Posted: July 7th, 2023

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Title of Paper Goes Here in Bold Font

Student’s Name Goes Here

School Affiliation

Instructor’s Name

Date goes here

Title of Capstone Project Goes Here in Bold Font

Ace my homework – Write my paper – Online assignment help tutors – Discuss the background of your Capstone project. Use a 12-point font and double-space the assignment as per Ace homework tutors – APA guidelines. Indent the first sentence of each new paragraph.

Clinical Problem Statement

Place the week 2 Capstone Topic Homework help – Summary assignment here, applying any changes as advised by your instructor.

Ans; Type 2 diabetes causes impairment in how an individual’s body controls and uses glucose as fuel. This is a long-term condition that results in excess sugar circulating in the bloodstream, which can cause the development of disorders in the nervous, circulatory, and immune systems. The most suitable intervention for this disorder is to expose the patient to intensive lifestyle interventions through improved lifestyle through proper dieting to keep the sugar levels constant. The qualitative initiative for this disorder is to play the lead role in improving diabetes care quality by deploying real-time feedback with consistent glucose monitoring techniques and coaching on effective dietary practices for reduced carbohydrate consumption for patients with type 2 diabetes (Johansen et al., 2017). The education on this disorder will contribute to improved type 2 diabetes outcomes with fewer scenarios of extreme glucose levels. The patients will improve confidence in regulating an individual’s health, leading to a better quality of life. The inter-professional model of care employed in this case will incorporate various health professionals, including diabetes educators, nurses, pharmacists, dieticians, and family physicians. These professionals will work together towards developing effective strategies to manage diabetes care, offer the necessary services, and make reference to community programs whenever possible (Huang et al., 2016: 2024 – Do my homework – Help write my assignment online). The place where these interventions will take place is in the healthcare facility.

Description

Type 2 diabetes is a common chronic disease in the United States with a prevalence estimated to affect more than 30 million people accounting for around 9.4% of the United States population (Gillani et al., 2017). As time progresses, the number of individuals with this condition continues to rise steadily, with a steady rate of 1.5 million American adults every year. Although lifestyle modifications and medications are increasing to improve diabetic control, a high proportion of patients contracting diabetes type 2 contribute to advanced contributions. Prolonged exposure to this form of diabetes can progress into many complications, including stroke and heart disease, which arise from induced oxidative stress (Fink et al., 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Type 2 diabetes also increases the risk of exposing the patient to microvascular complications such as neuropathy, retinopathy, nephropathy, and kidney failure.

In this case, effective intervention for type 2 diabetes will be intensive lifestyle interventions for the patient, which will involve practitioners working closely with patients to enable them to integrate new diet programs and healthy practices into their lives. This will be done better by coaching, counseling, and providing individualized guidance to the patient to assist them in undergoing successful changes in diet and improving the level of physical activity. The patients must follow up with practitioner’s multiple times during six months or longer (Chatterjee et al., 2017). The dietary elements can include provision with physical activity elements and tailored advice. The intervention will develop nutrition programs that will include a wide range of information, including weight loss goals or other elements associated with weight maintenance or loss.

On the other hand, the qualitative initiative will adopt a patient-centered approach by incorporating the patient preferences numeracy and focusing on addressing the underlying cultural barriers that threaten to compromise the efficiency of the intervention. Also, treatment decisions should be formulated on a timely basis to support critical evidence based on the patient’s comorbidities, preferences, and prognoses (Gummeson et al., 2017). The collaborative efforts will be executed between different practitioners to ensure that the patient will access quality care that will enable them to enjoy a quality life and accomplish their life goals.

Impacts

Diabetes imposes a momentous economic burden on families and society because it is one of the most expensive chronic diseases to treat, including a total cost of $176 billion alone in direct medical costs in 2014: 2024 – Essay Writing Service. Custom Essay Services Cheap (Aminian et al., 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Therefore, enabling the patients to understand the different coping strategies that they can use to improve the quality of their lives will be important in providing a productive workforce and a reduction in healthcare costs. The intensive lifestyle intervention will ensure that the patient can follow up since it is not a strategy that will incur an additional cost from the patient’s pocket. They have to make healthy choices by using the products they already have around their homes. On the other hand, the education programs will play an integral role in improving knowledge on strategies that the organization can use to maintain a steady blood glucose level reduce cardiovascular risk by maintaining an optimum body mass index and managing blood cholesterol. At the same time, the collaboration between different practitioners will increase the opportunity to identify effective measures that will play an integral role in boosting the patient’s overall confidence and wellbeing of the patient.

