Capstone Project Name of of University Task #1) Develop a searchable question using the PICOT format. Components of PICOT in relation to juvenile diabetes: (P) Population of Focus – children with Type 1 Diabetes (I) Intervention – self-management through glycemic control (C) Comparison – clinical –based therapies (O) Outcome – sustainable and effective management of Type 1 Diabetes (T) Time – until they reach adulthood My PICOT question: For children with Type 1 Diabetes (Juvenile Onset Diabetes) or Insulin Dependent Diabetes Milletus (IDDM), will self-management education intervention through glycemic control or clinical-based therapies provide a sustainable and effe…
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Identify a problem, issue or educational deficit upon which to build a proposal for change. Several children have been repeatedly brought to Kansas Hospital due to incidents of frequently repeating infections such as pneumonia, pyelonephritis and soft tissue infections to name a few (Zarbock, 2005). Symptoms of polyuria, polydipsia, polyphagia, weight loss, fatigue and increased frequency of infections were also observed from the young patients (Banaga-Perez, 2008). The children were taken to undergo a more accurate assessment for the possibility of having diabetes. Indeed, most of them go back and forth to the hospital because they are positive with Type 1 Diabetes. This incidence has been increasing for the past years. Parents of the patients have been agitated on the medical condition that their children are facing. They also have learned that Type 1 diabetes or Juvenile Onset Diabetes has put their children in a delicate condition that it is actually life-threatening if not properly treated. Since there is no known cure yet for diabetes, its management, especially when implemented in a home setting, is critical. However, more Type 1 Diabetes patients have been diagnosed in the hospital. Families of patients have become stressed and worried on the fact that it is a serious disease that have made the children suffer and some had near-death experience. The nursing team of Kansas Hospital has then decided that Type 1 Diabetes patients and their families need more assistance aside from the medical attention they require. They knew that because of the prevalence of the disease, it can affect many people in various settings. That whether a patient has been hospitalized for another case, they cannot just administer any medicine or treatment if the patient is diabetic. Thus the nursing care they provide becomes more complex specializing on the needs of a diabetic patient. To address more appropriately the needs of increasing diabetic patients, the nursing team decided to initiate a Diabetes Clinic within the hospital. The Diabetes Clinic aims to provide and disseminate more information to the patients and their families, and also other people who may be concerned about this disease. It aims to educate its stakeholders on proper management of Type 1 diabetes so home care can be done effectively especially that diabetes is largely a patient-managed disease (Zarbock, 2005). The Diabetes Clinic also aims to provide motivation to the patients and their relatives about the perseverance to care for their health and that all their efforts will produce good results. The nurses will inform them about the new medicines, intervention programmes and treatments available and, how this can be appropriate their specific cases. Importantly, being able to help patients handle diabetes management in a less stressful manner is also the goal of the team. They understand that diabetes complications include emotional shifting as well leading to anger, frustration and fear and this affects the
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