[Solved] PN2 PROJECT

Assignment Prompt & Instructions

– ## PN2PROJECTASSIGNMENT.docx – ## PICOTCLINICAL.docx – ## teegirl.docx – ## Volatinpo_PN2Project__02152024.docx **## PN2PROJECTASSIGNMENT.docx** Module 07 Course Project-Paper Submission Top of Form Bottom of Form Module 07 Content 1. Top of Form Your paper for the course project should be a 2-3 page APA paper (not including title page and the reference page) that describes the clinical problem and the following: · Reason for choosing this topic · The PICOT question · Possible integration of the evidenced that you found in clinical practice · Methods to evaluate the effectiveness of implementation Submit your completed assignment by following the directions linked below. Please check the **Course Calendar** for specific due dates. NOTE APA, CITATION, AND REFERENCING Strictly PLAGIARISM-CHECK Bottom of Form **## PICOTCLINICAL.docx** **NOTE** **This is what she wanted for the PICOT clinical question** **Attempt 2** Submitted 1/12/24, 7:04 PM (CST) [**100%**](https://ultra.content.blackboardcdn.com/ultra/uiv3900.84.0-rel.28_6c1ddc7) Assignment Content **Assignment Content** 1. **Clinical Question** – Formulate a clinical question using the PICOT format. P: Patient Population I: Intervention or area on Interest C: Comparison intervention or group O: Outcome T: Time Ex: "In _acute care hospitals_ (patient population), how does having a _rapid response team_ (intervention) compared with _not having a response team_ (comparison) affect the _number of cardiac arrests_ (outcome) during a _three-month period_ (time)?" Submit your completed assignment by following the directions linked below. Please check the **Course Calendar** for specific due dates. Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ".docx" extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Jstudent_exampleproblem_101504 Need Help? **To submit a new assignment:** On the **Assignments** tab within the module, click on the desired module assignment. A new screen will open that displays the **Assignment Information,** **Assignment Submission** and the **Add Comments** fields. After reviewing the Assignment Information, choose the **Browse My Computer** button under the **Assignment Submission** field to select and upload your assignment. After uploading your assignment, you will have the option to add a comment. Once your comment, if any, has been added, click **Submit** at the top or bottom of the screen to submit your completed assignment. Submission Content **Submission Content** A patient suffering from diabetes Mellitus is the integration of non-pharmacological interventions a better approach compared to pharmacological interventions to effectively improve control and management of diabetes by 30% through reduced symptoms in a span of 12 to 18 months. **## teegirl.docx** 1 **Course Project-Clinical Question** **Impact of Virtual Health Interventions on Type 2 Diabetes Management in Older Adults** Assessing a well-structured clinical inquiry is crucial in guiding evidence-based practice and research in health care. PICOT stands for Patient Population, Intervention, Comparison, Outcome, and Time. This is a systematic approach to generating specific research questions. Using the PICOT model, this module project will develop a clinical question that will emphasize the significance of the question towards clinical decision-making and research experience. **Patient Population (P)** The people in the clinical question are known as the patient population. In this case, we shall concentrate on those who have been diagnosed with type 2 diabetes mellitus and are aged 65 years or older. **Intervention or Area of Interest (I)** The diagnostic technique, course of treatment, or exposure being studied is described here. Our clinical question will be answered by a systematic diabetes self-management education program emphasizing medication adherence, lifestyle adjustments, and blood glucose monitoring. **Comparison Intervention or Group (C)** A comparison between the selected intervention and control group can be made through this kind of intervention. Therefore, the comparison group will consist of persons aged 65 years and above having type 2 diabetes receiving usual care within an unstructured DSMME framework. **Outcome (O)** Outcome is the expected result of an intervention in a patient group. This clinical question aims to improve glycemic control over a specific period as indicated by drop in HbA1c values. **Time (T)** The time component provides a period for the clinical issue while also specifying the period that will be used to assess the outcomes. Throughout the year, our clinical question will focus on evaluating how HbA1c levels were affected by diabetes self-management education programs over the course of the study. **Crafting the Clinical Question** How does structured diabetes self-management education program adoption compare to conventional care that lacks its effect decrease in HbA1c levels within 12 months among persons aged 65 years and above with type 2 diabetes? **Explanation** The importance of this clinical issue is that it addresses the growing prevalence of type II diabetes in the elderly community. The intervention, which is an organized diabetic self-management