Significance of the topic and its implication in the nursing practice

The significance of this topic is that it is addressing an issue that is already affecting many people and therefore developing an effective intervention will assist many people to understand effective coping mechanisms and assist the rest of the population on strategies to reduce contracting the disorder (Taheri et al., 2020). The impact of this topic to the nursing practice is that the medical practitioners will be able to accomplish their goals which is to produce a healthy population that is ready to focus on building the economy and nation.

Purpose of the Change Proposal

Ace my homework – Write my paper – Online assignment help tutors – Discuss the purpose of the change proposal in one to two paragraphs of 4 to 5 sentences at minimum.

PICOT Question

Place the week 3 assignment here, applying any changes as advised by your instructor. Place your PICOT statement/question above the body of this paragraph.

ANSWER

Patient

Currently, the United States has over 37 million citizens who have diabetes which is about 1 in every ten individuals, and about 90.95% of them are suffering from Type 2 diabetes. This type of diabetic disorder is common to people above 45, but more children, young adults, and teenagers have been developing this disorder with time. Reports by the center for disease prevention reveal that the rate of people developing Type 2 diabetes has remained consistent, making many researchers categorize this as an area of concern. In 2015 – Research Paper Writing Help Service, the disease was ruled out to be the seventh cause of demise across the United States, with evidence revealing that the government is now experiencing a greater burden with the rising medical costs (Bi et al., 2021). diabetes is turning out to be a serious disease. Still, it can be effectively managed through positive lifestyle changes such as proper dieting, participation in physical activities, the appropriate use of insulin, and other medications to aid in regulating blood sugar levels. Another problematic area about diabetes type 2 is that individuals with diabetes are at an increased risk of experiencing serious health complications such as premature death, vision loss, stroke, heart disease, and kidney failure. Worse still, diabetic patient is still at the risk of getting their body organs such as feet, toes, or legs amputated.

Intervention

Developing an effective intervention strategy for type 2 diabetes is important in enabling healthcare practitioners and scholars to identify new opportunities that will bring effective and reliable interventions. In this case, the proposed intervention technique used in managing type 2 diabetes is intensive lifestyle changes for the patient (De Vries et al., 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). This strategy will be effective and realistic since most hospitals are already awarded robust human resources, capital, and an environment that can support full adoption, implementation, and assessment of the technique. This involves mobilizing nursing practitioners and dieticians to establish techniques that will enable their patients to effectively cope with the new lifestyle changes to provide them with timely and more effective blood sugar control. Another reason why this intervention was selected in this case because the strategy is completely inexpensive since it does not consume a lot of resources and funds. After all, it does not necessitate the patient to purchase a wide array of equipment (Gregg et al., 2014: 2024 – Essay Writing Service. Custom Essay Services Cheap). Apart from that, the healthcare facilities are already supplied with trained personnel who can easily follow up to determine how the clients are coping with the new schedule and how it affects their lives.

Comparison

Another alternative to control this disorder is to use different types of pharmaceutical treatments which work in diverse ways. The pancreas can be encouraged using a diabetes drug to create and release more insulin, restraining the production and dispatch of glucose from the liver, the sensitivity of body cells to insulin is improved, and blocking the activity of the stomach enzymes that reduce carbohydrates. Other ways that these pharmaceuticals work to lower blood sugar levels are by reducing the reabsorption of glucose into the kidneys and slowing down the movement of food throughout the digestive systems. These medications can be consumed orally or be injected directly into the bloodstream (Schmidt et al., 2020). A medicine like Metformin is normally preferred as the first medical preference for treating Type 2 diabetes unless the patient has an underlying condition that limits them from consuming the drug. This medication is safe, effective, and inexpensive, and the risk of cardiovascular attacks have been found reducing. Metformin has other useful impacts on minimizing A1C outcomes, and it may assist with weight management. The drug works by slowing the rate of producing glucose by the liver.

