NURS-FPX6021 Assessment 1
Assessment 1: Concept Map
Name
Capella University School of Nursing and Health Sciences
Course
Instructor
Date
Part 2: Additional Evidence (Narrative)
I drew inspiration for the following concept map from the Vila Health case study that details a nursing care plan for a woman named Mrs. S. Our research on S's history of acute and chronic diabetes is organized using idea maps. Mrs S was a community patient as well as an intensive care unit patient. Patients diagnosed with diabetic renal failure had a higher chance of a better health outcome at hospitals that used the treatment program shown in the concept maps (Brosius et al., 2021). Possible solutions, analytical instruments, and routes to Mrs. S and her family are all shown on the idea map. Our work helps S and advances evidence-based care by clarifying the pathways that cause diabetic kidney failure.
Additional evidence
Mrs. S's elevated blood sugar led to her hospitalization. Acute Renal Failure best described her symptoms, which included difficulty breathing, extreme exhaustion, and reduced urine output. After reviewing Mrs. S's symptoms, the team has determined that fluid retention is to blame for her swollen feet and general malaise. According to many tests, Mrs. S had no health problems prior to the onset of these symptoms. The term used to describe renal failure that results from metabolic acidosis and high blood sugar in the concept map is "hyperglycemic renal failure." An unanticipated accumulation of waste products in Mrs. S's blood was a consequence of her acute renal failure. The blood's chemistry became altered due to renal failure. Inadequate management of diabetes by healthcare providers carries the risk of long-term kidney damage to patients. According to Deferrari et al. (2021), the circulatory system retains waste materials due to insufficient blood filtration. Potentially, renal impairment increases the risk of hypertension. Mrs. S's diabetes might be exacerbated by her high blood pressure, which affects the kidneys' delicate filtering processes.
Conceptual Framework Based on Useful and Appropriate Evidence
When blood sugar levels remain consistently high over an extended period of time, a metabolic disease known as type 2 diabetes is characterized. Possible causes include hyperinsulinemia sensitivity or inadequate insulin production. Among adults worldwide (those aged 20–79), 8.8% were diagnosed with diabetes in 2021, according to the World Diabetes Federation. Worldwide, the author estimates that 200 million people would have been diagnosed with diabetes by the year 2040 (Gregory et al., 2022). Because of this, diabetes has become a major concern in global public health. The body will respond by producing more insulin if blood glucose levels stay high. Unfortunately, type 2 diabetes occurs in after this protective mechanism stops working (Verma et al., 2022). People over the age of 45 are disproportionately impacted by this chronic illness. An increasing number of people are living sedentary lives, eating poorly, and being overweight, all of which increase the risk of developing diabetes (Tönnies et al., 2019).
Cardiovascular illness, blindness, renal failure, and lower limb amputation are all much more common in those with type 2 diabetes (Gregory et al., 2022). Hyperglycemia, a complication of uncontrolled type 2 diabetes, may last for years. The clinical signs of type 2 diabetes include sugar intolerance, diabetic ketoacidosis, hypertension, and diabetic shock. According to Tönnies et al. (2019), peripheral arterial disease (PAD), ischemic heart disease (IHD), and stroke all stem from microvascular issues. In order to control their type 2 diabetes, patients should consume a diet rich in protein and fiber and low in simple carbohydrates and saturated fat. Consistent aerobic exercise may help the overweight.
Using Collaboration across Disciplines to Achieve Results
The main idea of the concept map is that healthcare professionals may learn a lot from each other when they have chances to collaborate. Dietitians and caregivers may work together to help patients understand how exercise and healthy eating can reduce their chance of developing type 2 diabetes, according to Mphwanthe et al. (2021). Patients with acute renal failure had a lower likelihood of requiring readmission when healthcare providers collaborate in diagnosing and treating the problem. As a result of the no-secrets policy, all pertinent patient data would be accessible to medical professionals. A patient may get patient-centered care while managing a chronic illness if they are actively involved and communicate with their nurses on an ongoing basis.
Hospitals might potentially enhance the quality of care they provide to patients with diabetic renal failure by using multidisciplinary collaboration techniques that teach healthcare workers to collaborate and develop an efficient communication strategy (Mphwanthe et al., 2021). Patients and caregivers alike may reap the benefits of more regular interprofessional practice. Cooperation between healthcare professionals is crucial, as Ploeg et al. (2019) stress once again. Patients and caregivers dealing with diabetic kidney failure want current and accurate information on the symptoms, medical consequences, screening, diagnosis, and treatment choices for this critical health issue. When doctors and nurses regularly demonstrate their abilities, maintain open channels of communication, and work together to integrate treatments and therapies that use research and practical solutions, patients get the finest care possible.
