NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

Name

Capella University

NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Prof. Name

Date

Abstract

The under-diagnosis and undertreatment of hypertension and Chronic Obstructive Pulmonary Disease (COPD) present significant challenges in primary care, where the focus is often on addressing physical health disparities such as hypertension, depression, and COPD. These health conditions can severely impact patients’ lives. However, anxiety and hypertension can be effectively managed and treated through Quality Improvement (QI) models, as demonstrated in various scenarios. A critical solution to this healthcare issue is providing improved access to mental health facilities for patients. This enables the integration of change management models such as the Plan-Do-Study-Act (PDSA) cycle and the use of Cognitive Behavioral Therapy (CBT) for mental health disorders. Additionally, healthcare institutions should focus on training more nurses in conducting remote and collaborative CBT sessions, improving the overall quality of life for patients (Khan, 2019).

Quality Improvement Methods

The application of Quality Improvement (QI) methods is essential to achieving the desired healthcare outcomes. These methods utilize change management principles to enhance the treatment of conditions such as hypertension, depression, and anxiety (Kyrou & Karteris, 2020). A critical aspect of improving outcomes, particularly in the management of Polycystic Ovarian Syndrome (PCOS), is the development of an action plan that addresses not only the physical symptoms and medications but also the prevention of underdiagnosis. Cognitive Behavioral Therapy (CBT) has been shown to positively influence glucose metabolism and enhance patient well-being. Once the action plan is in place, a concept map is developed to facilitate collaboration among healthcare professionals, patients, and their families, which ultimately increases satisfaction (Khan, 2019).

The PDSA cycle is a method that can be used to implement change effectively, especially among nursing staff. By breaking down complex tasks into manageable steps, the PDSA cycle aids in decision-making and promotes the continuous improvement of healthcare services (Donnelly, 2021).

Evidence Supporting QI Methods

Numerous scholars assert that continuous, collaborative efforts among nurses, clients, and various stakeholders, including researchers and surgeons, are pivotal to improving patient care, particularly in the context of Cognitive Behavioral Therapy (CBT) (Khan, 2019). For instance, the cautious use of Benzodiazepines has been shown to reduce headaches and tremors in hypertension patients (Kyrou, 2020). The success of these strategies largely depends on the ability of nurses and stakeholders to collaborate effectively, communicate openly, and share knowledge. Patient-focused approaches that address the specific needs of individuals are more effective in achieving positive outcomes than generic treatment plans.

Table: Quality Improvement Methods and Evidence

Conclusion and Overall Project Benefits

The proposed change strategies emphasize the importance of both pharmacological and non-pharmacological interventions in the management of chronic conditions such as hypertension and COPD (Borsches, 2019). Inter-professional collaboration plays a significant role in identifying and addressing gaps in patient safety and quality improvement initiatives. By enhancing communication and utilizing tools such as videoconferencing and remote collaboration, healthcare professionals can improve patient outcomes while also boosting their professional confidence and job satisfaction (Lim et al., 2019). These strategies also support healthcare organizations by optimizing financial resource use and reducing knowledge gaps.

Inter-professional Team Benefits

An inter-professional approach is essential in addressing both the psychological and physiological needs of patients with conditions like PCOS and hypertension. Telehealth, automated tools, and pharmacological interventions offer benefits not only to patients but also to healthcare organizations. Training nurses to manage chronic conditions such as diabetes and hypertension enables them to assist patients in lifestyle modifications, resulting in improved health outcomes and reduced hospital readmissions. Through teamwork, healthcare professionals can share knowledge and responsibilities, ultimately improving patient safety and the quality of care provided.

References

Borsches, Y. Y., Uspensky, Y. P., & Galagudza, M. M. (2019). Pathogenetic pathways of cognitive dysfunction and dementia in metabolic syndrome. Life Sciences, 237, 116932.

Donnelly, P., & Kirk, P. (2021). Use the PDSA model for effective change management. Education for Primary Care, 26(4), 279-281.

