NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map GCU

NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map GCU

Evidence-Based Patient-Centered Concept Map

NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map GCU

Corol Lund is 44 years old Female. She gave birth ten weeks ago and when she was seven months pregnant she was diagnosed of gestational diabetes. Her glucose levels are very high that suggest she is at risk of developing further complications. Despite this the patient is reluctant to get insulin administered. She has cultural reservation regarding the administration of insulin and thus denies the treatment. The patient is a single mother and has given birth for the first time due to which she is experiencing a lot of stress. 

A concept map has been formulated exploring her case in which suggestions and outcomes are shared as well (Saravanan, Diabetes in Pregnancy Working Group, Maternal Medicine Clinical Study Group, & Royal College of Obstetricians and Gynaecologists, 2020). This concept map explores her condition and calls for the required interventions that are needed for her treatment. 

Patient Needs Analysis

The patient is seeking care for postpartum hyperglycemia. She has experienced a gain in weight and has swollen hands and feet due to her condition. The doctors advised her to take insulin which she had been rejecting since it is against her cultural beliefs. She says that it unethical to administer animal derivatives into her body and thus she has been resisting the injection of insulin. The non-adherence to insulin is the biggest problem the doctors are facing with this patient. 

NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map GCU

Being a first time mother she is also facing postpartum stress and has a lot anxiety about the care of her child. She is also a single mother and does not have sufficient social support. There is a need to educate her about her condition and sensitize her towards her medical condition. It is also required that the patient is persuaded to take medication since it is very important for her own wellbeing and the wellbeing of her new born child (Plows, Stanley, Baker, Reynolds, & Vickers, 2018). 

Value and Relevance of Evidences

The patient needs a specialized plan for her treatment. It is best recommended that she adheres to EBP based treatment which should involve lifestyle changes such as interventions which call for improvements in dietary habits as well as an increase in the physical activity by the patient. Research indicates that physical activity has the most impact in reducing the symptoms for diabetes (McIntyre et al., 2019). Since the patient is also experiencing postpartum stress, the physical activity would work to relieve her of the stress as well. Moreover she needs to be convinced to take insulin but until then the doctors should prescribe higher dosage of medication to her to ensure that her symptoms do not worsen. \

NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map GCU

She is also facing sleep deprivation which is very common in new mothers. She should be given therapy in addition to her medical treatment for treating her postpartum stress and sleep depravity. Since therapy has proven to help a lot mother who are struggling after giving birth. Patients who are reluctant to take the required medication are also counselled by the therapists to help them understand the crucial dynamics of their condition as well as the significance of staking to the required treatment plan. 

Proposed Criteria for Patient Outcome Evaluation 

Women who have experienced gestational diabetes are twice as likely as other women to develop gestational diabetes (Johns, Denison, Norman, & Reynolds, 2018). In order to provide better care to Carol it is required that her blood sugar levels are regularly checked. Since she is a single and first time parent, it might not be feasible for her to visit the hospital facility so often thus she should be given education to check her blood sugar levels herself and report back to the practitioner via telehealth tools. In addition to this she will need to a blood sugar monitor with her to keep a track of her blood sugar levels at all times of the day. 

The health care practitioners will be required to help her understand the complexity of her situation and persuade her intake insulin. She will be encouraged to keep a journal to record her meals and the amount of physical activity she engages in. This will aid in tracking her progress. 

Patient Family Communication Plan

One of the most efficient intervention measure relies on the social and familial support for the patients. A lot of patients experience quick and easy recovery after a delivery if they have a strong support system (Deputy, Kim, Conrey, & Bullard, 2018). The patient is a single mother and lives on her own. She is faced with post-partum stress in addition to suffering from gestational diabetes. This further complicates her situation. A more enhanced communication should be encouraged with in the patient’s family. Social support will help to relieve her stress and better cope with the difficulties of the post-partum period. 

References 

Deputy, N. P., Kim, S. Y., Conrey, E. J., & Bullard, K. M. (2018). Prevalence and changes in preexisting diabetes and gestational diabetes among women who had a live birth – United States, 2012-2016. MMWR. Morbidity and Mortality Weekly Report67(43), 1201–1207. doi:10.15585/mmwr.mm6743a2

Johns, E. C., Denison, F. C., Norman, J. E., & Reynolds, R. M. (2018). Gestational diabetes mellitus: Mechanisms, treatment, and complications. Trends in Endocrinology and Metabolism: TEM29(11), 743–754. doi:10.1016/j.tem.2018.09.004

NURS FPX 6011 Assessment 1 Diabetes Patient Concept Map GCU

McIntyre, H. D., Catalano, P., Zhang, C., Desoye, G., Mathiesen, E. R., & Damm, P. (2019). Gestational diabetes mellitus. Nature Reviews. Disease Primers5(1), 47. doi:10.1038/s41572-019-0098-8

Plows, J. F., Stanley, J. L., Baker, P. N., Reynolds, C. M., & Vickers, M. H. (2018). The pathophysiology of gestational diabetes mellitus. International Journal of Molecular Sciences19(11), 3342. doi:10.3390/ijms19113342

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