education program, has been selected due to its ability to provide patients with the knowledge and skills required for effective self-care. Comparing efficacy of this intervention against the standard care treatment will ensure accurate assessment. HbA1c levels are reduced due to long-term glycemic control, usually indicated in primary endpoint (Boye et al., 2022). The clinical question addresses this outcome to assess the practical impact of the educational program on the overall health and well-being of older adults with type 2 diabetes. Twelve months should be used to observe changes in HbA1c levels that would facilitate a thorough review of the intervention's long-term consequences (Berhe et al., 2020). This time is sufficient for establishing trends in glycemic control for an extensive period because type 2 diabetes is a chronic disease. **Conclusion** The well-constructed clinical question considers the patient population, intervention, comparison, outcome, and time in addition to following the PICOT format. This question seeks to give valuable information about how effective an organized diabetes self-care education program is by looking at the specific demography of older adults with type 2 diabetes so that it can help with decision-making process in clinical practice. **References** Berhe, K. K., Gebru, H. B., & Kahsay, H. B. (2020). Effect of motivational interviewing intervention on HgbA1C and depression in people with type 2 diabetes mellitus (systematic review and meta-analysis). _PLOS ONE_, _15_(10), e0240839. https://doi.org/10.1371/journal.pone.0240839 Boye, K. S., Thieu, V. T., Lage, M. J., Miller, H., & Paczkowski, R. (2022). The Association Between Sustained HbA1c Control and Long-Term Complications Among Individuals with Type 2 Diabetes: A Retrospective Study. _Advances in Therapy_, _39_(5), 2208–2221. https://doi.org/10.1007/s12325-022-02106-4 **## Volatinpo_PN2Project__02152024.docx** 2 **Impact of Virtual Health Interventions on Type 2 Diabetes Management in Older Adults** Veronica Toyin Olatinpo Nursing: Rasmussen University NU254/NUR2571 Section RJPB1A0Z Professional Nursing II Prof Kayla Ortiz February 15, 2024 **Reason for Choosing this Topic.** Factors lighting up the reason why such a topic is crucial is the running trend of having elderly having an increasing prevalence of Type 2 diabetes mellitus. Maintenance of the type two diabetes in age group is critically significant as in elderly important and gravid complications occur imaging. Therefore, specific management should be made to lessen its impact. Virtual health ways are getting to be one of the fastest gaining popularity global pandemic alternatives since they make it possible to reach people even in time of pandemic crisis. (Budhwani et al.,2021). Consequently, assessing the role of virtual health interventions towards the management of type 2 diabetes among elderly becomes a topical and timely issue to discuss. **The PICOT Question** Patient Population: The focus of this study is on individuals aged 65 years and above diagnosed with type 2 diabetes mellitus. Intervention or Area of Interest: The intervention under consideration is a virtual diabetes self-management education program, emphasizing medication adherence, lifestyle adjustments, and blood glucose monitoring. Comparison Intervention or Group: The comparison group comprises older adults with type 2 diabetes receiving usual care within an unstructured diabetes self-management education framework. Outcome: The primary outcome measure is the reduction in HbA1c levels, indicative of improved glycemic control, over a period of 12 months. Time: The study will assess changes in HbA1c levels and the effectiveness of the intervention over a 12-month period. Please condense the PICOT question into a sentence here. Whichever sentence you made (I believe it was in Week 2) is what should be entered here. **Possible Integration of Evidence in Clinical Practice** Incorporating the virtual health interventions into the routine care planning for elderly patients diagnosed with type 2 diabetes after the testing the effectiveness of the study will make the differences in optimizing the outcomes and quality of those patients. Working virtually on the diabetes self-management education programs is a system’s way to developed clinical practice in the managements of the type 2 diabetic older adults (Celik et al., 2020). Such interventions are designed for independent learning by providing structured teaching and support remotely. It makes patients active participants in relation to their healthcare by complying with medicine schedules, adopting a holistic lifestyle and achieving a normal blood glucose level. **Methods to Evaluate the Effectiveness of Implementation** The implementation of virtual health interventions’ impact on the management of type 2 diabetes in elderly people can be measured using several approaches. First, clinical outcomes such as changes in HbA1c levels can be assessed quantitatively to establish objective measures of intervention’s effectiveness over time. Patients' and healthcare experts' qualitative assessments of platforms' ease of use, acceptance, and benefits might help determine their performance (Gaughan et al., 2022). Subsequent longitudinal studies following patient engagement, rates of adherence and patterns of healthcare utilization may help to reveal more about how these kinds of solution are affecting various clinical results and models for delivering medical services. **Conclusion** In conclusion, incorporation of virtual health interventions in managing type 2 diabetes among elderly patients is a hopeful method towards improving care and results. Electronic applications can be employed to give lessons to patients and provide support from distant sites. The interventions have shown the ability to boost adherence rates for drugs, lifestyle behaviors, and glycemic control in older adults with type 2 diabetes.