Clinical Problem: Diabetes Mellitus in Rural SettingsMid-range nursing theories can be extremely useful in understanding specific clinical issues. These theories are less broad and all-encompassing than so-called grand theories of nursing such as Jean Watson’s Theory of Human Caring and seek to offer a more technical and practical approach to applying theory in daily practice (Alligood, 2018). This paper will specifically examine the application of Kristen Swanson’s Theory of Caring to the treatment of patients suffering from diabetes mellitus living in rural settings without adequate access to healthcare. Virtually all nursing theories are composed of four essential core definitions, that of person, environment, health, and nursing itself. Swanson’s theory, however, specifically focuses on nursing, which Swanson defines as a very specific type of caring.
Clinical Issue
Although obesity is increasing across the nation, obesity is often particularly rife in rural settings with limited access to healthcare and healthy foods. Health literacy has likewise been lacking at the rural health family practice clinic out of which I operate. As noted by Ricci-Cabello (et al. 2013), there are a number of systemic factors which have resulted in obesity being more prevalent in rural areas, as well as higher rates of poorly-controlled type 2 diabetes. “Individuals living in rural communities often have to travel longer distances to obtain appropriate healthcare, which has been strongly associated with poorer glycemic control,” and limited diabetes education (p.2). Poor health literacy is often linked to low levels of literacy itself, which can make reading nutrition labels, understanding how to count calories, and also correct insulin and drug dosages difficult.
Remediating the effects of diabetes is absolutely critical. Without proper management, diabetes can result in significant life limitations that further impede the patient’s economic and professional viability and further limit their access to adequate healthcare. Structured diabetes programs...
Individuals are asked to work toward those goals and values they hold while experience their thoughts and positive feelings." (Gregg et al., 2007) ACT is stated to have "shown positive outcomes for a wide variety of conditions including for chronic medical conditions, even when presented in very brief form." (Gregg, et al., 2007) Gregg et al. additionally states: "Diabetes researchers have called for the development of interventions designed to
Medical Conditions -- There are a number of factors that can increase the likelyhood of type-2 diabetes: hypertension, eleveted cholesterol, and a condition called Symdrome X, or metabolic syndrome (combination of obesity, high cholesterol, sedentary lifestyle, stress, and poor diet). Cushing's syndrome, cortisol excess and testosterone deficiency are also associated with the disease. Often, it is a number of co-dependent conditions that seem to give rise to diabetes (Jack &
Many of the same issues that arise in regards to diabetes, also apply to control of obesity as well (Tilghman, 2003). Conceptual Model The symptom-focused intervention model was developed by the University of California -- San Francisco Nursing Symptom Management Faculty Group (1994). It has been adapted for use in older African-American women that have been diagnosed with type 2 diabetes in rural areas of the Southeastern United States. These findings
Epidemiology Paper Part Three: Implementation and Evaluation - Asian Americans with type 2 diabetes 1. Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed. Efficient initiatives in the areas of health promotion, chronic illness management, and public health decrease disease risks and facilitate the maintenance and improvement of
By educating patients on early warning signs of hepatotoxicity, this rare but potentially fatal consequence could be detected early to allow appropriate intervention." (Wright and Vandenberg, 2007) it is extremely critical to understand the nature of psychiatric nursing in today's clinical environment. IV. ROLE of NURSE PRACTITIONER in TRANSITION Specifically stated in the work of Kathryn R. Puskar entitled; "The Nurse Practitioner Role in Psychiatric Nursing" published in the Online Journal
Figure 1 portrays the state of Maryland, the location for the focus of this DRP. Figure 1: Map of Maryland, the State (Google Maps, 2009) 1.3 Study Structure Organization of the Study The following five chapters constitute the body of Chapter I: Introduction Chapter II: Review of the Literature Chapter III: Methods and Results Chapter IV: Chapter V: Conclusions, Recommendations, and Implications Chapter I: Introduction During Chapter I, the researcher presents this study's focus, as it relates to the
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now