A critical review of the literature on the nursing management of type

A critical of the on the nursing management of type 2 adult diabetec patients - Literature review Example This research paper will aim to review the literature on the use of nursing interventions to improve compliance It is argued that for the better management of diabetes and for the eradication of non-compliance behaviour, effective nursing intervention can be resourceful. A literature review was therefore conducted on the compliance of patients with diabetes type 2 and the role of nursing interventions in improving compliance. The databases searched were CINAHL, British Nursing Index, ASSIA and The Cochrane Library. The results showed three main themes which have been discussed in the paper. The themes have been analyzed in the context of the research topic and implications for clinical practice have been highlighted. The studies are both qualitative as well as quantitative and have used several study designs such as randomized control trials, reviews, systematic literature review and correlational studies. The nursing-led interventions have not been studied taking a large sample and the study designs are at times not very reliable. This necessitates more researches to be done to reinforce the results of the previous studies. On a general note, the studies have suggested that nursing interventions aimed at providing more education, awareness and advice to the patients have positive effects on encouraging self-care and increasing compliance to control regimes. More researches need to be done on larger samples so that the results can be generalized to the entire population. The study helps to identify that implications for health care professionals from various departments exist; interprofessional team work from nurses, general practitioners, volunteers and social workers can collectively be focused on the better implementation of interventions and empowering diabetic patients. Keywords: â€Å"compliance†, â€Å"diabetes type 2†, â€Å"nursing interventions† 1. Introduction Diabetes is taken from the Greek verb diabainein, meaning to stand wit h the legs open as one does in urination. Diabetes is a fast-growing disease and is characteristic of polyruria. There are two main types of diabetes i.e. diabetes mellitus and diabetes insipidus. Diabetes mellitus is related to the hyperglycemia or intolerance to glucose in contrast to diabetes insipidus which occurs because of the lack of production of anti-diuretic hormone. Type 2 diabetes is a subclass of diabetes mellitus with typical symptoms of hyperglycemia due to insulin resistance and/or insulin deficiency (King & Brucker 2009). It is noted that obesity and diabetes type 2 have a strong correlation. According to Joslin and Kahn (2005) obesity worsens the insulin resistance and patients with diabetes type 2 develop an increased risk for a range of diseases such as macrovascular and microvascular problems. This paper aims to highlight nursing management practices with respect to the care of patients with type 2 diabetes. Nursing management entails the â€Å"use of personnel , supplies, equipment, clinical knowledge, and skills to give nursing care to clients within varying environments† (Roussel & Swansburg 2006). Nursing management brings together a number of principles such as planning, effective use of time, decision-making, formulation of goals, organization, leadership and working as knowledge workers. Type 2 diabetes is the most common form of diabetes and patients typically have a large store of abdominal fat (Plotnick & Henderson 1998). Diabetes is growing rapidly in the UK with more than 2.6 million people diagnosed with the condition in 2009. It was also documented that in 2009, there were a further 0.5 million people who had type 2 diabetes but were not aware of it (Diabetes UK 2009). There are several treatment options available to patients, of which weight reduction and administration of oral agents are proven to be effective. Aschenbrenner and Venable (2008) assert

Connection Project Research Paper Example | Topics and Well Written Essays - 750 words

Connection Project - Research Paper Example It was expected that after the implementation of these laws, education would become much more accessible to all kinds of children, even more so for children with special needs. However, even after a few decades of having the laws implemented, there were still observed shortages of teachers that specialize in educating handicapped children, as well as the presence of certain inadequacies with regards to the retention of certified teachers for special education, and as a result schools had to resort to either decreasing the services for children due to understaffing, or even allowing under-qualified or unqualified personnel to do these tasks for the benefit of giving these children their education. In order to address the problem, several factors have been identified that were observed to have been causing the shortages of special education teachers, as well as their retention within the educational institutions, and in turn solutions can be formulated so that school administrators suc h as heads or principals could undertake in order to alleviate, if not remove the issues concerning the insufficiency of teaching staff for children with special needs. It is no secret that special education is a teaching field with greater challenges than regular education, mostly because of the kind of students that are being serviced in this field. Because of the greater diversity of the needs of students in special education in comparison with regular schooling, there is also a need to employ instructors that were trained and educated specifically for each kind of disability that the school decides to serve. However, despite having these kinds of information made available for school administrators, there were still observed shortages of special education teachers, especially the qualified ones (Billingskey & McLeskey, 2004). At present there are five areas in special education identified to have the highest shortages of certified instructors: emotional/behavioral disorder; mult i-categorical disability; severe/profound disability; learning disability; and mild/moderate disability (McLeskey, Tyler & Flippin, 2003). Other instructors with fields of specialization that cover other kinds of disabilities such as mental retardation, education for the visually-impaired, and the hearing impaired were also lacking, which not only prevents the education of children with special needs but also the school’s ability to implement IDEA and NCLB properly and efficiently. Several survey results found out that the problems for such shortages were multifactorial in nature. Certain researches regarding the reasons why there were numerous shortages for qualified special education personnel, which were either tied to the schools’ policies, administrators, as well as to the personnel themselves. First of these is how schools categorize their disabled students, especially those which reported to have high numbers of students having disabilities (Greene, 2009). Due t o some administrators unable to fully understand how children are selected for special needs education or not, clashes between the special education teachers themselves and the administrators happen, for example some children that have domestic problems and thus struggled in their academics were incorrectly-labeled to be disabled when in fact these children were considerably normal when compared to handicapped children, and eventually such measures prevent the