(please include a citation here- this is true, but where did you find the information proving this?). Optimal care can be realized when healthcare professionals critically assess evidence and incorporate it into their clinical practice to enhance patient outcomes for this group of people who are susceptible to diseases thus promoting their overall health status. **References** Budhwani, S., Fujioka, J. K., Chu, C., Baranek, H., Pus, L., Wasserman, L., Vigod, S., Martin, D., Agarwal, P., & Mukerji, G. (2021). Delivering Mental Health Care Virtually During the COVID-19 Pandemic: Qualitative Evaluation of Provider Experiences in a Scaled Context. _JMIR Formative Research_, _5_(9), e30280. https://doi.org/10.2196/30280 Celik, A., Forde, R., & Sturt, J. (2020). The impact of online self-management interventions on midlife adults with type 2 diabetes: a systematic review. _British Journal of Nursing_, _29_(5), 266–272. https://doi.org/10.12968/bjon.2020.29.5.266 Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. (2022). Nurses’ Experience and Perception of Technology Use in Practice. _CIN: Computers, Informatics, Nursing_, _40_(7). https://doi.org/10.1097/cin.0000000000000850 **## Volatinpo_PN2Project__02152024.docx** 2 **Impact of Virtual Health Interventions on Type 2 Diabetes Management in Older Adults** Veronica Toyin Olatinpo Nursing: Rasmussen University NU254/NUR2571 Section RJPB1A0Z Professional Nursing II Prof Kayla Ortiz February 15, 2024 **Reason for Choosing this Topic.** Factors lighting up the reason why such a topic is crucial is the running trend of having elderly having an increasing prevalence of Type 2 diabetes mellitus. Maintenance of the type two diabetes in age group is critically significant as in elderly important and gravid complications occur imaging. Therefore, specific management should be made to lessen its impact. Virtual health ways are getting to be one of the fastest gaining popularity global pandemic alternatives since they make it possible to reach people even in time of pandemic crisis. (Budhwani et al.,2021). Consequently, assessing the role of virtual health interventions towards the management of type 2 diabetes among elderly becomes a topical and timely issue to discuss. **The PICOT Question** Patient Population: The focus of this study is on individuals aged 65 years and above diagnosed with type 2 diabetes mellitus. Intervention or Area of Interest: The intervention under consideration is a virtual diabetes self-management education program, emphasizing medication adherence, lifestyle adjustments, and blood glucose monitoring. Comparison Intervention or Group: The comparison group comprises older adults with type 2 diabetes receiving usual care within an unstructured diabetes self-management education framework. Outcome: The primary outcome measure is the reduction in HbA1c levels, indicative of improved glycemic control, over a period of 12 months. Time: The study will assess changes in HbA1c levels and the effectiveness of the intervention over a 12-month period. Please condense the PICOT question into a sentence here. Whichever sentence you made (I believe it was in Week 2) is what should be entered here. **Possible Integration of Evidence in Clinical Practice** Incorporating the virtual health interventions into the routine care planning for elderly patients diagnosed with type 2 diabetes after the testing the effectiveness of the study will make the differences in optimizing the outcomes and quality of those patients. Working virtually on the diabetes self-management education programs is a system’s way to developed clinical practice in the managements of the type 2 diabetic older adults (Celik et al., 2020). Such interventions are designed for independent learning by providing structured teaching and support remotely. It makes patients active participants in relation to their healthcare by complying with medicine schedules, adopting a holistic lifestyle and achieving a normal blood glucose level. **Methods to Evaluate the Effectiveness of Implementation** The implementation of virtual health interventions’ impact on the management of type 2 diabetes in elderly people can be measured using several approaches. First, clinical outcomes such as changes in HbA1c levels can be assessed quantitatively to establish objective measures of intervention’s effectiveness over time. Patients' and healthcare experts' qualitative assessments of platforms' ease of use, acceptance, and benefits might help determine their performance (Gaughan et al., 2022). Subsequent longitudinal studies following patient engagement, rates of adherence and patterns of healthcare utilization may help to reveal more about how these kinds of solution are affecting various clinical results and models for delivering medical services. **Conclusion** In conclusion, incorporation of virtual health interventions in managing type 2 diabetes among elderly patients is a hopeful method towards improving care and results. Electronic applications can be employed to give lessons to patients and provide support from distant sites. The interventions have shown the ability to boost adherence rates for drugs, lifestyle behaviors, and glycemic control in older adults with type 2 diabetes.