Phase V .Apa Seven

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Phase 1 Planning: Diabetes Type 1 in Children and Adolescents

Anilemys Paneca

Florida National University

May 26, 2021

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Introduction

Diabetes Type 1 also known as juvenile(insulin-dependent diabetes) is a chronic disorder

that triggers the pancreases to generate little insulin that what the body needs. Insulin is a hormone

that permits glucose to have access in the body responsible for producing energy. Multiple studies

have ascertained that children and adolescents who have diabetes type 1 displays after some weeks

symptoms such as polyphagia, polyuria, polydipsia, ketonemia, and ketonuria which is usually

triggered due to low renal glucose in the body. American Diabetes Association published a

position statement concerning the subject. The objectives involved innovating effective procedures

to manage the disorder. The paper seeks to examine diabetes type I in the mentioned population,

strategies to address the issue and the recommendations on the same.

Literature Review

Research Questions

1. Diabetes Type 1 in children and adults

2. What strategies can the nurses utilize to address the health problem?

3. The roles and activities of the nurses in caring for the type 1 diabetes in children and

adolescents in managing the disease.

4. The recommendations to curb the situation

Diabetes Type 1 in Children and Adolescents

Diabetes type 1 among children and adolescents have become more prevalent as the years

go by and that is why it is crucial to address the problem. The recent study done by Dabe-lea et al.

(2014), reported that from a sample of 3335,6872, 5003 participants came out positive for diabetes

type 1 health condition. The same study observed that the prevalence related closely with age,

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race/ethnic factors including sex. Another study conducted by Abbasi et al. (2017), also showcased

that for many decades, there has been an increase of children and adolescents with type 1 diabetes

of approximately 22% among the mentioned population in the United States.

The prevalence was reported in both male and female children and adolescents in all races

that is the whites, blacks, Asians and Hispanics aged above five years old. The findings came as

unexpected since from the historically diabetes type 1 was associated with white children and

young people, however, the findings reported by showed that there was a prevalence burden to

other minority groups.

It therefore reveals that an increase in type 1 diabetes patients over the years displays an

increase in disorder incidence, reduced in mortality or both the cases. When we talk about the

mortality, it means that diabetes generally among the youths is low and an increase in type 1

diabetes incidence explains it all for across the nations, its prevalence in the contemporary society

have been observed and in all the races. Also considerable longitudinal researches have observed

that people at risk for getting type 1 diabetes have displayed that the health condition is a

continuum that develops unintermittedly at distinct yet predictable rates via different stages prior

the onset of signs and symptoms.

The topic is significant to nursing practice for it will clearly highlight the role nurses play

in facilitating the needed care and how they manage barriers related to type 1 diabetes. According

to the International Diabetes Federation in 2017, children and adolescents are victims of type 1

diabetes and by 2050, the number will rise to 430 million (Patterson et al.,2019). The nurses can

utilize such relevant information and conduct both qualitative and quantitative research. It will

permit the nurses and other medical professionals to examine and evaluate complex questions in

all aspects of clinical setting with the integration of different findings.

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What strategies can the nurses utilize to address the health problem?

The nurses can address the health problem by developing a patient-centered

communication that focuses on the patient’s needs, preferences. also a plan that evaluates the

literacy of the patients since our focus was on children and adolescents and talk about the cultural

barriers and factors that might hinder effective care to the mentioned population. Secondly, the

nurses and other relevant personnel can ensure that treatment procedures and done within the

shortest time possible basing on evidence-based principles that are linked to patient’s preferences,

comorbidities including prognoses.

It is crucial for the clinical professionals to comprehend that care given to type 1 diabetes

children and adolescents with relevant elements of chronic care blueprint to ensure meaningful

interactions between a prepared proactive practice nurses and an informed activated patient.

Moreover, healthcare systems should embrace team-based care while involving the community in

the entire practice for it will enhance patient’s quick recovery and meeting clinical objectives of

quality care. when the treatment is patient centered integrated with evidence-based practice can

bring significant change to the healthcare practices (Saydah et al., 2017). Creating awareness to the

public on the prevalence of diabetes type 1 among children and adolescents will make them engage

in healthy practices and also undergo screening to help treat victims as early as possible.

The roles and activities of the nurses in caring for the type 1 diabetes in children and

adolescents in managing the disease.

The nurses engage in advocacy for patients with diabetes type 1 to ensure the patients get

relevant support. The support can be inform of policy implementation which will advocate for

quality care with cost-effectiveness for he mentioned population. The support should also include

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easy access for medical intervention and drugs especially the insulin for the patients at all times

(Sanyoura et a., 2018). Multiple studies have affirmed that there has been enhancement in the

quantity of patients with diabetes who get treated with statins and getting the recommended A1C,

hypertension, including LDL cholesterol in the past decade.

The recommendations to curb the situation

I would recommend the patients should adhere to the directives from their care providers.

Secondly, there should be a thorough revision on the barriers that can hinder effective care to the

victims. Thirdly, there should be scheduled follow-up for the patients treated for diabetes type 1

disorder to monitors their progress (Sanyoura et al., 2018). The patients and their care givers

should also ensure they observe their dietary programs, engage in physical activities for it will help

them manage their weight. Most important, take insulin as directed by the physician. The

government has a role to ensure they make easy access of the medication by communicating with

the supply chain.

Conclusion

Diabetes Type 1 also known as juvenile(insulin-dependent diabetes) is a chronic disorder

that triggers the pancreases to generate little insulin that what the body needs. American Diabetes

Association published a position statement concerning the diabetes type 1. Their objectives

involved innovating effective procedures to manage the disorder for it has been ascertained by

several studies of its prevalence in the mentioned population. It is therefore essential for all the

healthcare workforce to work together to ensure patients get relevant care. They should be

educated on the significance of managing their weight by controlling their diet, engaging in

physical activities and also follow doctor’s directives.

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References

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Abbasi, A., Juszczyk, D., van Jaarsveld, C. H., & Gulliford, M. C. (2017). Body mass index and

incident type 1 and type 2 diabetes in children and young adults: a retrospective cohort

study. Journal of the Endocrine Society, 1(5), 524-537.

Dabelea, D., Mayer-Davis, E. J., Saydah, S., Imperatore, G., Linder, B., Divers, J., ... & Hamman,

R. F. (2014). Prevalence of type 1 and type 2 diabetes among children and adolescents

from 2001 to 2009. Jama, 311(17), 1778-1786.

Patterson, C. C., Karuranga, S., Salpea, P., Saeedi, P., Dahlquist, G., Soltesz, G., & Ogle, G. D.

(2019). Worldwide estimates of incidence, prevalence and mortality of type 1 diabetes in

children and adolescents: Results from the International Diabetes Federation Diabetes

Atlas. Diabetes research and clinical practice, 157, 107842.

Sanyoura, M., Philipson, L. H., & Naylor, R. (2018). Monogenic diabetes in children and

adolescents: recognition and treatment options. Current diabetes reports, 18(8), 1-13.

Saydah, S., Imperatore, G., Cheng, Y., Geiss, L. S., & Albright, A. (2017). Disparities in diabetes

deaths among children and adolescents—United States, 2000–2014. MMWR. Morbidity

and mortality weekly report, 66(19), 502.