Khan, M. J., Ullah, A., & Basit, S. (2019). Genetic basis of polycystic ovary syndrome (PCOS): Current perspectives. The Application of Clinical Genetics, 12, 249–260. https://doi.org/10.2147/TACG.S200341

Kyrou, I., Karteris, E., Robbins, T., Chatha, K., Drenos, F., & Randeva, H. S. (2020). Polycystic ovary syndrome (PCOS) and COVID-19: An overlooked female patient population at potentially higher risk during the COVID-19 pandemic. BMC Medicine, 18(1), 220. https://doi.org/10.1186/s12916-020-01697

NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

Lim, S., Smith, C. A., Costello, M. F., MacMillan, F., Moran, L., & Ee, C. (2019). Barriers and facilitators to weight management in overweight and obese women living in Australia with PCOS: A qualitative study. BMC Endocrine Disorders, 19(1), 106. https://doi.org/10.1186/s12902-019-0434-8

Sookoian, S., & Pirola, C. J. (2019). Shared disease mechanisms between non‐alcoholic fatty liver disease and metabolic syndrome–translating knowledge from systems biology to the bedside. Alimentary Pharmacology & Therapeutics, 49(5), 516-527.

NURS FPX 6021 Assessment 2 Change Strategy and Implementation

Name

Capella University

NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Prof. Name

Date

Change Strategy and Implementation

Type II Diabetes Mellitus is a chronic condition marked by insulin resistance and a relative lack of insulin, leading to high blood sugar levels. This disorder is mainly caused by lifestyle factors and genetics. It affects about 34.2 million people, or 10.5% of the U.S. population, with over 463 million adults worldwide living with diabetes, a number expected to reach 700 million by 2045 (Vidal et al., 2022). Acute Renal Failure, also known as acute kidney injury, is a sudden drop in kidney function, causing waste buildup in the blood and electrolyte imbalances.

It can be triggered by severe infections, dehydration, or diabetes complications. It affects an estimated 13.3 million people globally each year, with higher mortality rates in low- and middle-income countries (Tassew et al., 2021). The assessment aims to comprehensively analyze Type II Diabetes Mellitus and Acute Renal Failure, focusing on their prevalence, risk factors, pathophysiology, and impact on public health. The primary objective of this assessment is to evaluate the burden of Type II Diabetes Mellitus and Acute Renal Failure on individual and population health. 

Data Table of Clinical Outcomes 

The following data table reflects the current and desired states of key clinical outcomes for accompanying symptoms of diabetes, along with relevant interventions and outcomes. The table is focused on three primary clinical outcomes: excess fluid volume, ineffective health maintenance, and fatigue. The data in this table contains no personal identifiers that would breach HIPAA regulations. The focus is on clinical outcomes and interventions rather than specific patient identifiers.

Data Table 

The desired states are based on best practices, guidelines, and authoritative sources such as the American Diabetes Association, National Kidney Foundation, and other peer-reviewed studies. The data and outcomes are tailored to acute care and community settings, focusing on managing diabetes and renal failure in these environments. They are appropriate for the change strategy proposed, which involves comprehensive, interprofessional, and patient-centered care plans.

Areas of Ambiguity and Uncertainty

Detailed information on the patient’s comorbid conditions, medication adherence history, and dietary habits would further refine interventions. The availability and accessibility of community resources to support the care plan are not detailed, which could affect the feasibility of some recommendations. Understanding the patient’s psychological state and readiness for lifestyle changes would enhance the effectiveness of the care plan (Salas & Arias, 2023). Further data in these areas would improve the clarity and personalization of the treatment plan for the patient.

Proposed Change Strategies

Several change strategies are proposed for acute care and community settings to achieve desired clinical outcomes in managing diabetes and related conditions. The first strategy involves enhanced patient education and support through comprehensive programs covering disease management, dietary practices, medication adherence, and lifestyle changes (Tam et al., 2020). Personalized care plans and self-monitoring tools will empower patients to manage their conditions effectively.

