NURS FPX 6021 Assessment 1 Concept Map

• NURS FPX 6021 Assessment 1 Concept Map

Justification of the Value and Relevance of Evidence

The evidence focuses on Henley, a 69-year-old patient with a family history of abnormal glucose and blood sugar levels. Henley is at risk of unstable glucose levels, with investigations showing blood glucose consistently exceeding 140 to 180 mg/dL (Pantha, 2021). Experts recommend maintaining non-intensive care patients’ pre-meal blood glucose levels below 140 mg/dL. Factors such as limited knowledge of diabetes management, inadequate glucose monitoring, and insulin deficiency have been identified as key contributors to this imbalance (Pan et al., 2018).

Diagnosis Techniques and Nursing Goals

Nurses aim to stabilize Henley’s blood glucose levels below 180 mg/dL and fasting below 140 mg/dL. Two diagnostic methods—problem-focused diagnosis and risk nursing diagnosis—are used to address his condition. Problem-focused diagnosis identifies symptoms and their root causes, such as reduced cardiac output linked to chronic constipation and impaired gas exchange (Gebresillassie, 2020). Risk factors like imbalanced glucose and insulin levels further emphasize the importance of clinical judgment (Zhou, 2021).

Interprofessional Collaboration in Care

Practical nursing assessments rely on interprofessional strategies to improve outcomes. Collaboration between healthcare providers fosters mutual feedback and a non-discriminatory culture, which is critical for managing Henley’s condition (Askelson et al., 2021). For example, using NANDA-I-approved nursing diagnoses enables nurses to assign meaning to patient data, revealing issues like anxiety, sleep deprivation, and shortness of breath. This approach also highlights risks such as lung disease and impaired pulmonary function (Archer, 2022).

Hyperglycemia Management and Lifestyle Adjustments

Henley’s inadequate insulin doses have resulted in hyperglycemia, triggering symptoms like tremors, dizziness, and fatigue. Left unmanaged, these symptoms can lead to type 2 diabetes and tissue dysfunction. The nursing assessment emphasizes the importance of dietary adherence and regular physical activity to stabilize blood glucose levels. Monitoring for peripheral neuropathy, educating Henley about healthy eating, and minimizing alcohol consumption are vital components of diabetes management (Bignyak, 2021).

Pharmacological interventions, such as insulin administration, and non-pharmacological measures, like dietary changes, complement each other. Interventions also include monitoring Henley’s blood pressure, which has exceeded 160 mmHg, to mitigate hypertension risks (Zhou et al., 2021).

Evidence-Based Guidelines for Diabetes Management

According to Ripsin (2009), lifestyle interventions like 150 minutes of physical activity per week and a low-fat diet can significantly improve glucose levels. However, studies show that many patients with type 2 diabetes struggle to achieve glycemic control, underscoring the need for personalized care (Blonde et al., 2017). Challenges in managing diabetes often result in long-term complications like cardiovascular disease, highlighting the importance of continuous care and education.

Applying Interprofessional Strategies to the Concept Map

Interprofessional strategies enhance communication and decision-making in managing diabetes. For example, minimizing excessive text in concept maps can make them easier to navigate, allowing professionals to find information on hyperglycemia treatments more efficiently (Bignyak, 2021). Concept maps also help address complex issues like metabolism-related disorders and cardiovascular risks (Amal Raj, 2021).

Precision Healthcare Strategies

A study by Pranata (2021) emphasizes the value of precision healthcare strategies for older adults. These strategies include self-management assessments, cardiovascular management, and goal-setting sessions to address glycemic issues. Experts agree that precision health methodologies enhance self-management and improve outcomes for type 2 diabetes patients.

Challenges and Opportunities in Interprofessional Collaboration

While concept mapping can enhance critical decision-making, knowledge gaps among healthcare professionals hinder effective collaboration. For example, nurses may face challenges like accountability and conflict management, which can impact the care plan’s success. Coaching and ongoing education can address these issues, fostering team cohesion and professionalism (Amal Raj, 2021).

Effective Communication Strategies

To improve care delivery, professionals should communicate care plans, explain their rationale, and use audiovisual aids to clarify complex ideas. Respect for all stakeholders is essential to ensure effective collaboration and high-quality outcomes (Gebresillassie, 2020).

In conclusion, NURS FPX 6021 Assessment 1 highlights the importance of evidence-based practices, interprofessional collaboration, and patient education in managing diabetes. By leveraging concept maps and precision healthcare strategies, healthcare providers can enhance outcomes and address the multifaceted challenges of diabetes care.

References

Amal Raj, M. S. (2021). Faculty experiences with concept mapping as an educational strategy in nursing education (Doctoral dissertation, Capella University).

Archer, J., Robinson, L., & Brown, T. (2022). The impact of health care funding on interprofessional collaboration and integrated service delivery in primary and allied care: Protocol for a scoping review. JMIR Research Protocols, 11(5), e36448. https://doi.org/10.2196/36448

Askelson, N., Ryan, G., McRee, A. L., Farris, P. E., Shannon, J., Hanson, J., Kenyon, D. B., Daly, E., & Avdic, L. (2021). Using concept mapping to identify opportunities for HPV vaccination efforts: Perspectives from the Midwest and West Coast. Evaluation and Program Planning, 89, 102010. https://doi.org/10.1016/j.evalprogplan.2021.102010

Bignyak, P. I. (2021). Correction of electrolyte balance in surgical patients with urgent surgical interventions. Reports of Vinnytsia National Medical University, 25(4), 620–622.
https://doi.org/10.31393/reports-vnmedical-2021-25(4)-19

Blonde, L., Aschner, P., Bailey, C., Ji, L., Leiter, L. A., & Matthaei, S. (2017). Gaps and barriers in blood glucose control in people with type 2 diabetes. Diabetes & Vascular Disease Research, 14(3), 172–183.
https://doi.org/10.1177/1479164116679775

Galaviz, K. I., Weber, M. B., Straus, A., Haw, J. S., Narayan, K. M. V., & Ali, M. K. (2018). Global diabetes prevention interventions: A systematic review and network meta-analysis of the real-world impact on incidence, weight, and glucose. Diabetes Care, 41(7), 1526–1534. https://doi.org/10.2337/dc17-2222

Gebresillassie, B. M., & Debay, Y. B. (2020). Characteristics, treatment, and outcome of patients with hypertensive crisis admitted to University of Gondar Specialized Hospital, northwest Ethiopia: A cross-sectional study. Journal of Clinical Hypertension, 22(12), 2343–2353. https://doi.org/10.1111/jch.14056

Pantha, S., Jones, M., & Gray, R. (2021). Stakeholders’ perceptions of how nurse-physician communication may impact patient care: A concept mapping study protocol. Journal of Interprofessional Care.
https://doi.org/10.1080/13561820.2021.1923466

Pranata, S., Wu, S. F. V., Chu, C. H., & Nugroho, K. H. (2021). Precision health care strategies for older adults with diabetes in Indonesia: A Delphi consensus study. Medical Journal of Indonesia, 30(3), 221–227.
https://doi.org/10.13181/mji.oa.215525

Valenzuela, P. L., Carrera-Bastos, P., Gálvez, B. G., Ruiz-Hurtado, G., Ordovas, J. M., Ruilope, L. M., & Lucia, A. (2021). Lifestyle interventions for the prevention and treatment of hypertension. Nature Reviews Cardiology, 18(4), 251–275.
https://doi.org/10.1038/s41569-020-00437-9

Zhou, B., Perel, P., Mensah, G. A., & Ezzati, M. (2021). Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology, 18(11), 785–802.
https://doi.org/10.1038/s41569-021-00559-8