Grand Canyon University W 5 Evidence Based Practice Diabetes Presentation hey I am in charge of putting together a group project power point that I need ba

Grand Canyon University W 5 Evidence Based Practice Diabetes Presentation hey I am in charge of putting together a group project power point that I need back to me no later than 7 pm eastern standard time on Sunday so that I can submit it to the group for their review before I turn it in. I have all of their data for you to look at that they were responsible for collecting. Some of them put their responses to the question they chose to answer in power point form, but I would just use the data and make a new organized power point so it all looks uniform. This is the last project for this class and I hate group projects. I am then off for 2 weeks. Forum for CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes

Empagliflozin (Jardiance) is an SGLT-2 inhibitor
SGLT-2 inhibitors block glucose reabsorption in the kidney
Cause glucose excretion resulting in diuretic effect
Taken orally once daily with or without food
Dosage is 10-25 mg
Patients must have a GFR of at least 45 to use
Minimal risk for causing hypoglycemia
First drug approved by FDA to reduce risk of cardiovascular death in adults with Type II DM
Target patient population has both Type II DM and CVD, HF or CV risk
CV death is 70% higher in diabetic patients than non-diabetic patients
Presence of both DM and CVD increases the risk of death
Research Findings
7020 patients treated over average of 3.1 years
Patients with DM at high risk for CV events had lower rate of death
38% risk reduction in death from CV causes
35% risk reduction in hospitalization for HF
32% risk reduction in death from any cause
Hey everyone! Katlyn, thanks for noticing we need a research article! I had not caught that. One of my besties is a
primary care pharmacist. I asked what she thought and she had a couple of suggestions:
1. Metformin-it is the oldest oral DM medication, but still the best. The goal with it is to prevent DM and
preserve pancreatic function. We would need to pick a patient population though. Here is an article on preDM and metformin for prevention: We would need another article or some evidence in
particular population.
Jardiance- this med has changed our policy at the VA. It is found to help patients that have DM and CVD or
heart failure. It is considered ground breaking for treatment in patients who have both. So, I think if we use
this the patient population might be patients who have both? Not sure. Here is some info on it. A study and
supporting articles:
1. Children who are type 1-there is only 1 treatment for this: insulin. I did not look for articles on this.
****** The above websites go along with the above bullet points submitted by one student *****
This is a Collaborative Learning Community (CLC) assignment.
As a group, identify a research or evidence-based article published within the last 5 years that focuses
comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or
children. The article must be relevant to nursing practice.
Create a 10-15 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an
intervention. Include speaker notes for each slide and additional slides for the title page and references.
Include the following:
1. Describe the intervention or treatment tool and the specific patient population used in the study.
Summarize the main idea of the research findings for a specific patient population. The research presented
must include clinical findings that are current, thorough, and relevant to diabetes and nursing practice.
Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into
nursing practice. Provide evidence to support your discussion.
Explain why psychological, cultural, and spiritual aspects are important to consider for a patient who has been
diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of
care for the patient. Provide examples.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published
within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and
documentation of sources should be presented using APA formatting guidelines, which can be found in the APA
Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with
the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for
Psychological, cultural, and spiritual aspects
Emotional distress in Diabetes
Emotional reaction
Diabetes Distress

• Overwhelmed for
self management
• Frustrated
• Difficulty in
• Distress on
differential food
in the family
Phobia Reactions

Fear of
Starting on
• Poor glycemic control
• Self-care behavior and treatment adherence
• Reduced quality of life
• Increased diabetes related complication
Psychiatric disorder