Interprofessional collaboration involves dietitians, endocrinologists, social workers, nephrologists, and home health nurses to provide cohesive and comprehensive care. Regular interprofessional team meetings and shared electronic health records (EHRs) will facilitate communication and coordination (Robertson et al., 2022). Effective utilization of community resources is critical. Identifying and leveraging local resources, such as support groups and wellness programs, will provide additional patient support. A care coordinator will assist patients in navigating and accessing these resources.

Monitoring and follow-up are essential. Regular follow-up appointments, remote monitoring tools, and telehealth services will track patient progress, provide timely interventions, and offer continuous support, especially for those in community settings (Coffey et al., 2022). Incorporating psychosocial support into the care plan is vital. Psychosocial assessments, counseling services, and support groups will address mental health concerns and enhance the overall effectiveness of the care plan.

NURS FPX 6021 Assessment 2 Change Strategy and Implementation

To ensure the success of these strategies, interventions must be tailored to each patient’s unique conditions, medication adherence history, and dietary habits. Motivational counseling is essential for assessing the availability and accessibility of community resources and evaluating patients’ readiness for lifestyle changes. Potential challenges include resistance to lifestyle changes and limited access to community resources. Addressing these challenges involves motivational interviewing, continuous support, advocating for resource allocation, and establishing stronger community partnerships. Coordination among diverse healthcare professionals will be facilitated through EHRs and regular interprofessional meetings.

The efficiency and effectiveness of the care system can be evaluated by regularly assessing patient outcomes, such as fluid volume status, blood glucose levels, fatigue levels, and nutritional status. Patient satisfaction surveys and interviews and monitoring healthcare utilization rates will help gauge the impact of interventions. Continuous improvement will be driven using data from these evaluations to refine and enhance care strategies (Sugandh et al., 2023). Implementing these change strategies aims to achieve desired clinical outcomes for patients with diabetes and related conditions, ultimately improving their overall health and quality of life through comprehensive, interprofessional, patient-centered care.

Justification of the Proposed Change Strategies

The proposed change strategies are relevant and appropriate for achieving desired clinical outcomes in diabetes management. Enhanced patient education and support empower patients by improving their knowledge and self-management skills, as supported by guidelines from the American Diabetes Association, which emphasizes comprehensive patient education for effective diabetes management (ADA, 2023). Interprofessional collaboration ensures cohesive care, leveraging the expertise of various healthcare professionals, as recommended by the National Institute for Health and Care Excellence (NICE) guidelines that highlight the importance of coordinated care in chronic disease management (Ju, 2022). Utilizing community resources provides additional support, aligning with best practices that recognize the role of community-based interventions in improving health outcomes. Regular monitoring and follow-up enable timely adjustments to care plans. Incorporating psychosocial support addresses mental health barriers to adherence, as outlined in research emphasizing the impact of psychological well-being on chronic disease management. These strategies address the multifaceted needs of patients, ultimately improving their health and quality of life.

Quality Improvement

The proposed change strategies are designed to improve safety and equitable care in diabetes management. Enhanced patient education improves safety by empowering patients with the knowledge to manage their condition, reducing the risk of complications. Interprofessional collaboration ensures comprehensive care, leveraging diverse expertise for more accurate diagnoses and safer, more effective treatments (Bhattad & Pacifico, 2022). Utilizing community resources and establishing care coordination promotes equitable access to care, addressing social determinants of health. Regular monitoring ensures early detection and intervention, enhancing patient safety. Psychosocial support addresses mental health barriers, promoting adherence and equitable care (Upadhaya et al., 2020). These strategies are supported by guidelines from the American Diabetes Association, the National Institute for Health and Care Excellence (NICE), and evidence from peer-reviewed studies, ensuring they are evidence-based and effective. Additionally, these strategies align with the Quadruple Aim by improving patient outcomes, enhancing patient experiences, reducing healthcare costs, and supporting healthcare provider well-being through coordinated and comprehensive care.

