Digital Commons Network^™

Thinking Inside The Food Pantry Box, Elizabeth Shoaf

Doctor of Nursing Practice Projects

Background: Prior research has indicated a varying relationship between food security and obesity risk. Food insecurity is a known complication of men and women’s underlying health issues, such as hypertension and diabetes, because of altered food choices.

Objective: Provide healthier food options to the food insecure within the facility’s food distribution boxes, as available, for the two most common health issues (diabetes and high blood pressure).

Methods: Clients at a local food pantry were interviewed individually to learn more about food insecurity and complicating health issues, such as obesity, diabetes, and high blood pressure (hypertension) while simultaneously offering alternative food …

Decreasing The Impact Of Diabetes In The Adult And Older Adults Rural Health Population Utilizing Phone Calls As Part Of The Chronic Care Management Program, Adrienne Shambray

Doctor of Nursing Practice Projects

This quantitative study was developed in order to evaluate the impact of phone calls on patient outcomes using the Chronic Care Management program (CCM). In January 2015, the Centers for Medicare and Medicaid Services (CMS) implemented the (CCM), with the goal of improving health and quality of care for high-risk patients. The administration and physicians at the clinic of focus for this project recognized a need for the facility to help improve and manage these patients’ care to prevent issues such as hospital readmission. This project aimed at following patients in the program with the chronic condition of diabetes mellitus …

Early Detection Of Chronic Kidney Disease In Patients With Diabetes, Marlene R. Ramsey

Doctor of Nursing Practice Projects

The presenting quality improvement project was based on primary care providers’ practice for identifying, tracking and trending early stages of chronic kidney disease in diabetic patients. The PICO question derives from literature reviews specifically addressing variations in practice in the primary care setting in patients with high-risk morbidities such as diabetes to track kidney function. By providing education to new family practice residents in the Mercy health Residency program at Mercy health South, it was determined that new primary care providers would have an opportunity to identify kidney disease in the early stages. Education provided with Kidney Disease Initiative Global …

Effectiveness Of Educational Intervention On Diabetic Knowledge & Hba1c Levels On Kenyan Adults With T2dm, Sabina Jeruto Bett

Doctor of Nursing Practice Projects

Background

Type II diabetes mellitus (T2DM) is a common chronic metabolic disease affecting millions of people globally, which causes many long-term complications such as high blood pressure, chronic kidney disease, improper wound healing and loss of sight. Literature supports that most people, in general and diabetic patients specifically, in Africa, including Kenya are currently not taught about the importance of proper management of their disease. Therefore, many have difficulty following treatment plans, resulting in improper eating, poor glucose control, and diabetic complications. The limited knowledge concerning T2DM contributes to the negative impact this serious disease has on those who live …

Diabetes Education, Audra Trump

Doctor of Nursing Practice Projects

Background: Diabetes Self-Management Education (DSME) has been shown to improve diabetes management. However, a Midwest academic clinic does not offer formal diabetes education. The health department offers formal diabetes education classes twice a year. However, the classes are not flexible, long, and offered infrequently. Objective: The purpose of this project is to improve access to and standardize DSME for patients newly diagnosed with type II diabetes. Methods: The project design includes a one group pre-test/post-test convenience sample of adult patients who are newly diagnosed with type II diabetes in an academic outpatient setting. Results: At the time of diagnosis, the …

Non-Acute Care Clinical For Bsn Students Chronic Illness Care And Diabetes Self-Management Support, Kathleen J. Tilton

Doctor of Nursing Practice Projects

Baccalaureate nursing (BSN) programs work toward ensuring that curricula are current and relevant for the existing and evolving health care environment, health and illness trends, and care delivery systems. To this end this Systems Change Project (SCP) addresses an identified curricular gap between the traditional clinical experience of BSN students related to care of individuals with chronic illness and the predominant environment in which chronic illness care occurs. A non-acute care clinical experience was integrated into the junior year adult and chronicity clinical course of the Bethel University nursing program. The clinical experience was delivered through virtual simulation and focused …