(please include a citation here- this is true, but where did you find the information proving this?). Optimal care can be realized when healthcare professionals critically assess evidence and incorporate it into their clinical practice to enhance patient outcomes for this group of people who are susceptible to diseases thus promoting their overall health status. **References** Budhwani, S., Fujioka, J. K., Chu, C., Baranek, H., Pus, L., Wasserman, L., Vigod, S., Martin, D., Agarwal, P., & Mukerji, G. (2021). Delivering Mental Health Care Virtually During the COVID-19 Pandemic: Qualitative Evaluation of Provider Experiences in a Scaled Context. _JMIR Formative Research_, _5_(9), e30280. https://doi.org/10.2196/30280 Celik, A., Forde, R., & Sturt, J. (2020). The impact of online self-management interventions on midlife adults with type 2 diabetes: a systematic review. _British Journal of Nursing_, _29_(5), 266–272. https://doi.org/10.12968/bjon.2020.29.5.266 Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. (2022). Nurses’ Experience and Perception of Technology Use in Practice. _CIN: Computers, Informatics, Nursing_, _40_(7). https://doi.org/10.1097/cin.0000000000000850 **## PN2PROJECTASSIGNMENT.docx** Module 07 Course Project-Paper Submission Top of Form Bottom of Form Module 07 Content 1. Top of Form Your paper for the course project should be a 2-3 page APA paper (not including title page and the reference page) that describes the clinical problem and the following: · Reason for choosing this topic · The PICOT question · Possible integration of the evidenced that you found in clinical practice · Methods to evaluate the effectiveness of implementation Submit your completed assignment by following the directions linked below. Please check the **Course Calendar** for specific due dates. NOTE APA, CITATION, AND REFERENCING Strictly PLAGIARISM-CHECK Bottom of Form **## PICOTCLINICAL.docx** **NOTE** **This is what she wanted for the PICOT clinical question** **Attempt 2** Submitted 1/12/24, 7:04 PM (CST) [**100%**](https://ultra.content.blackboardcdn.com/ultra/uiv3900.84.0-rel.28_6c1ddc7) Assignment Content **Assignment Content** 1. **Clinical Question** – Formulate a clinical question using the PICOT format. P: Patient Population I: Intervention or area on Interest C: Comparison intervention or group O: Outcome T: Time Ex: "In _acute care hospitals_ (patient population), how does having a _rapid response team_ (intervention) compared with _not having a response team_ (comparison) affect the _number of cardiac arrests_ (outcome) during a _three-month period_ (time)?" Submit your completed assignment by following the directions linked below. Please check the **Course Calendar** for specific due dates. Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ".docx" extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Jstudent_exampleproblem_101504 Need Help? **To submit a new assignment:** On the **Assignments** tab within the module, click on the desired module assignment. A new screen will open that displays the **Assignment Information,** **Assignment Submission** and the **Add Comments** fields. After reviewing the Assignment Information, choose the **Browse My Computer** button under the **Assignment Submission** field to select and upload your assignment. After uploading your assignment, you will have the option to add a comment. Once your comment, if any, has been added, click **Submit** at the top or bottom of the screen to submit your completed assignment. Submission Content **Submission Content** A patient suffering from diabetes Mellitus is the integration of non-pharmacological interventions a better approach compared to pharmacological interventions to effectively improve control and management of diabetes by 30% through reduced symptoms in a span of 12 to 18 months. **## teegirl.docx** 1 **Course Project-Clinical Question** **Impact of Virtual Health Interventions on Type 2 Diabetes Management in Older Adults** Assessing a well-structured clinical inquiry is crucial in guiding evidence-based practice and research in health care. PICOT stands for Patient Population, Intervention, Comparison, Outcome, and Time. This is a systematic approach to generating specific research questions. Using the PICOT model, this module project will develop a clinical question that will emphasize the significance of the question towards clinical decision-making and research experience. **Patient Population (P)** The people in the clinical question are known as the patient population. In this case, we shall concentrate on those who have been diagnosed with type 2 diabetes