Utilizing  Interprofessional Considerations Ensuring Successful Implementation

Interprofessional collaboration is crucial for the successful implementation of change strategies in diabetes management. Strategies such as enhanced patient education, support, regular monitoring, and follow-up best leverage interprofessional considerations (Nurchis et al., 2022). These strategies ensure successful implementation by involving a team of dietitians, endocrinologists, social workers, nephrologists, and home health nurses, facilitating cohesive and comprehensive care. Regular interprofessional team meetings and shared electronic health records (EHRs) will enhance communication and coordination among healthcare providers. This collaboration not only ensures accurate and effective treatment plans but also supports the well-being of healthcare professionals by fostering a team-based approach, reducing individual workload, and enhancing job satisfaction. The strategies are supported by guidelines from the American Diabetes Association and the National Institute for Health and Care Excellence (NICE) (Forsyth et al., 2021). These guidelines promote patient safety and equitable care by addressing all patient needs comprehensively and collaboratively.

Conclusion

Diabetes-related renal disease significantly impacts global public health. The proposed change strategies focus on enhancing patient education, promoting interprofessional collaboration, utilizing community resources, and incorporating psychosocial support to improve clinical outcomes and quality of life for patients. By aligning with evidence-based practices and guidelines, these strategies aim to address the complex needs of patients with chronic conditions, ultimately mitigating complications and improving overall healthcare delivery.

References

ADA. (2023). Navigating nutrition | ADA. Diabetes.org. https://diabetes.org/food-nutrition 

Bhattad, P. B., & Pacifico, L. (2022). Empowering patients: Promoting patient education and health literacy. Cureus, 14(7). https://doi.org/10.7759/cureus.27336 

Coffey, J. D., Christopherson, L. A., Williams, R. D., Gathje, S. R., Bell, S. J., Pahl, D. F., Manka, L., Blegen, R. N., Maniaci, M. J., Ommen, S. R., & Haddad, T. C. (2022). Development and implementation of a nurse-based remote patient monitoring program for ambulatory disease management. Frontiers in Digital Health, 4(2). https://doi.org/10.3389/fdgth.2022.1052408 

Forsyth, J. R., Chase, H., Roberts, N. W., Armitage, L. C., & Farmer, A. J. (2021). Application of the National Institute for Health and Care Excellence Evidence Standards Framework for digital health technologies in assessing mobile-delivered technologies for the self-management of type 2 diabetes mellitus: A scoping review. JMIR Diabetes, 6(1), e23687. https://doi.org/10.2196/23687 

Ju, H.-H. (2022). Improving care coordination of patients with chronic diseases. The Journal for Nurse Practitioners, 18(8). https://doi.org/10.1016/j.nurpra.2022.06.011 

NKF. (2023, September 12). Social determinants of health and chronic kidney disease. National Kidney Foundation. https://www.kidney.org/atoz/content/social-determinants-health-and-chronic-kidney-disease 

NURS FPX 6021 Assessment 2 Change Strategy and Implementation

Nurchis, M. C., Sessa, G., Pascucci, D., Sassano, M., Lombi, L., & Damiani, G. (2022). Interprofessional collaboration and diabetes management in primary care: A systematic review and meta-analysis of patient-reported outcomes. Journal of Personalized Medicine, 12(4). https://doi.org/10.3390/jpm12040643 

Robertson, S. T., Rosbergen, I. C. M., Jones, A. B., Grimley, R. S., & Brauer, S. G. (2022). The effect of the electronic health record on interprofessional practice: A systematic review. Applied Clinical Informatics, 13(03), 541–559. https://doi.org/10.1055/s-0042-1748855 

Salas, S. E., & Arias, M. G. (2023). Behavior modification for lifestyle improvement. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK592418/ 