If nursing leaders really want to help their diabetic patients who are dealing with renal failure and their caregivers, they should promote an environment of collaboration and cooperation among all healthcare professionals. Patients have trust in their healthcare providers, as stated by Mphwanthe et al. (2021). Care for Mrs. S must be interdisciplinary, drawing on the knowledge and experience of many different types of medical experts. Drug reconciliation and concerns about patient safety may benefit from this stringent approach. The main goal of the organization is to improve communication between patients and medical professionals. Individuals at risk of developing renal failure due to type 2 diabetes may be modeled after them (Ploeg et al., 2019). Multidisciplinary psychological treatment may be very beneficial for Mrs. S and her family. We worked together to ensure that she received the highest quality nursing care and medical treatment available.
Conclusion
The complexity of diabetic renal failure necessitates a multipronged approach that includes medical treatment, psychosocial therapy, health care, teamwork, and multidisciplinary cooperation for patients. If people with diabetes and their loved ones are to get the top-notch treatment and care that will result in the greatest potential health outcomes, then education on diabetic kidney failure and related therapies is essential. When it comes to patient care, experts from many different medical disciplines including nurses and doctors work together as a team.
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References
Brosius, F. C., Cherney, D., Gee, P. O., Harris, R. C., Kliger, A. S., & Tuttle, K. R. (2021). Transforming the care of patients with diabetic kidney disease. Clinical Journal of the American Society of Nephrology, 16(10), 1590-1600. https://doi.org/10.2215/CJN.18641120
Deferrari, G., Cipriani, A., & La Porta, E. (2021). Renal dysfunction in cardiovascular diseases and its consequences. Journal of nephrology, 34(1), 137-153. https://doi.org/10.1007/s40620-020-00842-w
Gregory, G. A., Robinson, T. I., Linklater, S. E., Wang, F., Colagiuri, S., de Beaufort, C., ... & Ogle, G. D. (2022). Global incidence, prevalence, and mortality of type 1 diabetes in 2021 with projection to 2040: a modelling study. The lancet Diabetes & endocrinology, 10(10), 741-760. https://doi.org/10.1016/S2213-8587(22)00218-2
Hatton, G. E., Du, R. E., Wei, S., Harvin, J. A., Finkel, K. W., Wade, C. E., & Kao, L. S. (2020). Positive fluid balance and association with post-traumatic acute kidney injury. Journal of the American College of Surgeons, 230(2), 190-199. https://doi.org/10.1016/j.jamcollsurg.2019.10.009
Koshy, A. O., Gallivan, E. R., McGinlay, M., Straw, S., Drozd, M., Toms, A. G., ... & Witte, K. K. (2020). Prioritizing symptom management in the treatment of chronic heart failure. ESC Heart Failure, 7(5), 2193-2207. https://doi.org/10.1002/ehf2.12875
Luft, F. C. (2021). Biomarkers and predicting acute kidney injury. Acta Physiologica, 231(1), e13479. https://doi.org/10.1111/apha.13479
Mphwanthe, G., Carolan, M., Earnesty, D., & Weatherspoon, L. (2021). Perceived barriers and facilitators to diet and physical activity among adults diagnosed with type 2 diabetes in Malawi. Global Public Health, 16(3), 469-484. https://doi.org/10.1080/17441692.2020.1805784
Patil, V. P., & Salunke, B. G. (2020). Fluid overload and acute kidney injury. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 24(Suppl 3), S94. https://doi.org/10.5005/jp-journals-10071-23401
Ploeg, J., Yous, M. L., Fraser, K., Dufour, S., Baird, L. G., Kaasalainen, S., ... & Markle-Reid, M. (2019). Healthcare providers’ experiences in supporting community-living older adults to manage multiple chronic conditions: a qualitative study. BMC geriatrics, 19(1), 1-14. https://doi.org/10.1186/s12877-019-1345-2
Rachdaoui, N. (2020). Insulin: the friend and the foe in the development of type 2 diabetes mellitus. International journal of molecular sciences, 21(5), 1770. https://doi.org/10.3390/ijms21051770
Scholtes, R. A., Muskiet, M. H., van Baar, M. J., Hesp, A. C., Greasley, P. J., Karlsson, C., ... & Heerspink, H. J. (2021). Natriuretic effect of two weeks of dapagliflozin treatment in patients with type 2 diabetes and preserved kidney function during standardized sodium intake: results of the DAPASALT trial. Diabetes Care, 44(2), 440-447. https://doi.org/10.2337/dc20-2604
Seuren, L. M., Wherton, J., Greenhalgh, T., Cameron, D., A'Court, C., & Shaw, S. E. (2020). Physical examinations via video for patients with heart failure: qualitative study using conversation analysis. Journal of medical Internet research, 22(2), e16694. https://doi.org/10.2196/16694
Tönnies, T., Röckl, S., Hoyer, A., Heidemann, C., Baumert, J., Du, Y., ... & Brinks, R. (2019). Projected number of people with diagnosed Type 2 diabetes in Germany in 2040. Diabetic Medicine, 36(10), 1217-1225. https://doi.org/10.1111/dme.13902