mellitus and are aged 65 years or older. **Intervention or Area of Interest (I)** The diagnostic technique, course of treatment, or exposure being studied is described here. Our clinical question will be answered by a systematic diabetes self-management education program emphasizing medication adherence, lifestyle adjustments, and blood glucose monitoring. **Comparison Intervention or Group (C)** A comparison between the selected intervention and control group can be made through this kind of intervention. Therefore, the comparison group will consist of persons aged 65 years and above having type 2 diabetes receiving usual care within an unstructured DSMME framework. **Outcome (O)** Outcome is the expected result of an intervention in a patient group. This clinical question aims to improve glycemic control over a specific period as indicated by drop in HbA1c values. **Time (T)** The time component provides a period for the clinical issue while also specifying the period that will be used to assess the outcomes. Throughout the year, our clinical question will focus on evaluating how HbA1c levels were affected by diabetes self-management education programs over the course of the study. **Crafting the Clinical Question** How does structured diabetes self-management education program adoption compare to conventional care that lacks its effect decrease in HbA1c levels within 12 months among persons aged 65 years and above with type 2 diabetes? **Explanation** The importance of this clinical issue is that it addresses the growing prevalence of type II diabetes in the elderly community. The intervention, which is an organized diabetic self-management education program, has been selected due to its ability to provide patients with the knowledge and skills required for effective self-care. Comparing efficacy of this intervention against the standard care treatment will ensure accurate assessment. HbA1c levels are reduced due to long-term glycemic control, usually indicated in primary endpoint (Boye et al., 2022). The clinical question addresses this outcome to assess the practical impact of the educational program on the overall health and well-being of older adults with type 2 diabetes. Twelve months should be used to observe changes in HbA1c levels that would facilitate a thorough review of the intervention's long-term consequences (Berhe et al., 2020). This time is sufficient for establishing trends in glycemic control for an extensive period because type 2 diabetes is a chronic disease. **Conclusion** The well-constructed clinical question considers the patient population, intervention, comparison, outcome, and time in addition to following the PICOT format. This question seeks to give valuable information about how effective an organized diabetes self-care education program is by looking at the specific demography of older adults with type 2 diabetes so that it can help with decision-making process in clinical practice. **References** Berhe, K. K., Gebru, H. B., & Kahsay, H. B. (2020). Effect of motivational interviewing intervention on HgbA1C and depression in people with type 2 diabetes mellitus (systematic review and meta-analysis). _PLOS ONE_, _15_(10), e0240839. https://doi.org/10.1371/journal.pone.0240839 Boye, K. S., Thieu, V. T., Lage, M. J., Miller, H., & Paczkowski, R. (2022). The Association Between Sustained HbA1c Control and Long-Term Complications Among Individuals with Type 2 Diabetes: A Retrospective Study. _Advances in Therapy_, _39_(5), 2208–2221. https://doi.org/10.1007/s12325-022-02106-4 **## Volatinpo_PN2Project__02152024.docx** 2 **Impact of Virtual Health Interventions on Type 2 Diabetes Management in Older Adults** Veronica Toyin Olatinpo Nursing: Rasmussen University NU254/NUR2571 Section RJPB1A0Z Professional Nursing II Prof Kayla Ortiz February 15, 2024 **Reason for Choosing this Topic.** Factors lighting up the reason why such a topic is crucial is the running trend of having elderly having an increasing prevalence of Type 2 diabetes mellitus. Maintenance of the type two diabetes in age group is critically significant as in elderly important and gravid complications occur imaging. Therefore, specific management should be made to lessen its impact. Virtual health ways are getting to be one of the fastest gaining popularity global pandemic alternatives since they make it possible to reach people even in time of pandemic crisis. (Budhwani et al.,2021). Consequently, assessing the role of virtual health interventions towards the management of type 2 diabetes among elderly becomes a topical and timely issue to discuss. **The PICOT Question** Patient Population: The focus of this study is on individuals aged 65 years and above diagnosed with type 2 diabetes mellitus. Intervention or Area of Interest: The intervention under consideration is a virtual diabetes self-management education program, emphasizing medication adherence, lifestyle adjustments, and blood glucose monitoring. Comparison Intervention or Group: The comparison group comprises older adults with type 2 diabetes receiving usual care within an unstructured diabetes self-management education framework. Outcome: The primary outcome measure is the reduction in HbA1c levels, indicative of improved glycemic control, over a