Sugandh, F. N. U., Chandio, M., Raveena, F. N. U., Kumar, L., Karishma, F. N. U., Khuwaja, S., Memon, U. A., Bai, K., Kashif, M., Varrassi, G., Khatri, M., Kumar, S., Sugandh, F., Chandio, M., Raveena, F. N. U., Kumar, L., Karishma, F. N. U., Khuwaja, S., Memon, U. A., & Bai, K. (2023). Advances in the management of diabetes mellitus: A focus on personalized medicine. Cureus, 15(8), 1–13. https://doi.org/10.7759/cureus.43697 

Tam, H. L., Wong, E. M. L., & Cheung, K. (2020). Effectiveness of educational interventions on adherence to lifestyle modifications among hypertensive patients: An integrative review. International Journal of Environmental Research and Public Health, 17(7). https://doi.org/10.3390/ijerph17072513 

NURS FPX 6021 Assessment 2 Change Strategy and Implementation

Tassew, W. C., Birhan, N., & Zewdu, Y. (2021). Incidence and predictors of acute kidney injury among newly diagnosed type 2 diabetes patients at chronic follow-up clinic of the University of Gondar comprehensive specialized hospital: A retrospective follow-up study. Research and Reports in Urology, Volume 13, 613–622. https://doi.org/10.2147/rru.s306467 

Upadhaya, N., Regmi, U., Gurung, D., Luitel, N. P., Petersen, I., Jordans, M. J. D., & Komproe, I. H. (2020). Mental health and psychosocial support services in primary health care in Nepal: Perceived facilitating factors, barriers, and strategies for improvement. BioMed Central Psychiatry, 20(1). https://doi.org/10.1186/s12888-020-2476-x 

Vidal, T. M., Williams, C. A., Ramoutar, U. D., & Haffizulla, F. (2022). Type 2 diabetes mellitus in Latinx populations in the United States: A culturally relevant literature review. Cureus, 14(3). https://doi.org/10.7759/cureus.23173 

NURS FPX 6021 Assessment 1 Concept Map

Name

Capella University

NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Prof. Name

Date

Concept Map: Acute Care Setting 

Concept Map: Home Health Community Setting

Introduction

This narrative presents an evidence-based nursing strategy outlined through concept maps, illustrating care plans for individuals experiencing acute and chronic renal failure across acute care and community settings. One concept map delineates the approach for a patient named Mrs. Smith, who was admitted to an acute care hospital with acute renal failure, while another depicts the management plan for a chronic renal failure patient dependent on hemodialysis residing within a home health community.

Value and Relevance of Evidence

The two concept maps designed for Mrs. Smith in acute and chronic healthcare settings have been meticulously crafted using contemporary evidence-based articles sourced from reputable medical, nursing, and health journals. These articles, all published within the past five years, offer valuable insights directly pertinent to Mrs. Smith’s case. Research by Yaman (2022) elucidates the connection between renal dysfunction and compromised tissue perfusion, highlighting overlapping symptomatology and shared pathophysiological mechanisms. Findings from Butturini et al. (2022) and Cai et al. (2021) shed light on the risk factors associated with acute kidney failure, such as impaired gas exchange and ineffective tissue perfusion. The article by James et al. (2020) support the interprofessional collaboration to manage chronic condition like diabetes and its complications like acute kidney failure. 

Furthermore, Suwardianto (2021) underscores the importance of supplemental oxygen administration and respiratory exercises to optimize breathing. Additionally, research evidence supports the implementation of mobilization assistance and progressive activity plans in patients like Mrs. Smith to improve physical function and promote recovery. Studies have consistently demonstrated the benefits of early mobilization and progressive activity in preventing deconditioning, enhancing functional independence, and improving overall outcomes in patients with acute and chronic conditions. For instance, a study by Alaparthi et al. (2020) found that early mobilization interventions, including assistance with activities such as transferring and ambulation, were associated with improved functional outcomes in hospitalized patients. These findings underscore the importance of mobilization assistance in preventing functional decline and promoting independence.

