1.2 Evidence based practice
In nursing, practice is a dynamic function which changes over time due to new scientific and empirical evidence (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996). Regardless of this concept, some provide care as a routine and this can be avoided by combing the right professional approach with the best known recent evidence (Gerrish, Communicating and Disseminating Research, 2006).
EBP is guided into practice by various valid processes. First of all, a problem needs to be identified and a research question formed (Santos, Pimenta, & Nobre, 2007). A virtuous research is then done to shield as much evidence as possible. The evidence will be appraised on its methodology and findings which will then be modified …show more content…
The nurse should be capable to help the diabetic patient choose the best treatment which will suite him the most after discussing and explaining the advantages and disadvantages of the treatment.
According to Rocchiccioli et al, 2005, in Malta 1% of the populations suffers from type 1 diabetes and 9% from type 2 diabetes, making it the worst chronic condition on the island.
A large proportion of the Maltese population is diabetic with a high expectancy to increase in the future and with no one in Malta using inhaled insulin. Due to this, this study was performed to compare the efficacy of inhaled insulin compared with subcutaneous injected insulin to see which one offers the best result.
1.4 Background Information
Insulin is released by the beta cells of the pancreas and is utilized by the body cells keeping the blood glucose level in the range of 3.9-6.66 mmol/L (Michel, 2011). However, diabetes is defined by Michel (2011, pg. 1218) as a ‘chronic multisystem disease related to abnormal insulin production, impaired insulin utilization or …show more content…
While on the other hand, type 2 diabetes insulin is till produced, but the productivity of insulin is either decreased or it is underutilized by the body (Michel, 2011).
A common aspect between both insulins is the fact that blood glucose levels are not controlled, thus leading to a loss of homeostasis that can lead to future complications (Michel, 2011). Here under, the main aspect of this dissertation will be on type 1 diabetes.
Diabetes control and research trial (1993), emphasise the importance of keeping the glycemic levels near normal, to avoid any future diabetes complications. This can be achieved by intensive insulin therapy (Johansson, Adamson, Lins and Wredling, 2005).
When on insulin therapy the patient has to take exogenous insulin to make up for the decreased production of endogenous insulin (Fatourechi et al., 2009). With insulin therapy the diabetic has to follow the body’s needs of insulin and tries to keep the level of glucose within the normal range (Fatourechi et al.,
In nursing, practice is a dynamic function which changes over time due to new scientific and empirical evidence (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996). Regardless of this concept, some provide care as a routine and this can be avoided by combing the right professional approach with the best known recent evidence (Gerrish, Communicating and Disseminating Research, 2006).
EBP is guided into practice by various valid processes. First of all, a problem needs to be identified and a research question formed (Santos, Pimenta, & Nobre, 2007). A virtuous research is then done to shield as much evidence as possible. The evidence will be appraised on its methodology and findings which will then be modified …show more content…
The nurse should be capable to help the diabetic patient choose the best treatment which will suite him the most after discussing and explaining the advantages and disadvantages of the treatment.
According to Rocchiccioli et al, 2005, in Malta 1% of the populations suffers from type 1 diabetes and 9% from type 2 diabetes, making it the worst chronic condition on the island.
A large proportion of the Maltese population is diabetic with a high expectancy to increase in the future and with no one in Malta using inhaled insulin. Due to this, this study was performed to compare the efficacy of inhaled insulin compared with subcutaneous injected insulin to see which one offers the best result.
1.4 Background Information
Insulin is released by the beta cells of the pancreas and is utilized by the body cells keeping the blood glucose level in the range of 3.9-6.66 mmol/L (Michel, 2011). However, diabetes is defined by Michel (2011, pg. 1218) as a ‘chronic multisystem disease related to abnormal insulin production, impaired insulin utilization or …show more content…
While on the other hand, type 2 diabetes insulin is till produced, but the productivity of insulin is either decreased or it is underutilized by the body (Michel, 2011).
A common aspect between both insulins is the fact that blood glucose levels are not controlled, thus leading to a loss of homeostasis that can lead to future complications (Michel, 2011). Here under, the main aspect of this dissertation will be on type 1 diabetes.
Diabetes control and research trial (1993), emphasise the importance of keeping the glycemic levels near normal, to avoid any future diabetes complications. This can be achieved by intensive insulin therapy (Johansson, Adamson, Lins and Wredling, 2005).
When on insulin therapy the patient has to take exogenous insulin to make up for the decreased production of endogenous insulin (Fatourechi et al., 2009). With insulin therapy the diabetic has to follow the body’s needs of insulin and tries to keep the level of glucose within the normal range (Fatourechi et al.,