Generally, Metformin is the favored initial medication for treating type 2 diabetes unless there’s an exact reason not to use it. Metformin is inexpensive, safe and effective. It may reduce the risk of cardiovascular events. Other types of pharmaceutical treatment for diabetes type 2 include a sulfonylurea, which comprises various medications, including glyburide, glipizide, and glimepiride. Although these drugs are pretty inexpensive, they may risk triggering low blood sugars and substantial weight gain. Apart from that, insulin sensitizer can also be used, and it is effective and poses zero risks to low blood sugar. Nonetheless, it can contribute to increased weight gain.

Outcome

The intervention selected is using intensive lifestyle changes for diabetes type 2 patients. The outcome of this intervention is that it will focus on improving diabetic care and self-administration behavior among the patients. The intervention begins by recommending physical exercises, an ideal opportunity for overweight patients to manage their weight and maintain a favorable body mass index. This intervention is expected to contribute to a reduction in the number of individuals who are succumbing to the issues linked to weight-related diabetic complications, including cardiovascular disorders and kidney failures (Johansen et al., 2017). Another outcome is that dietary counseling will enable patients to be aware of the substances they should avoid. In this case, patients will be able to identify the substances they should avoid as they contribute to high glycemic value, which triggers increasing blood sugar levels.

Additionally, dietary consultation will offer individuals diverse food alternatives that will help them manage their glucose levels and weight. In addition, social support is important in contributing to behavior change. Thus, it will allow the intervention to empower family members and medical practitioners to support their loved ones living with diabetes by enabling them to cope with their new routines (Huang et al., 2016: 2024 – Do my homework – Help write my assignment online).

Time

To accomplish these outcomes, it will take 30 days to provide an opportunity for practitioners to observe the patient progress.

Literature Search Strategy Employed

Ace my homework – Write my paper – Online assignment help tutors – Discuss the literature search strategy that you used to locate your peer-reviewed articles. What data bases and key words did you use? Be sure to include your literature table as an appendix.

Evaluation of the Literature

Place the week 6 assignment here, applying any changes as advised by your instructor.

ANS;

Introduction

Diabetes is a significant health problem that is prevalent in contemporary society. It is a condition characterized by high concentrations of sugar in the blood that is precipitated by either inadequate production of insulin or failure of the bodies of those affected to respond to the hormone (Johansen et al., 2017). It is one of the leading causes of mortalities in the U. S. Therefore, it is necessary to find adequate strategies for managing the condition to reduce its prevalence in society. According to studies, lifestyle modifications are an effective strategy that can reduce sugar levels in patients with diabetes (Huang et al., 2016: 2024 – Do my homework – Help write my assignment online). Several authors explore the efficacy of lifestyle modification as a strategy for lowering blood sugar levels. This literature review compares the research questions, sample populations, and limitations in different write-ups that discuss the topic. The data compiled will help make conclusions about the study and recommendations for further studies.

Comparison of Research Questions

Different authors used varying research questions to investigate the impact of making lifestyle modifications on patients’ blood sugar levels. Aminian et al. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers) hypothesized that using metabolic surgery to control the dietary intake of obese patients who have diabetes will help to reduce the concentration of sugar in their blood. The study would test whether this preposition was factual or the data that would be compiled would yield contrary outcomes. On the other hand, the study conducted by Fink et al. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers) aimed to answer the research question: What are the challenges associated with Type 2 Diabetes, and what changes do individuals make to cope with the condition effectively? The authors focused on compiling views from participants to compile content that would answer this critical question.

Unlike Aminian et al. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers) and Fink et al. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers), Gillani et al. (2017) focused on a single population in their investigation. They conducted research that aimed to answer the research question: What lifestyle changes should physically disabled diabetes patients make, and how do they impact their blood sugar levels? Similarly, Taheri et al. (2020) focus on a different population often affected by high blood sugar levels. They used the research question: Does implementing comprehensive lifestyle modifications positively impact young diabetic patients? to explore the impact of lifestyle modification in the lives of patients diagnosed with the condition at an early age. Another practical approach used to compile evidence on the approaches that can help control sugar levels is identifying a specific lifestyle modification technique and determining its effectiveness. For example, Hallberg et al. (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online) focused on answering the research question: What impact does controlling carbohydrate intake in diabetic patients have on glycemic control in patients with diabetes?