NURS FPX 6021 Assessment 1 Concept Map

Similarly, research by Asma et al. (2024) highlights the efficacy of progressive activity plans in improving physical function and quality of life in patients undergoing rehabilitation. By collaborating with physical therapy to tailor activity plans to individual abilities and goals, patients like Mrs. Smith can safely and gradually increase activity levels, leading to improvements in strength, endurance, and overall functional capacity.In the second concept map, all interventions are derived from evidence-based research studies tailored to Mrs. Smith’s needs. Nutritional education and meal planning assistance play a pivotal role, as research underscores their efficacy in empowering patients to make informed dietary choices, manage hyperglycemia, and improve overall well-being (Tamura et al., 2020; Powers et al., 2020).

Additionally, the value of regular skin assessments and pressure redistribution techniques cannot be overstated, given their role in preventing pressure ulcers, a common complication in chronic conditions like diabetes and renal failure. By adhering to evidence-based guidelines and implementing strategies such as pressure-relieving devices, Mrs. Smith’s risk of skin breakdown is mitigated, preserving skin integrity and enhancing overall comfort (Moore et al., 2020). Moreover, patient and family education on self-management and coping strategies holds immense relevance in Mrs. Smith’s care journey, fostering adherence to treatment regimens and facilitating coping with the challenges of chronic renal failure. Leveraging community resources and social support networks further empowers Mrs. Smith to overcome social isolation, improve diabetes management, and achieve better health outcomes in the long term (Campbell et al., 2021).

Interprofessional Strategies

Interprofessional strategies applied to the concept maps for Mrs. Smith can play a pivotal role in achieving desired outcomes by fostering collaboration, communication, and coordination among healthcare team members. In Mrs. Smith’s case, involving a diverse team comprising nurses, physicians, physical therapists, dieticians, and social workers ensures a holistic approach to her care, addressing various aspects of her health and well-being. For example, mobilization assistance and progressive activity plans in the acute care concept map necessitate close collaboration between nursing staff and physical therapists (Barnard et al., 2020).

By working together, they can tailor interventions to Mrs. Smith’s abilities, monitor her progress, and adjust the plan as needed to optimize her mobility and physical function. This interprofessional collaboration enhances the effectiveness of interventions, promotes patient safety, and facilitates timely interventions. Similarly, in the second concept map of community home health setting, collaboration among nurses, dieticians, and social workers is essential for implementing interventions such as nutritional education and meal planning assistance, as well as patient and family education on self-management (Afandi et al., 2023). By leveraging the expertise of each team member, Mrs. Smith can receive comprehensive support in managing her chronic condition, improving her nutritional status, and enhancing her coping skills and social support network.

Despite the benefits of interprofessional collaboration, there may be knowledge gaps or areas of uncertainty that could impact the effectiveness of the applied strategies. For instance, there may be uncertainty regarding the most appropriate timing and intensity of mobilization activities in the acute care setting, particularly in patients with complex medical conditions like Mrs. Smith. Additionally, further information may be needed to determine the optimal frequency and duration of nutritional education sessions or the most effective methods for addressing social isolation in patients with chronic illnesses. 

Conclusion

In summary, the concept maps for Mrs. Smith highlight the significance of evidence-based interventions and interprofessional teamwork in addressing her healthcare needs. By implementing tailored strategies, healthcare teams can optimize Mrs. Smith’s outcomes. However, addressing knowledge gaps and uncertainties is crucial for enhancing the effectiveness of interventions. Through collaboration and continuous improvement, Mrs. Smith can receive holistic care and improve her quality of life.

