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The purpose of this assignment is to draft an appropriate and effective PICOT question:Consider an advanced practice nursing care problem or issue related to your intended Project

The main purspose of this assignment is to develop a PICOT question and below are some detail information on how to go around it. I will also attached a paper where the main topic has been taking from. I will also attached some resources that will have to be use in completing this paper. It is important that the writer follow the instructions as stated below.

-also they is a template that will help guide the writer in developing the PICOT question from the evidence base paper. The population is African American mails between 30-65. The writer will read the abstract below contain the backgrond information for the paper.

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APA 6th Edition is require for this paper.

Details:

The purpose of this assignment is to draft an appropriate and effective PICOT question. Consider an advanced practice nursing care problem or issue related to your intended Project. Conduct a search to find appropriate empirical resources regarding applicable nursing intervention research.

General Requirements:

  • Prepare this assignment according to the guidelines found in the APA Style Guide,
  • Review the “PICOT Decision Pathway” and “PICOT Selection Guidelines” resources.

Directions:

  1. Utilizing your feedback, you have received on your draft PICOT question from Topic 2 DQ1, create a draft PICOT question specifically related to your project.
  2. Use the “PICOT Decision Pathway” to determine if your PICOT question is appropriate and can be supported with substantial research.
  3. Using the “PICOT Question Template”, formulate an evidence-based practice (EBP) question that pertains to your project focus.
  4. In addition to your evidence-based practice PICOT question, prepare a brief abstract about your topic. Include a rationale for why you have selected this topic and why you believe it is in line with the PICOT selection guidelines. If you have selected a route that advises caution on the “PICOT Decision Pathway” explain how you think you might mitigate complications that could occur to ensure you are able to successfully accomplish your project in a timely manner.

Topic

I would like to work on my DPI project which is, educating adult male population of African American decent between the ages 30-65 in the clinic where I work with uncontrol blood glucose due to noncompliance of medication regimens, diet and exercise. Working with these patients, I came to find out that most of them don’t understand the pathophysiology of the disease. And even though they are being refer to a dietician and diabetic education, most of them don’t go because, they don’t think they need it. And when they are asked why? the response is always they feel well. They only take medications when their body feel somehow. After educating a few of the patients on the disease process and its consequences, they told me, no doctor ever took time to explain to them. And in their follow, up appointments I have been seeing some changes; in weight reduction, monthly diary of blood glucose monitoring, and 1to 2% of hemoglobin A1c reduction. According to Hainer (2006), primary care providers are at the fore front to make sure patients with diabetes mellitus are properly assess, diagnose, treated, and evaluated with the common goal of controlling their blood glucose close to normal as evidenced by hemoglobin A1 c values of less than 7%. (p. 310). It is also important to recognize the disease and how it progress in other to manage it properly with the current therapies (Hainer, 2006, p. 310). Most of the diabetic patients in the clinic where I work, lack understanding of the disease process and its consequences and I believe putting some time in educating the patients on the pathophysiology of the disease and its consequences will yield a better outcome. Most of the diabetes complications such as retinopathy, kidney malfunction, and heart disease can be avoided if the patients are compliant to their medication regimens and lifestyle modifications such as motoring their glucose regularly, increase physical activities and healthy eating habits (Brody et al., 2008, p. S83).

Reference

Hainer, T. (2006). Managing older adults with diabetes. Journal o f t he American Academy o f Nurse Practitioners , 18 (7), 309-317. doi:10.1111/j.1745-7599. 2006.00136.x

Details

P- Diabetes mellitus type 2 is a chronic metabolic disorder that needs to be well managed or it can lead to long term serious complications. The population to be managed in the internal medicine practice where I work is mostly African American male and female, ages ranges from 30- 70. These patients are type 2 diabetic patients with poor glycemic control due to noncompliance to medication regimens and lifestyle modifications such as diet and exercise. ” More than 90% of patients with diabetes have type 2 disease, which is often caused by lifestyle factors. These factors include poor diet, obesity, and physical inactivity” ( Akinci , Healey, & Coyne, 2003, para. 3).

I- The intervention put in place are educating the patients on the importance of medication compliance, healthy eating habits, self-glucose monitoring, and increase in physical activities. ” Diabetes management is a daily concern, and targeted education and support have been shown to increase individuals’ efficacy in maintaining good health and preventing complications ” (Hartwig, 2009, p. 15).

C- Patients that will be compliant to their medication regimens, adopt a healthy eating habit, increase their physical activities and monitor their blood glucose regularly will have a better glycemic control and prevent long term complications than patients who are non-compliant .

O- Patients are expected to show a significant decrease in their hemoglobin A1c (HbA1 c) of less than 7 %. ” HbA 1c testing is used to document the degree of glycemic control in patients with diabetes mellitus, because its value reflects the mean glycemia of the last 120 days, the erythrocyte lifespan average “(Guedes et al. , 2017, p. 1). HbA1 c, can also be used to establish the risk for the occurrence and advance ment of diabetic complication (Guedes et al., 2017, p. 1).

T- Because hemoglobin A1c mostly reflects the glycemic control for the past three months. The given period usually ranges from three to six months.

References

Akinci , F., Healey, B. J., & Coyne, J. S. (2003). Improving the h ealth s tatus of US w orking a dults with t ype 2 d iabetes m ellitus: A Review. Disease Management & Health Outcomes , 11 (8), 489-498.

Hartwig, M. (2009). A prevention framework for managing type 2 diabetes. Arkansas Nursing News , 5 (2), 11-19.

Guedes, V., Bettencourt-Silva, R., Queirós , J., da Luz Esteves, M., Teles, M. J., Carvalho, D., & Esteves, M. L. (2017). Hemoglobin Himeji and inconsistent hemoglobin A1c values: a case report . Journal o f Medical Case Reports , 11 1-4. doi:10.1186/s13256-017-1377-1

Does it comply with these requirements?

Does your proposed project translate existing knowledge or EBP guidelines into clinical practice to improve patient outcomes?

Setting needs to be clinical areas with a focus on improving patient outcomes.

Be clear on the following:

P =

I =

C =

O=

T =

Please review how to formulate references. APA is mandatory in your DNP program. Please review what words need to be capitalized and/or italicized.

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