Tags: Br J Nurs Source Type: research
Picking up the Cause of the Stroke
A 62-year-old man with poorly controlled diabetes was transferred to a tertiary care center from a community hospital for persistent abdominal pain and the inability to tolerate oral feedings. Before transfer, the patient underwent peripherally inserted central catheter (PICC) placement for IV pain medications, IV fluids, and parenteral nutrition. An entry chest radiograph showed the PICC was located in a persistent left-sided superior vena cava. The tertiary physicians assumed the PICC was safe to use, and the patient began receiving nutrition and fluids through the line.
Source: AORN Journal - August 31, 2017 Category: Nursing Tags: Column Source Type: research
Hopkins Nursing—Dean on Chronic Disease / Pediatrics
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Source: Johns Hopkins University and Health Systems Archive - July 27, 2017 Category: Nursing Source Type: news
A tailored intervention to improving the quality of intrahospital nursing handover
Innovations in medicine, healthcare technology, and the pharmaceutical industry have led to new treatment options — even for previously incurable diseases. The implementation of these innovations resulted in decreased mortality rates for acute health problems (e.g., acute myocardial infarction or stroke) and improved life expectancy for patients with chronic diseases (e.g., diabetes mellitus or chronic obstru ctive pulmonary disease). As people tend to live longer with one or more chronic conditions, their care needs have become significantly more complex.
Source: International Emergency Nursing - July 12, 2017 Category: Nursing Authors: Jochen Bergs, Frank Lambrechts, Ines Mulleneers, Kim Lenaerts, Caroline Hauquier, Geert Proesmans, Sarah Creemers, Dominique Vandijck Source Type: research
Reducing health inequalities for people with serious mental illness.
This article discusses four areas of health that commonly affect people with SMI: metabolic syndrome, smoking, oral health and sexual health. Metabolic syndrome is a cluster of risk factors that increase an individual's risk of cardiovascular disease, stroke and type 2 diabetes mellitus. Smoking is increasingly prevalent in people with SMI, with rates remaining steady despite a decline in smoking rates nationally. Oral health and sexual health can negatively affect the physical health and well-being of people with SMI; however, these aspects of health are often neglected. This article identifies ways that nurses in all pra...
Source: Nursing Standard - May 17, 2017 Category: Nursing Authors: Hallett N, Rees H Tags: Nurs Stand Source Type: research
Foot ulceration in patients with diabetes: a risk analysis.
Abstract
The study reported in this article aimed to analyse factors associated with the risk of ulceration in the feet of patients with diabetes using a conceptual hierarchic model. It was a cross-sectional study carried out with 1515 people with diabetes mellitus aged 40 years and older. The risk of foot ulceration was of higher significance in male patients with diabetes (adjusted odds ratio (OR)=1.39 (95% confidence interval (CI) 1.11 to 1.73); p=0.020), who did not practise a regular physical activity (adjusted OR=1.58 (95% CI 1.15 to 2.15); p=0.013), with time since diagnosis over 10 years (adjusted OR=1.42 ...
Source: British Journal of Nursing - March 23, 2017 Category: Nursing Authors: Rossaneis MA, Haddad MD, Mantovani MF, Marcon SS, Pissinati PS Tags: Br J Nurs Source Type: research
Task-based weight management programme delivered in primary care promotes better long-term weight loss among women from lower socioeconomic groups than usual practice
Commentary on: McRobbie H, Hajek P, Peerbux S, et al.. Tackling obesity in areas of high social deprivation: clinical effectiveness and cost-effectiveness of a task-based weight management group programme—a randomised controlled trial and economic evaluation. Health Technol Assess 2016;20:1–150. Implications for practice and research The study is important in demonstrating that a task-based weight management programme can potentially be effective in reducing obesity among lower socioeconomic groups. The role of nurses in delivering such weight loss interventions should be evaluated. Context Obesity is recognise...