Comparison of Sample Populations

The authors use different sample populations to compile data on the topic of lifestyle changes, an intervention that purposes to reduce blood sugar levels in patients with diabetes. While Aminian et al. (2020) used a large sample size of over 13 722 patients, Huang et al. (2016: 2024 – Do my homework – Help write my assignment online) incorporated only 16 participants. Using a large number of participants is a significant aspect of investigative research. However, when using models such as qualitative studies, researchers often prefer to use a limited study population because of limited funds and the need to compile comprehensive information about a topic. However, all the studies were conducted in healthcare facilities which increases the dependability of the compiled content because the studies were conducted by experts in the medical field.

Comparison of the Limitations of the Studies

The studies exploring the efficacy of lifestyle changes in controlling the blood sugar levels in diabetic patients have different limitations that affect their dependability. For example, the possibility of their being errors such as coding errors, misdiagnosis, and misclassifications are significantly high in the study conducted by Johansen et al. (2017) and Aminian et al. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Another significant limitation of the study is difficulties in confirming whether high glycemic levels precipitated the fatality of patients with diabetes. Another considerable limitation noted in the studies was the failure to incorporate diverse participants in the investigative process. For example, Fink et al. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers) and Hallberg et al. (2020) included only participants from one region. This interfered with the generalizability of the study because populations such as immigrants were not incorporated into the study. Gilani et al. (2017) also explored a significant limitation experienced during the study. The lack of adequate funds limited the number of participants who could be incorporated into the study. Huang et al. (2016: 2024 – Do my homework – Help write my assignment online) was limited by the possibility of there being performed biases during the study. These aspects were also factual in the study carried out by Taheri et al. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers) and Sebire et al. (2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online)

Conclusion

A review of the literature shows that lifestyle modification is a significant evidence-based intervention that is guaranteed to elicit positive outcomes when applied in the clinical setting. The studies use different research questions to compile information about various aspects related to the study, such as the impact of the intervention on diverse populations, including the physically disabled and young diabetic patients. Analysis of the sample also shows differences in the number of participants incorporated in the study. However, a notable similarity between the different studies is that they were conducted in healthcare organizations which increases the dependability of the compiled data. Further explorations also show significant limitations that affected the reliability of the studies. Therefore, it is recommended that further studies be carried out to investigate the gaps that the study did not cover, such as the impact of the cultural inclination of patients on the effectiveness of using lifestyle modification as an intervention for controlling blood sugar levels.

Applicable Change or Nursing Theory Utilized

Ace my homework – Write my paper – Online assignment help tutors – Discuss one of nursing theorist you discussed in the Topic 4 DQ 2 that best fits in with the applicable change of your Capstone Change Project Proposal. This section should be at least two complete paragraphs.

Ans;

On the other hand, Rogers’ change model comprises five essential steps: creating awareness, stimulating interest in an issue, evaluating it, implementing changes, and adopting the new changes in the clinical setting. Rogers change model uses different processes, including creating awareness, triggering interest, evaluating, evaluating, implementing, and adopting changes (Burnes, 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). The model that is most suitable in implementing the changes in diabetic management is Rogers’ change theory. This is because the steps inherent in the change model will ensure that the effectiveness of the planned changes is proven before they are adopted. For example, during the awareness step, the healthcare providers will be notified about the need to change the approaches used in managing diabetes in the clinical setting.

Proposed Implementation Plan with Outcome Measures

Ace my homework – Write my paper – Online assignment help tutors – Discuss your proposed implementation plan with outcome measures in no less than two complete paragraphs.

Question; Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

Ace my homework – Write my paper – Online assignment help tutors – Discussion of How Evidenced-based Practice was Used in Creating the Intervention Plan

Plan for Evaluating the Proposed Nursing Intervention

Identification of Potential Barriers to Plan Implementation, and How These Could be Overcome

Question; Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers

References

Aminian, A., Zajichek, A., Arterburn, D. E., Wolski, K. E., Brethauer, S. A., Schauer, P. R., … & Nissen, S. E. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Association of metabolic surgery with major adverse cardiovascular outcomes in patients with type 2 diabetes and obesity. Jama, 322(13), 1271-1282.

Chatterjee, S., Khunti, K., & Davies, M. J. (2017). Type 2 diabetes. The lancet, 389(10085), 2239-2251.

Fink, A., Fach, E. M., & Schröder, S. L. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). ‘Learning to shape life’–a qualitative study on the challenges posed by a diagnosis of diabetes mellitus type 2. International journal for equity in health, 18(1), 1-11.

