Assess if the new medication can control diabetes type 2 with no episodes of hypoglycemia for 3 months.

Assess if the new medication can control diabetes type 2 with no episodes of hypoglycemia for 3 months.

“The PICO(T) format is a way to develop a clinical question that lends itself to searching for evidence. PICO(T) is an acronym for

P = population of interest

I = intervention of interest

C = comparison of interest

O = outcome of interest

T = time”. (Lesson, week 1)

“Research is used as evidence in the evaluation and determination of best nursing practices. Nurse researches use a variety of methods to generate new knowledge or summarize existing study results”. In one of the given scenarios, we will try to generate new knowledge about the effects of the new medication. (Houser. 2018).

I chose the scenario  about a 6 year old boy.

P=a 6 year old type 1 diabetic boy.

I=Using the new medication-Degludec/injection tresiba.

C=Standard IV insulin basal bolus therapy.

O=The diabetes type 2 stable control was achieved, with no reported hypoglycemic reaction, and diet compliance was achieved.

T=3 months.

My question is in assessment. Assess if the new medication can control diabetes type 2 with no episodes of hypoglycemia for 3 months.

According to the text, a 6 year old type 1 diabetic boy experienced the side effects from the standard IV insulin basal bolus therapy that he is usually getting. According to S. Kumar. (2015) “Tight glycemic control in type 1 diabetes mellitus patients is associated with the risk of hypoglycemia”. The major side effect in this study, were two severe hypoglycemic reactions. The other inconveniences were frequent blood glucose monitoring, severe anxiety, depression and frustration of the client and his parents. Our assessment is based on the results that we get over the period of three months, after the client and his parents agree to start the new medication Degludec. As we can see, the client’s blood glucose level has become stable, client demonstrates diet compliance, no hypoglycemic reactions were reported over the period of three months. The client can monitor his blood sugar level only once a day. The client is happier in his life, no anxiety or depression were reported. We conclude that the new medication Degludec can definitely control diabetes type 2 with no episodes of hypoglycemia for at least three months.

References:

Chamberlain College of Nursing. (2017). Week 1: Introduction to Evidence-Based Practice: Basic concepts.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). The importance of research as evidence in nursing. What is nursing research? pp.5.

Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology& Metabolism, 19, S76-S77. Retrieve fromhttp://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=102354944&site=eds-liv

According to this week’s lesson, “Evidence can form the basis of the best practices for the nursing care process, including assessment diagnosis, planning, implementation, and evaluation” (CCN, 2016).  Today, there is a push for better healthcare, better delivery, and better technology.  Our profession is constantly looking for the best practice and look to Evidence Based Practice to guide us in the right direction.  At my currently position I do not have a large hand in changing the care we deliver.  As new ideas come across based on EBP our unit (L&D) take them to the manager for further review.  These ideas are then passed to Perinatal Committee before being implemented into our unit.
Looking at the case study for this week evidence is gathered about Mary to provide the best practice for her nursing care.  “Finding and developing significant problems for nursing research is critical to improving processes and outcomes for patients, nursing staff, organizations, and communities” (Houser p. 77).  Clinical questions that could be asked regarding Mary’s case study would be: