Diabetes Management

It is anticipated that the initial discussion post should be in the range of 450-500 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
Classroom Participation
Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.
Initial Response
Scenario
You are seeing a 64-year-old Hispanic male for his diabetes management. He reports that his morning capillary blood sugar readings are ranging in the 150 to 190 range.
• Last month his Hgb A1C was 7.4
• He is on Metformin 1000mg twice a day and Glipizide 5mg daily.
• He walks a couple miles three to five times a week.
• A dietary review reveals that his daily total carbohydrate intake is in the range of 75 to 100 grams.
• Last eye exam did not reveal any problems. He wears reading glasses when needed.
• He does report some intermittent burning sensation in his feet.
• Ht 6’2”, Wt 200 lbs, BP 118/72, P 72, R 17
• Heart regular rhythm, without murmur or gallop
• Lungs clear
• Monifilament testing does not reveal any decreased sensation in the feet
Please develop a discussion that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion.
Initial Post
Utilize the information provided in the scenario to create your discussion post.
Construct your response as an abbreviated SOAP note (Subjective Objective Assessment Plan).
Structure your ‘P’ in the following format: [NOTE: if any of the 3 categories is not applicable to your plan please use the ‘heading’ and after the ‘:’ input N/A]
Therapeutics: pharmacologic interventions, if any – new or revisions to existing; include considerations for OTC agents (pharmacologic and non-pharmacologic/alternative); [optional – any other therapies in lieu of pharmacologic intervention]
Educational: health information clients need in order to address their presenting problem(s); health information in support of any of the ‘therapeutics’ identified above; information about follow-up care where appropriate; provision of anticipatory guidance and counseling during the context of the office visit
Consultation/Collaboration: if appropriate – collaborative ‘Advanced Care Planning’ with the patient/patient’s care giver; if appropriate -placing the patient in a Transitional Care Model for appropriate pharmacologic and non-pharmacologic care; if appropriate – consult with or referral to another provider while the patient is still in the office; Identification of any future referral you would consider making
Support the interventions outlined in your ‘P’ with scholarly resources.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Your initial response is due by Wednesday at 11:59 pm CT.
Estimated time to complete: 2 hours
Peer Response
Collaborative Posts
• Read the SOAP notes constructed by your course colleagues.
• Review the ‘P’s posted by your peers from your advanced practice nursing role perspective – educator, leader or practitioner. From your advanced practice mindset reflect on a discussion you would like to have with two of your course colleagues about their ‘P’.
• Post a response individually to each of them that expresses your advanced practice nursing role perspective of their ‘P’.
Use scholarly resources relevant to your advanced practice nursing role to support the key elements of the peer discussions you construct. [For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the ‘P’, or do you want to comment on the fact that a peer put N/A for educational, etc.?’; if you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the ‘P’, or adherence to the Patient Bill of Rights, etc.?; if you are a nurse practitioner did your peer develop a ‘P’ that aligns with EBP/CPG guidelines and/or the foundational basic sciences, etc.?
Please be sure to validate your opinions and ideas with citations and references in APA format.

HI GREAT WRITER-I NEED 5 PAGES

1. SUBJECTIVE. I NEED 150 WORDS
2. OBJECTIVE. I NEED 150 WORDS
3. ASSESSMENT. I NEED 150 WORDS
4. PLAN. I NEED 150 WORD
5. THERAPEUTIC. I NEED 300 WORDS
6. EDUCATIONAL. I NEED 300 WORDS
7. CONSULTATION/COLLABORATION. I NEED 300 WORDS

I OUTLINE IT AS I NEED. I DO NOT WANT A ROS (REVIEW OF SYSTEM) DONE BECAUSE I HAD TO DELETE ALL OF THAT FROM THE PRIOR ORDERS
SUBJECTIVE. IS WHAT THE PATIENT SAYS HAPPENENING
OBJECTIVE. IS WHAT I SEE AS A PRACTITIONER
ASSESSMENT IS WHAT I CAME UP WITH FROM THE SUBJECTIVE AND OBJECTIVE DATA ETC
I NEED AN EXTENSIVE PLAN, THERAPEUTIC, EDUCATIONAL AND CONSULTATION DATA.
PLEASE DON’T GENERALIZED-WE ARE TALKING ABOUT THIS PATIENT SPECIFICALLY.

I AM ALSO SENDING INSIGHTS
ACTUALLY I MERGED BOTH DISCUSSIONS. DISCUSSION BOARD 1 AND DISCUSSION BOARD 2 HERE. IGNORE THE PEERS RESPONSES ON THE INSIGHT BECAUSE I DON’T NEED RESPONSES I ONLY NEED BOTH DISCUSSIONS TO BE ADDRESSED
EACH DISCUSSION BOARD WILL BE 5 PAGES MAKING A TOTAL OF 10 PAGES
I NEED 4 REFERENCES ON EACH DISCUSSION BOARD

APA 7TH EDITION
REFERENCES LESS THAN 5 YEARS
ENSURE NO PLAGARISM-PLEASE