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A 29-year-old man with brittle diabetes (ie, frequent, severe changes in blood glucose levels) was admitted to surgery for incision and drainage of a leg infection. The patient had a history of chronic renal failure, hypertension, and stroke after a hypoglycemic event. While on the hospital floor before surgery, the patient's blood glucose level fell precipitously after he received insulin, and he required glucose several times. Because of the workload, the nurse did not accompany the patient to the OR but instead informed the transportation assistant about the patient's extreme sensitivity to insulin and asked that the i...
Source: AORN Journal - February 28, 2014 Category: Nursing Tags: Perioperative Grand Rounds Source Type: research

Reiki Brief Report: Using Reiki to Reduce Stress Levels in a Nine-Year-Old Child
A nine-year-old female with a history of perinatal stroke, seizures, and type-I diabetes was seen for six weeks of Reiki to determine the effects of Reiki on relaxation, and in turn, the prevention of future seizures. The secondary and tertiary aims were to determine the effects of Reiki on sleep patterns and the stress levels of the mother. There was a decrease in stress in both the child and the mother, as measured by a modified Perceived Stress Scale and a Perceived Stress Scale, respectively.
Source: Explore - February 27, 2014 Category: Nursing Authors: Elaine L. Bukowski, Diana Berardi Tags: Case Report Source Type: research

Obesity in adults.
Authors: Abstract Essential facts Obesity can have a major impact on health, increasing the risk of developing type 2 diabetes, heart disease, certain cancers and stroke. Excess weight can also make it more difficult for people to find and keep work, and it can affect self-esteem and mental health. The health problems associated with being overweight or obese cost the NHS more than £5 billion every year. PMID: 24517671 [PubMed - in process]
Source: Nursing Standard - February 12, 2014 Category: Nursing Tags: Nurs Stand Source Type: research

EBN resources page
Drug and Therapeutics Bulletin (DTB) April, May, June 2013 issues http://dtb.bmj.com HbA1c targets in type 2 diabetes: guidelines and evidence Aims of treatment for type-2 diabetes include minimising long-term complications (eg, cardiovascular disease, blindness, chronic kidney disease, premature mortality) and avoiding the unwanted effects of treatment (eg, severe hypoglycaemia, weight gain). Publication of the UK Prospective Diabetes Study (UKPDS) 33 in 1998 suggested that ‘intensive blood glucose control’ to lower the glycated haemoglobin (HbA1c) in people with type 2 diabetes reduced microvascular disease b...
Source: Evidence-Based Nursing - December 10, 2013 Category: Nursing Authors: Noble, E. b. H. Tags: Diarrhoea, Immunology (including allergy), Drugs: infectious diseases, Urinary tract infections, Stroke, Hypertension, Obesity (nutrition), Cervical cancer, Pregnancy, Reproductive medicine, Colon cancer, Gynecological cancer, Ophthalmology, Complementary Source Type: research

Public should be informed about type 2 diabetes risks.
Authors: Abstract Fewer than a third of people in the UK are aware of the health complications associated with type 2 diabetes including blindness, heart attack and stroke, a charity has warned. PMID: 24063451 [PubMed - in process]
Source: Nursing Standard - September 25, 2013 Category: Nursing Tags: Nurs Stand Source Type: research

Determinants of health‐promoting lifestyle behaviors among arab immigrants from the region of the levant
Abstract Arab immigrants in the United States are at risk for heart disease, stroke, and diabetes. We explored health‐promoting lifestyle behaviors among Arab immigrants to the United States from the Middle Eastern region of the Levant. In 218 male and female Arab adults surveyed with the revised Health‐Promoting Lifestyle Profile (HPLP‐II), the mean for the HPLP‐II was 2.73 (range 1–4), with spiritual growth and interpersonal relations the most frequently reported practices and physical activity the least frequently practiced dimension of health‐promoting behaviors. Multiple linear regression analysis highligh...
Source: Research in Nursing and Health - August 30, 2013 Category: Nursing Authors: Salah Aqtash, Gwen Van Servellen Tags: Research Article Source Type: research

Risk factors and cardiovascular events in adult Latin American immigrants in the Macarena District, Seville, Spain: a pilot study
Con la finalidad de estimar la prevalencia por autorreporte de factores de riesgo y eventos cardiovasculares en población latinoamericana inmigrante adulta del Distrito 2 (Macarena) de Sevilla, se realizó un estudio piloto de investigación descriptiva de corte transversal. Fue utilizado un cuestionario anónimo con autorreporte de factores de riesgo y eventos cardiovasculares. Resultados: participaron 34 personas, (18% de la muestra), media etaria: 31,8 años, residencia media: 6,5 años, mujeres: 52,9%. Prevalencias de factores de riesgo: 8,8% diabetes, 14,7% colesterol elevado y 23,5% hipertensión arterial. Prevalenc...
Source: Revista da Escola de Enfermagem da USP - June 7, 2013 Category: Nursing Source Type: research

Obesity Perception by Health Care Providers—Can it Influence Patient Safety?
The Centers for Disease Control (CDC) defines obesity as a body mass index (BMI) of 30.0 or greater. According to the CDC, 36% of US adults are obese as well as 17% of US children and adolescents. Among ethnic groups, the highest percentages of obesity affect non-Hispanic blacks (49.5%). The prevalence of obesity among the US young has tripled since 1980. Obesity is known to be associated with multiple health conditions such as diabetes and heart disease. As such, its impact on health care delivery and outcomes can be very influential. Although many people appreciate the relationship of obesity to both diabetes and heart d...
Source: Journal of PeriAnesthesia Nursing - May 29, 2013 Category: Nursing Authors: Jacqueline M. Ross Tags: Patient Safety Source Type: research

Low-dose aspirin is associated with an increased risk of haemorrhage; but not in people with diabetes who have a high baseline rate of bleeding
Commentary on: De Berardis G, Lucisano G, D'Ettorre A, et al. Association of aspirin use with major bleeding in patients with and without diabetes. JAMA 2012;307:2286–94. Implications for practice and research Low-dose aspirin (≤300 mg/day) increases the risk of major bleeding. Individuals with diabetes have a higher risk of bleeding independent of aspirin exposure. Future work should include comparative effectiveness studies to help inform treatment strategies based on individual risks, benefits, patient preferences and values. Context Aspirin has a proven role in the secondary prevention of cardiovascular d...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: Butalia, S., Leung, A. A. Tags: Drugs: cardiovascular system, Stroke, Hypertension, Drugs: musculoskeletal and joint diseases Primary healthcare Source Type: research

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