period of 12 months. Time: The study will assess changes in HbA1c levels and the effectiveness of the intervention over a 12-month period. Please condense the PICOT question into a sentence here. Whichever sentence you made (I believe it was in Week 2) is what should be entered here. **Possible Integration of Evidence in Clinical Practice** Incorporating the virtual health interventions into the routine care planning for elderly patients diagnosed with type 2 diabetes after the testing the effectiveness of the study will make the differences in optimizing the outcomes and quality of those patients. Working virtually on the diabetes self-management education programs is a system’s way to developed clinical practice in the managements of the type 2 diabetic older adults (Celik et al., 2020). Such interventions are designed for independent learning by providing structured teaching and support remotely. It makes patients active participants in relation to their healthcare by complying with medicine schedules, adopting a holistic lifestyle and achieving a normal blood glucose level. **Methods to Evaluate the Effectiveness of Implementation** The implementation of virtual health interventions’ impact on the management of type 2 diabetes in elderly people can be measured using several approaches. First, clinical outcomes such as changes in HbA1c levels can be assessed quantitatively to establish objective measures of intervention’s effectiveness over time. Patients' and healthcare experts' qualitative assessments of platforms' ease of use, acceptance, and benefits might help determine their performance (Gaughan et al., 2022). Subsequent longitudinal studies following patient engagement, rates of adherence and patterns of healthcare utilization may help to reveal more about how these kinds of solution are affecting various clinical results and models for delivering medical services. **Conclusion** In conclusion, incorporation of virtual health interventions in managing type 2 diabetes among elderly patients is a hopeful method towards improving care and results. Electronic applications can be employed to give lessons to patients and provide support from distant sites. The interventions have shown the ability to boost adherence rates for drugs, lifestyle behaviors, and glycemic control in older adults with type 2 diabetes.(please include a citation here- this is true, but where did you find the information proving this?). Optimal care can be realized when healthcare professionals critically assess evidence and incorporate it into their clinical practice to enhance patient outcomes for this group of people who are susceptible to diseases thus promoting their overall health status. **References** Budhwani, S., Fujioka, J. K., Chu, C., Baranek, H., Pus, L., Wasserman, L., Vigod, S., Martin, D., Agarwal, P., & Mukerji, G. (2021). Delivering Mental Health Care Virtually During the COVID-19 Pandemic: Qualitative Evaluation of Provider Experiences in a Scaled Context. _JMIR Formative Research_, _5_(9), e30280. https://doi.org/10.2196/30280 Celik, A., Forde, R., & Sturt, J. (2020). The impact of online self-management interventions on midlife adults with type 2 diabetes: a systematic review. _British Journal of Nursing_, _29_(5), 266–272. https://doi.org/10.12968/bjon.2020.29.5.266 Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. (2022). Nurses’ Experience and Perception of Technology Use in Practice. _CIN: Computers, Informatics, Nursing_, _40_(7). https://doi.org/10.1097/cin.0000000000000850 **## PN2PROJECTASSIGNMENT.docx** Module 07 Course Project-Paper Submission Top of Form Bottom of Form Module 07 Content 1. Top of Form Your paper for the course project should be a 2-3 page APA paper (not including title page and the reference page) that describes the clinical problem and the following: · Reason for choosing this topic · The PICOT question · Possible integration of the evidenced that you found in clinical practice · Methods to evaluate the effectiveness of implementation Submit your completed assignment by following the directions linked below. Please check the **Course Calendar** for specific due dates. NOTE APA, CITATION, AND REFERENCING Strictly PLAGIARISM-CHECK Bottom of Form **## PICOTCLINICAL.docx** **NOTE** **This is what she wanted for the PICOT clinical question** **Attempt 2** Submitted 1/12/24, 7:04 PM (CST) [**100%**](https://ultra.content.blackboardcdn.com/ultra/uiv3900.84.0-rel.28_6c1ddc7) Assignment Content **Assignment Content** 1. **Clinical Question** – Formulate a clinical question using the PICOT format. P: Patient Population I: Intervention or area on Interest C: Comparison intervention or group O: Outcome T: Time Ex: "In _acute care hospitals_ (patient population), how does having a _rapid response team_ (intervention) compared with _not having a response team_ (comparison) affect the _number of cardiac arrests_ (outcome) during a _three-month period_ (time)?" Submit your completed assignment by following the directions linked below. Please check the **Course Calendar** for specific due dates. Save your assignment as a Microsoft Word document. (Mac users, please remember to append the ".docx" extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Jstudent_exampleproblem_101504 Need