Eating disorder
• Diabetes is a lifelong metabolic condition that effects individuals coping with it,
including physical, social and emotional well-being.
• Psychosocial issues which are more prevalent in patients with diabetes can have a
significant detrimental effect on the well-being and social life of patients if left
• Nurses can simply acknowledge an individual’s emotional needs, refer them for
counseling, etc.
• In the US and in other nations across the globe, type 2 diabetes impacts racial /
ethnic minorities at an unprecedented pace.
• Racial / ethnic minorities typically have higher Type 2 diabetes prevalence levels
and all of the symptoms relative to mainstream groups.
• Cultural barriers include: lack of knowledge, fear and distrust, stereotyping,
assumed similarity, nonverbal communication, authority, physical touch/contact,
verbal languages and styles.
• Nurses can break the barriers by patient education
• Spirituality is often seen as a coping strategy. Spirituality is an
important part of a person’s well-being, which must be integrated
according to individual needs.
• In Western and Asian countries spirituality is used together with food,
exercise and medicine.
• Religious practice are important while considering diabetes
management, as we need to consider the medical safety of the
Kalra, S., Jena, B. N., & Yeravdekar, R. (2018). Emotional and Psychological Needs of
People with Diabetes. Indian journal of endocrinology and metabolism, 22(5), 696–704. Retrieved form
Sridhar, G.R. Diabetes, religion and spirituality. Int J Diabetes Dev Ctries 33, 5–7 (2013). Retrieved from
Provide a descriptive and reflective discussion of how the new
tool or intervention can be integrated into nursing practice.
Provide evidence to support your discussion.
Katlyn Svor
Impact on Nursing Practice
Jardiance (empagliflozin) is a relatively safe drug for type II diabetics to take who also have cardiovascular disease, but
there are some precautions that nurses need to be aware of when administering this drug to their patient.
-Check blood sugars routinely to check for hypoglycemia
Jardiance is antidiabetic drug and therefore decreases blood glucose levels excreting through the urine and feces and it
has a half life of 12.4 hours (Jardiance (empagliflozin) dosing, indications, interactions, adverse effects, and more, 2020)
Blood sugars and patient assessment should be done routinely while starting this drug to ensure hypoglycemia does
not occur. Nurses should also educate patients on signs and symptoms of hypoglycemia.
Impact on Nursing Practice
Jardiance is excreted in the urine so it causes an increased risk of genital infection, increased risk of
Urinary Tract Infection (UTI), caution with uncircumcised males.
Jardiance is excretes glucose through urine so genital infection has been seen as more common side effect of the
drug. A recent study involving a randomized controlled trial showed there was an increased risk of genital infection
occurring, however the risk of UTI still remains uncertain (Liu, Li, Li, Jia, Deng, Chen & Sun, 2017).
Teaching should be given on proper peri-care, adequate hygiene and adequate cleaning in uncircumcised males as
they are at a more increased risk of developing infection than their circumsized counterparts.
Impact on Nursing Practice
Risk of hypotension, encourage adequate fluid intake, check basic metabolic profile (BMP) before and
after initial dose. Also Stop taking before scheduled surgery.
While an SGLT2 Inhibitor is not a diuretic, it can behave like one at times. It is important to encourage adequate fluid intake so
hypotension does not occur and vital signs should be monitored when initiating doses, and be sure to be with them when they
get up to prevent falls related to orthostatic hypotension, and encourage patients to get up “slowly” to prevent syncope.
A BMP should ideally be taken before and after beginning Jardiance to monitor for low glucose and potassium levels as well as
Creatine and GFR. Patients with high creatinine and low GFR should not be taking Jardiance as it could cause further kidney
Per recommendation from the FDA patients should stop taking Jardiance 3-4 days before surgery to prevent the risk of diabetic
ketoacidosis (Healio, 2020).
Healio. (2020, March 17). FDA: Suspend SGLT2 inhibitors before surgery. Retrieved April 16, 2020, from{b723bc2f-2dfd-4ae0-b159-a5872ff4979d}/fda-suspendsglt2-inhibitors-before-surgery
Jardiance (empagliflozin) dosing, indications, interactions, adverse effects, and more. (2020, March 18). Retrieved
April 16, 2020, from
Liu, J., Li, L., Li, S., Jia, P., Deng, K., Chen, W., & Sun, X. (2017). Effects of SGLT2 inhibitors on UTIs and genital
infections in type 2 diabetes mellitus: a systematic review and meta-analysis. Scientific Reports, 7(1). doi:

Purchase answer to see full

Don't use plagiarized sources. Get Your Custom Essay on
Grand Canyon University W 5 Evidence Based Practice Diabetes Presentation hey I am in charge of putting together a group project power point that I need ba
Just from $13/Page
Order Essay
Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.