Evidence Based Practice Essay.

The EBP process is a powerful way of advancing improvements in health care. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.
I live in el Paso, Texas
I work in a Managed Care organization. I look at Hierarchical Condition Category coding (HCC codes) and proper documentation for accurately diagnosing and reimbursement. More specific, I work for WellMed Medical Management. I am a clinical nurse coding consultant.Evidence Based Practice Essay.

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I have been working my papers around diabetes, elderly with Type 1 diabetes and continuous glucose monitor
PICOT question
In elderly patients with type 1 diabetes mellitus (T1DM), how does continuous glucose monitoring (CGM), when compared to the traditional self-monitoring of blood glucose (SMBG) levels decrease hypoglycemic events, improve glycemic control, and reduce hospital readmissions or admissions in the long-term.Evidence Based Practice Essay.

The three techniques that I plan to bring into effect include the use of analytical mechanisms or templates for improvement, such as the ARCC model, recognizing key players, and identifying barriers or obstacles(Storey et al,2019). The ARCC model aims to affect the behavioral transformation of individuals towards EBP through education and skills building. This requires mentoring, strengthening the culture of EBP, promoting staff involvement in research, and partnering with interdisciplinary experts to help sustain EBP. It will affect culture on best practice and improve the importance of EBP. Significant stakeholders may continue to promote and implement the EBP initiative. (Storey et al,2019).Evidence Based Practice Essay. For example, nursing leaders and managers are critical and significant contributors to the organization, and thus, in the absence of their assistance, they can adversely affect the execution process, which produces negative perceptions and can impact the negative culture of the EBP. Significant stakeholders should accept EBP and promote the work of others, build a pro-EBP mindset and climate, serve as role models, and help develop the EBP paradigm. When executing the EBP project, such problems and obstacles will arise, so it is important to recognize solutions such that more people will promote the EBP project and such hurdles would not allow the EBP project to collapse.Evidence Based Practice Essay.

Glucose regulation is important for modern diabetes therapy and the attainment of near-normal glycemic control. Monitoring provides empirical data required for patients to make everyday food consumption, insulin dosage, and physical activity treatment decisions and may enable patients to prevent potentially harmful episodes of hypoglycemia and hyperglycemia. Also, tracking can provide health care professionals with the information required to detect glycemic trends, educate patients, and modify insulin. Individuals with diabetes type 1 are currently able to self-track blood glucose through their home blood glucose meter or monitor glucose concentrations almost constantly with a continuous glucose monitor.Evidence Based Practice Essay.

Self-monitoring of blood glucoseor  SMBG is the foundation of modern diabetes therapy(Fabris et al,2016). Monitoring provides the evidence required to make everyday food consumption, insulin dosage, and physical activity control choices. Monitoring of glucose levels has been made simpler in modern diabetes treatment with the advent of home blood glucose monitors, which enable patients to easily review their glucose levels and provide precise measures of capillary glucose concentrations.Evidence Based Practice Essay.

CGM tests glucose concentrations subcutaneously specifically in interstitial fluid, offers patients an alternative to conventional SMBG, the advantage of eliminating several finger sticks to test glucose levels, as well as an abundance of glucose data(Fabris et al,2016). Both SMBG and CGM innovations provide strong advantages and drawbacks in the treatment of diabetes and both provide observational evidence to illustrate their effectiveness in encouraging improved long-term glycemic regulation.Evidence Based Practice Essay.

The key benefit ofspecifically  CGM is how it provides a near-continuous read-out of the glucose concentration that accurately represents the glucose concentration and aids in identifying patterns and trends in glucose regulation using a single needle stick to position the sensor. In the case of real-time CGM, sensors can be configured to warn either elevated or low glucose levels, helping the elderly to handle these irregularities in values and hopefully mitigate hypo-or hyperglycemia-related concerns(Chamberlain et al,2016). Drawbacks include the cost of CGM,   the lack of compulsory health coverage for this equipment, restricted FDA clearance for youth CGM products, cosmetics such as extra infusion site or monitor, and psychological issues(Chamberlain et al,2016)..There is also insufficient research promoting the use of CGM in people with type 1 diabetes as a way of enhancing long-term glycemic regulation. One obstacle to CGM utilization seems to be the ability of people to embrace and use this technology for the treatment of diabetes, a concern that would need to be solved before the effectiveness of CGM in glycemic regulation can be properly tested.Evidence Based Practice Essay.

Conclusion

Glucose control is an essential part of the treatment of type 1 diabetes. Comprehensive analysis of the benefits and drawbacks of CGM and SMBG will help clinicians determine the strategy ideally tailored to elderly lifestyle and treatment priorities. An extensive study is required to compare the cost-effectiveness and  efficacy of each strategy in diabetes management.Evidence Based Practice Essay.