Help? **To submit a new assignment:** On the **Assignments** tab within the module, click on the desired module assignment. A new screen will open that displays the **Assignment Information,** **Assignment Submission** and the **Add Comments** fields. After reviewing the Assignment Information, choose the **Browse My Computer** button under the **Assignment Submission** field to select and upload your assignment. After uploading your assignment, you will have the option to add a comment. Once your comment, if any, has been added, click **Submit** at the top or bottom of the screen to submit your completed assignment. Submission Content **Submission Content** A patient suffering from diabetes Mellitus is the integration of non-pharmacological interventions a better approach compared to pharmacological interventions to effectively improve control and management of diabetes by 30% through reduced symptoms in a span of 12 to 18 months. **## teegirl.docx** 1 **Course Project-Clinical Question** **Impact of Virtual Health Interventions on Type 2 Diabetes Management in Older Adults** Assessing a well-structured clinical inquiry is crucial in guiding evidence-based practice and research in health care. PICOT stands for Patient Population, Intervention, Comparison, Outcome, and Time. This is a systematic approach to generating specific research questions. Using the PICOT model, this module project will develop a clinical question that will emphasize the significance of the question towards clinical decision-making and research experience. **Patient Population (P)** The people in the clinical question are known as the patient population. In this case, we shall concentrate on those who have been diagnosed with type 2 diabetes mellitus and are aged 65 years or older. **Intervention or Area of Interest (I)** The diagnostic technique, course of treatment, or exposure being studied is described here. Our clinical question will be answered by a systematic diabetes self-management education program emphasizing medication adherence, lifestyle adjustments, and blood glucose monitoring. **Comparison Intervention or Group (C)** A comparison between the selected intervention and control group can be made through this kind of intervention. Therefore, the comparison group will consist of persons aged 65 years and above having type 2 diabetes receiving usual care within an unstructured DSMME framework. **Outcome (O)** Outcome is the expected result of an intervention in a patient group. This clinical question aims to improve glycemic control over a specific period as indicated by drop in HbA1c values. **Time (T)** The time component provides a period for the clinical issue while also specifying the period that will be used to assess the outcomes. Throughout the year, our clinical question will focus on evaluating how HbA1c levels were affected by diabetes self-management education programs over the course of the study. **Crafting the Clinical Question** How does structured diabetes self-management education program adoption compare to conventional care that lacks its effect decrease in HbA1c levels within 12 months among persons aged 65 years and above with type 2 diabetes? **Explanation** The importance of this clinical issue is that it addresses the growing prevalence of type II diabetes in the elderly community. The intervention, which is an organized diabetic self-management education program, has been selected due to its ability to provide patients with the knowledge and skills required for effective self-care. Comparing efficacy of this intervention against the standard care treatment will ensure accurate assessment. HbA1c levels are reduced due to long-term glycemic control, usually indicated in primary endpoint (Boye et al., 2022). The clinical question addresses this outcome to assess the practical impact of the educational program on the overall health and well-being of older adults with type 2 diabetes. Twelve months should be used to observe changes in HbA1c levels that would facilitate a thorough review of the intervention's long-term consequences (Berhe et al., 2020). This time is sufficient for establishing trends in glycemic control for an extensive period because type 2 diabetes is a chronic disease. **Conclusion** The well-constructed clinical question considers the patient population, intervention, comparison, outcome, and time in addition to following the PICOT format. This question seeks to give valuable information about how effective an organized diabetes self-care education program is by looking at the specific demography of older adults with type 2 diabetes so that it can help with decision-making process in clinical practice. **References** Berhe, K. K., Gebru, H. B., & Kahsay, H. B. (2020). Effect of motivational interviewing intervention on HgbA1C and depression in people with type 2 diabetes mellitus (systematic review and meta-analysis). _PLOS ONE_, _15_(10), e0240839. https://doi.org/10.1371/journal.pone.0240839 Boye, K. S., Thieu, V. T., Lage, M. J., Miller, H., & Paczkowski, R. (2022). The Association Between Sustained HbA1c Control and Long-Term Complications Among Individuals with Type 2 Diabetes: A Retrospective Study. _Advances in Therapy_, _39_(5), 2208–2221. https://doi.org/10.1007/s12325-022-02106-4 **## Volatinpo_PN2Project__02152024.docx** 2 **Impact of Virtual Health Interventions on Type 2 Diabetes Management in Older Adults** Veronica Toyin Olatinpo Nursing: Rasmussen University NU254/NUR2571 Section RJPB1A0Z Professional Nursing II Prof Kayla Ortiz February 15, 2024 **Reason for Choosing this Topic.