Article About Diabetes Patients

Nowadays, mankind has been considerably progressing in the area of medicine. Though many of diseases remain impossible to be cured, there is opportunity to reduce certain symptoms’ effects on the life and comfort of the patients. While biologists, chemistry and physicians are attempting to research new types of treatment, the nurses are challenged with providing appropriate care to those, who need it most. People, who suffer from diabetes today, can not survive without some medicines and procedures. In this work I want to discuss methods of appropriate nursing care towards the diabetic patients, who need assistance in foot care in the context of recent nursing journal articles.

In brief, my search topic of interest is identification of qualified nursing methods that promote to efficient management of the patients with different forms of diabetes. Prior to conducting a preliminary search of the academic literature, my understanding of this topic was incomplete and inaccurate, an understanding particularly shaped by noticing difference between real-life cases and literature. The matter is that while most of the researchers have emphasized the role of support and assistance towards diabetes patients, contemporary nurses rarely implement methodological approaches to communication with the patients. By exploring a gap between theory and practice, I want to show that this topic’s significance to nursing is obvious to those, who are convinced in the necessity of providing holistic nursing care instead of fragmental assistance concerning basic needs of diabetic patients. This approach is very important to nursing because it helps to implement humanistic standards and patient-centered care in daily nursing practice. This position is supported by a recent publication “Diabetes online: Improving diabetes management with online cognitive behavioural therapy” written by author who suggested that the influence of the psychological state of diabetic patients is frequently overlooked (Ismail, 342, 2014).  The author stated that diabetes is usually followed with low mood and depression. However, as soon as these problems are identified by health care providers, pediatric patients are provided with psychological assistance, whereas the adults are recommended to visit the NHS Improving Access to Psychological Therapies program. Nevertheless, the workers of this program are unaware of providing psychological help to those, who have diabetes. Such situation proves that contemporary nursing demands accurate combination of medical and psychological knowledge concerning diabetes patients.

In my preliminary search of the academic literature, I identified two, recently published articles using the search terms diabetes, end-of-life care and diabetic foot. The three rationale for selecting these two articles are: 1. As these articles were written in 2014, they include recent data concerning the latest nursing practices regarding diabetes patients management; 2. Both articles provide the instructions for specific problems of patients with diabetes, in which the nurses have to deal with diabetes complications, such as foot diabetes and problems of end-of-life patients; 3. The authors of these articles justify the need for appropriate approach to nursing, as methodology considerable influences the characteristics and outcomes of nursing. In addition, these sources fit the criteria of credibility and relevance. 

The identified purpose of the first article “Death, dying and diabetes: The importance of providing condition-specific end-of-life care” written by June James (2014) is to discover the most appropriate approach to guidance for end-of-life patients with diabetes. The identified purpose of the second article titled “Nurses’ role in diabetic foot prevention and care; a review”, authored by Aalaa, Malazy, Sanjari, Peimani and Mohajeri-Tehrani (2014) is to explore the role of the nurse as health care professional, who educates, assists and supports diabetes patients with complications. This article is also aimed to discuss the methodological principles of multisided nursing care towards foot diabetes. Having read the two articles, my original understanding of the topic is supported and challenged by the conclusions of the authors. For instance, the article by James demonstrated the need for individual approach to the end-of-life patients with diabetes via end-of-life stages and specific nursing assistance accordingly.  Radzilovsky’s article supported by suggestions concerning nurses’ extended responsibilities for detection of any changes in diabetes patients’ condition. 

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Conclusion

It is worth identifying the epistemological, ontological, and conceptual/theoretical approaches revealed in the articles. First of all, both articles were based on previous researches, in which the key concepts, ideas and theories regarding nursing care towards diabetes patients have been already stated.  Based on standard definition of terms and concepts, both articles contain well-structured arguments, supported by statistical data and evidence from particular cases. Epistemologically, justification of conclusions concerning responsibility and significance of nurse regarding foot diabetes patients demands explanation of general duties of nurses in the context of specific cohort of the patients. Ontologically, the authors of the first article confirmed the need for appropriate care for diabetic patients on every stage of this illness, because human life is the greatest value that should be guaranteed by health care professionals in every period of people with diabetes’ life. I know this because James has referred to the pioneer of healthcare, who insisted of maintaining the patients’ life in sufficient condition: “You matter because you are you. You matter to the last moment of your life and we (healthcare professionals) will do all we can, not only to help you die peacefully, but also to live until you die.” (316, 2014). Thus, the key ontological approach of this article is drawn from justification of value of every moment of individual’s life. Unique personality and individual experience of every patient makes him or her worth condition-specific nursing care that involves psychological assistance of patient and their family members. The article by Aalaa et al is focused on methodological approaches to foot diabetes patients management. In particular, its theoretical approach is grounded on analysis of researches concerning the topic in order to emphasize the key responsibilities of the nurses who deal with diabetic patients. For instance, “nurses as members of the diabetes care team not only need to be play their role in health care, public education, health system management, patient care and improving the quality of life, but also must attend in special training to use the latest instructions of diabetic foot care in order that provides the effective services to facilitate promote diabetic patients health.” (Aalaa et al, 4, 2014). It means that the role of a nurse also lies in preventing complications and disease instead of simple guiding and educating the patients. That is why in this article the significance of nurse as the key specialist for foot diabetic patients is given innovative conceptual meaning.

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