Source: Evidence-Based Nursing - March 22, 2017 Category: Nursing Authors: Bambra, C. Tags: Health promotion and public health Source Type: research
Who is responsible for metabolic screening for mental health clients taking antipsychotic medications?
Abstract
Metabolic syndrome is common in mental health consumer populations, and is linked to cardiovascular disease, stroke and diabetes. Metabolic screening is a way of recognising consumers who are at risk of developing metabolic syndrome but internationally screening rates remain low. A retrospective audit was completed at one Australian public mental health service on the case files of 100 randomly selected consumers to determine nurses level of compliance with metabolic screening policies over a 12 month period. Consumers included in the review were prescribed antipsychotic medications for at least 12 months and ha...
Source: International Journal of Mental Health Nursing - January 17, 2017 Category: Nursing Authors: Tamara Ward, Dianne Wynaden, Karen Heslop Tags: Original Article Source Type: research
Patients who self-monitor or self-manage can improve the quality of their oral anticoagulation therapy
Commentary on: Heneghan CJ, Garcia-Alamino JM, Spencer EA, et al.. Self-monitoring and self-management of oral anticoagulation. Cochrane Database Syst Rev 2016;7:CD003839. Implications for practice and research For suitable patients self-monitoring or self-managing enhances the quality of oral anticoagulation therapy. Self-monitoring and self-managing patients experience greater time in therapeutic range with the associated decrease in thromboembolic events. Future research should focus on establishing the factors affecting the uptake of self-monitoring and self-managing of oral anticoagulation. Context There are 950 ...
Source: Evidence-Based Nursing - December 13, 2016 Category: Nursing Authors: Kennedy, M. Tags: Immunology (including allergy), Drugs: cardiovascular system, Stroke, Internet, Diabetes, Arrhythmias, Metabolic disorders Community and primary care nursing Source Type: research
Systematic literature review on effectiveness of self ‐management support interventions in patients with chronic conditions and low socio‐economic status
ConclusionLimited evidence was found for the effectiveness of self‐management support interventions in chronic ill patients with low socio‐economic status. Essential characteristics and component(s) of effective self‐management support interventions for these patients could not be detected. Rigorous reporting on development and underlying theories of health behavioural components in the intervention is recommended.This article is protected by copyright. All rights reserved.
Source: Journal of Advanced Nursing - September 20, 2016 Category: Nursing Authors: A Van Hecke, M Heinen, P Fern ández‐Ortega, M Graue, J Hendriks, B Høy, S Köpke, M Lithner, B van Gaal Tags: Review Source Type: research
Barriers to Clinical Research Participation Among African Americans
This article provides an overview of barriers that may influence participation in clinical research among African Americans. Issues of trust, experimentation, communication, and logistics are the most commonly identified barriers. The barriers and facilitators identified in this review may be useful in the development and implementation of recruitment and research strategies that are culturally sensitive and that may enhance trust and willingness to participate among African Americans.
Source: Journal of Transcultural Nursing - August 18, 2016 Category: Nursing Authors: Luebbert, R., Perez, A. Tags: Research Department Source Type: research
Association of cardiovascular emerging risk factors with acute coronary syndrome and stroke: A case ‐control study
In this study, we estimated the risk of acute coronary syndrome and stroke associated with several emerging cardiovascular risk factors. This was a case‐control study, where an age ‐ and sex‐matched acute coronary syndrome group and stroke group were compared with controls. Demographic and clinical data were collected through patient interviews, and blood samples were taken for analysis. In the bivariate analysis, all cardiovascular risk factors analyzed showed as predictors of acute coronary syndrome and stroke, except total cholesterol and smoking. In the multivariate logistic regression model for acute coronary sy...
Source: Nursing and Health Sciences - May 31, 2016 Category: Nursing Authors: Jos é Manuel Martínez Linares, Rafael Guisado Barrilao, Francisco Manuel Ocaña Peinado, Francisco Javier Salgado Parreño Tags: Research Article Source Type: research