References

Afandi, A., Candrayani, M., Ardiana, A., & Fariasih, C. (2023). Interprofessional collaboration in patients diabetes mellitus: A case study. Jurnal Kesehatan Komunitas Indonesia, 3(1), 126–136. https://doi.org/10.58545/jkki.v3i1.67 

Alaparthi, G. K., Gatty, A., Samuel, S. R., & Amaravadi, S. K. (2020). Effectiveness, safety, and barriers to early mobilization in the intensive care unit. Critical Care Research and Practice. https://doi.org/10.1155/2020/7840743

Asma, S., Gilani, M. H. Z., Aroofa, H., Safdar, G., Raza, A., & Ataullah, A. (2024). Effects of progressive resistance exercise training on endurance and functional mobility in children with spina bifida: Progressive resistance exercise training in spina bifida. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 4(2), 937–947. https://doi.org/10.55735/hjprs.v4i2.237 

Barnard, R., Jones, J., & Cruice, M. (2020). Communication between therapists and nurses working in inpatient interprofessional teams: Systematic review and meta-ethnography. Disability and Rehabilitation, 42(10), 1–11. https://doi.org/10.1080/09638288.2018.1526335 

Butturini, E., Carolina, A., Magalhães, R. F., Pinto, E. F., Cynthia, Antunes, M. A., Baldavira, C. M., Ramos, K., Teodoro, W. R., Gama, M., Felix, N. S., Pelosi, P., Rocco, & Silva, P. L. (2022). Effects of different fluid management on lung and kidney during pressure‐controlled and pressure‐support ventilation in experimental acute lung injury. Physiological Reports, 10(17). https://doi.org/10.14814/phy2.15429

NURS FPX 6021 Assessment 1 Concept Map

Cai, X., Wu, G., Zhang, J., & Yang, L. (2021). Risk factors for acute kidney injury in adult patients with COVID-19: A systematic review and meta-analysis. Frontiers in Medicine, 8. https://doi.org/10.3389/fmed.2021.719472 

Campbell, D. J. T., Campbell, R. B., DiGiandomenico, A., Larsen, M., Davidson, M. A., McBrien, K., Booth, G. L., & Hwang, S. W. (2021). Using a community-based participatory research approach to meaningfully engage those with lived experience of diabetes and homelessness. BMJ Open Diabetes Research & Care, 9(1), e002154. https://doi.org/10.1136/bmjdrc-2021-002154 

James, M. T., Bhatt, M., Pannu, N., & Tonelli, M. (2020). Long-term outcomes of acute kidney injury and strategies for improved care. Nature Reviews Nephrology, 16(4), 193–205. https://doi.org/10.1038/s41581-019-0247-z 

Moore, Z., Patton, D., Avsar, P., McEvoy, N. L., Curley, G., Budri, A., Nugent, L., Walsh, S., & O’Connor, T. (2020). Prevention of pressure ulcers among individuals cared for in the prone position: Lessons for the COVID-19 emergency. Journal of Wound Care, 29(6), 312–320. https://doi.org/10.12968/jowc.2020.29.6.312 

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of Pas, the American Association of Nurse Practitioners, and the American pharmacists association. Journal of the American Pharmacists Association, 60(6), 1–18. https://doi.org/10.1016/j.japh.2020.04.018

NURS FPX 6021 Assessment 1 Concept Map

Suwardianto, H. (2021). Critical nursing care with nursing problems, impaired gas exchange and inhibition of spontaneous ventilation in patient with coronary heart disease: A case study. STRADA Jurnal Ilmiah Kesehatan, 10(1), 632–638. https://doi.org/10.30994/sjik.v10i1.679 

Tamura, Y., Omura, T., Toyoshima, K., & Araki, A. (2020). Nutrition management in older adults with diabetes: A review on the importance of shifting prevention strategies from metabolic syndrome to frailty. Nutrients, 12(11), 3367. https://doi.org/10.3390/nu12113367 

Yaman, A. (2022). Severe rhabdomyolysis and acute renal failure treated by continuous venovenous hemodiafiltration in a child with diabetic ketoacidosis. Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine, 26(1), 136–138. https://doi.org/10.5005/jp-journals-10071-2409