** Factors lighting up the reason why such a topic is crucial is the running trend of having elderly having an increasing prevalence of Type 2 diabetes mellitus. Maintenance of the type two diabetes in age group is critically significant as in elderly important and gravid complications occur imaging. Therefore, specific management should be made to lessen its impact. Virtual health ways are getting to be one of the fastest gaining popularity global pandemic alternatives since they make it possible to reach people even in time of pandemic crisis. (Budhwani et al.,2021). Consequently, assessing the role of virtual health interventions towards the management of type 2 diabetes among elderly becomes a topical and timely issue to discuss. **The PICOT Question** Patient Population: The focus of this study is on individuals aged 65 years and above diagnosed with type 2 diabetes mellitus. Intervention or Area of Interest: The intervention under consideration is a virtual diabetes self-management education program, emphasizing medication adherence, lifestyle adjustments, and blood glucose monitoring. Comparison Intervention or Group: The comparison group comprises older adults with type 2 diabetes receiving usual care within an unstructured diabetes self-management education framework. Outcome: The primary outcome measure is the reduction in HbA1c levels, indicative of improved glycemic control, over a period of 12 months. Time: The study will assess changes in HbA1c levels and the effectiveness of the intervention over a 12-month period. Please condense the PICOT question into a sentence here. Whichever sentence you made (I believe it was in Week 2) is what should be entered here. **Possible Integration of Evidence in Clinical Practice** Incorporating the virtual health interventions into the routine care planning for elderly patients diagnosed with type 2 diabetes after the testing the effectiveness of the study will make the differences in optimizing the outcomes and quality of those patients. Working virtually on the diabetes self-management education programs is a system’s way to developed clinical practice in the managements of the type 2 diabetic older adults (Celik et al., 2020). Such interventions are designed for independent learning by providing structured teaching and support remotely. It makes patients active participants in relation to their healthcare by complying with medicine schedules, adopting a holistic lifestyle and achieving a normal blood glucose level. **Methods to Evaluate the Effectiveness of Implementation** The implementation of virtual health interventions’ impact on the management of type 2 diabetes in elderly people can be measured using several approaches. First, clinical outcomes such as changes in HbA1c levels can be assessed quantitatively to establish objective measures of intervention’s effectiveness over time. Patients' and healthcare experts' qualitative assessments of platforms' ease of use, acceptance, and benefits might help determine their performance (Gaughan et al., 2022). Subsequent longitudinal studies following patient engagement, rates of adherence and patterns of healthcare utilization may help to reveal more about how these kinds of solution are affecting various clinical results and models for delivering medical services. **Conclusion** In conclusion, incorporation of virtual health interventions in managing type 2 diabetes among elderly patients is a hopeful method towards improving care and results. Electronic applications can be employed to give lessons to patients and provide support from distant sites. The interventions have shown the ability to boost adherence rates for drugs, lifestyle behaviors, and glycemic control in older adults with type 2 diabetes.(please include a citation here- this is true, but where did you find the information proving this?). Optimal care can be realized when healthcare professionals critically assess evidence and incorporate it into their clinical practice to enhance patient outcomes for this group of people who are susceptible to diseases thus promoting their overall health status. **References** Budhwani, S., Fujioka, J. K., Chu, C., Baranek, H., Pus, L., Wasserman, L., Vigod, S., Martin, D., Agarwal, P., & Mukerji, G. (2021). Delivering Mental Health Care Virtually During the COVID-19 Pandemic: Qualitative Evaluation of Provider Experiences in a Scaled Context. _JMIR Formative Research_, _5_(9), e30280. https://doi.org/10.2196/30280 Celik, A., Forde, R., & Sturt, J. (2020). The impact of online self-management interventions on midlife adults with type 2 diabetes: a systematic review. _British Journal of Nursing_, _29_(5), 266–272. https://doi.org/10.12968/bjon.2020.29.5.266 Gaughan, M. R., Kwon, M., Park, E., & Jungquist, C. (2022). Nurses’ Experience and Perception of Technology Use in Practice. _CIN: Computers, Informatics, Nursing_, _40_(7). https://doi.org/10.1097/cin.0000000000000850 – 1 – 2 – 3 – 4