Gillani, S. W., Sulaiman, S. A. S., Abdul, M. I. M., & Saad, S. Y. (2017). A qualitative study to explore the perception and behavior of patients towards diabetes management with physical disability. Diabetology & metabolic syndrome, 9(1), 1-10.

Gummesson, A., Nyman, E., Knutsson, M., & Karpefors, M. (2017). Effect of weight reduction on glycated haemoglobin in weight loss trials in patients with type 2 diabetes. Diabetes, Obesity and Metabolism, 19(9), 1295-1305.

Taheri, S., Zaghloul, H., Chagoury, O., Elhadad, S., Ahmed, S. H., El Khatib, N., … & Abou-Samra, A. B. (2020). Effect of intensive lifestyle intervention on bodyweight and glycaemia in early type 2 diabetes (DIADEM-I): an open-label, parallel-group, randomised controlled trial. The lancet Diabetes & endocrinology, 8(6), 477-489.

Bi, S., Ding, X., Yu, S., Guo, B., Mu, L., & Wang, B. (2021). A machine learning model for quantifying the effect of lifestyle interventions for patients with type 2 diabetes mellitus. In Journal of Physics: Conference Series (Vol. 1732, No. 1, p. 012006 – Write a paper; Professional research paper writing service – Best essay writers). IOP Publishing.

De Vries, T. I., Dorresteijn, J. A., Van Der Graaf, Y., Visseren, F. L., & Westerink, J. (2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers). Heterogeneity of treatment effects from an intensive lifestyle weight loss intervention on cardiovascular events in patients with type 2 diabetes: data from the Look AHEAD trial. Diabetes Care, 42(10), 1988-1994.

Gregg, E. W., Chen, H., Wagenknecht, L. E., Clark, J. M., Delahanty, L. M., Bantle, J., … & Look AHEAD Research Group, F. T. (2014: 2024 – Essay Writing Service. Custom Essay Services Cheap). Association of intensive lifestyle intervention with remission of type 2 diabetes. Jama, 308(23), 2489-2496.

Huang, X. L., Pan, J. H., Chen, D., Chen, J., Chen, F., & Hu, T. T. (2016: 2024 – Do my homework – Help write my assignment online). Efficacy of lifestyle interventions in patients with type 2 diabetes: a systematic review and meta-analysis. European Journal of Internal Medicine, 27, 37-47.

Johansen, M. Y., MacDonald, C. S., Hansen, K. B., Karstoft, K., Christensen, R., Pedersen, M., … & Ried-Larsen, M. (2017). Effect of an intensive lifestyle intervention on glycemic control in patients with type 2 diabetes: a randomized clinical trial. Jama, 318(7), 637-646.

Schmidt, S. K., Hemmestad, L., MacDonald, C. S., Langberg, H., & Valentiner, L. S. (2020). Motivation and barriers to maintaining lifestyle changes in patients with type 2 diabetes after an intensive lifestyle intervention (The U-TURN Trial): a longitudinal qualitative study. International Journal of Environmental Research and Public Health, 17(20), 7454.

Be reminded that the reference page is a separate page and should include all references used to develop your Capstone project to include the eight peer-reviewed articles. All resources cited within the body of the assignment should be listed on the reference page. Likewise, all references listed on the reference page, should be cited within the body of the assignment. The reference page is double-spaced throughout and formatted as hanging indent, like this paragraph.

Appendix Section

Appendix section, if tables, graphs, surveys, educational materials, etc. are created (BE SURE TO INCLUDE THE LITERATURE TABLE HERE in addition to any tables, graphs, surveys, education

materials, etc. that you created).

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The title of the paper appears here in bold font.

The student’s name appears here.

Affiliation with a School

Name of the Instructor

The date is entered here.

The title of the capstone project appears in bold font here.

Ace my homework – Write my paper – Online assignment help tutors – Discuss your Capstone project’s history. According to Ace homework tutors – APA guidelines, use a 12-point font and double-space the assignment. The first sentence of each new paragraph should be indented.

Statement of the Clinical Problem

Insert the week 2 Capstone Topic Homework help – Summary assignment here, making any changes recommended by your instructor.

Ans; Type 2 diabetes impairs how a person’s body controls and uses glucose as fuel. This is a long-term condition that causes excess sugar to circulate in the bloodstream, which can lead to the development of nervous, circulatory, and immune system disorders. The most appropriate

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