NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection
Student Name Capella University NURS 4900 Capstone Project for Nursing Prof. Name Date Intervention Presentation and Capstone Video Reflection Hi, my name is Cindy and I am a Baccalaureate nurse. Today I am presenting a capstone reflection video on the management of type II diabetes for chronic diabetics. Type II diabetes is one of the chronic diseases which is characterized by persistent uncontrolled blood sugar levels especially hyperglycemia or raised blood sugar levels after the intake of carbohydrates. This is non-insulin-dependent diabetes because hyperglycemia persists despite high insulin levels in the body, which is termed insulin resistance (Westman, 2021). According to CDC’s statistics, more than 37 million Americans are diagnosed with diabetes and about 95% of these people have type II DM (CDC, 2022). This statistic develops room for bringing reforms in the population related to the management of diabetes. These reforms involve the education and reinforcement of behavioral changes in the patients who are diagnosed with the condition. Healthy People 2030 defines health behavioral modification as a key objective in terms of decreasing the global burden of diseases (U.S. Department of Health and Human Services, n.d.). Some of the non-pharmacological interventions for the management of diabetes include lifestyle modification (dietary changes, stress management, and physical activity) and self-management of diabetes through blood glucose monitoring and tracking the records. NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection For this capstone project, I have been working with a patient, John, who has been a chronic type II diabetes patient. He is also suffering from obesity, blurred vision, and extreme fatigue. He has a family history of the same condition and his uncle and father have been suffering from the disease already. John has certainly been trying various lifestyle modification techniques and medicinal treatments to control his blood sugar levels. Despite his efforts, he still encounters uncontrolled sugar levels. In this capstone project, I have developed several interventions for John which included the introduction of Continuous Glucose Monitoring (CGM) devices for self-management and record keeping, a smartphone app for live coaching, some pharmacological advancements, and consultation with a multidisciplinary team through telehealth. Contribution of the Interventions to the Patient’s Satisfaction and Quality of Life Next, I will present the contribution of these interventions to John’s quality of life and satisfaction. Evidence-based interventions are proven to be effective in improving patients’ satisfaction levels and quality of life. Self-management of diabetes has been considered an effective intervention for chronic diabetics. This includes self-monitoring of blood glucose levels, ensuring a healthy diet, engaging in physical activities, complying with medication, and preventing further complications (Adhikari & Santosh, 2021). The successful ways of performing these actions are through monitoring blood glucose levels, keeping track of the readings, medicines, eating a healthy diet, and exercising, and consulting with the healthcare team for effective management. For this purpose, a CGM device was introduced for John. The CGM is a device that provides continuous glucose readings for patients and healthcare providers, which helps in the identification of hypo/hyperglycemia events with no symptoms and tracking the record (Miller, 2020). He was given complete training about the use of this device and how to report his blood glucose levels to healthcare providers. This device was connected to his smartphone app, where as soon as he entered the glucose reading, he received live health coaching from the providers. This coaching included immediate actions (medicine and rest) if needed, short-term actions (coping from stress, physical activity, and diet changes), and/or long-term actions (medicine modifications, nutritional consultation, physical rehabilitation, doctors’ visit, etc.). Moreover, on his appointments with doctors, his medicines were also changed so that effective results can be checked. For monitoring and evaluation of these outcomes, telehealth was used for constant updates, and for healthcare providers to ensure that interventions introduced for John are effective and successful. NURS FPX 4900 Assessment 5 Intervention Presentation and Capstone Video Reflection These interventions were presented to the patient in person while providing the CGM device, the use of the device was demonstrated to John, and a re-demonstration was asked at the end. I developed an individualized smartphone app for him which was set up for immediate coaching and I also came prepared with some posters related to diet and exercise for his self-awareness. John, really appreciated my efforts for him as I arranged a CGM device for him and developed an app with the help of the IT department in my hospital. He was so excited to use these applications as they looked really fun to him and he thought it would be a great way for him to manage his diabetes. Besides this, he felt assured that even if he is apart from the hospital, he will timely receive his consultation and coaching using telecommunication methods. We also discussed some of the lifestyle modification methods and his compliance with his medication. We did not only discuss dietary changes and physical activities but also discussed with him the ways he can control his sugar cravings, like going for natural sugar in fruits, eating regularly, and maintaining quality over quantity. He was also recommended adding short time-period exercises to his routine. Furthermore, he was given advice on medication compliance like keeping reminders. This part thrilled him as he has been trying lifestyle changes but couldn’t improve because of a lack of consistency and compliance. Use of Evidence and Peer-Reviewed Literature for Implementation of Capstone Project Next, I will discuss how the evidence and peer-reviewed literature were used throughout the capstone project. So, from the start of the project, every intervention, strategy, policy, and implementation were conducted based on evidence-based literature. The Healthy People 2030 objectives for the management of diabetes advocated the need for planning and implementing this project. Some of these objectives include the reduction of diabetes cases and mortality associated with the condition, enhancement of formal diabetes education for adults, an increase in the number of people receiving type II diabetes prevention programs, and increasing the number of people who monitor their