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5 pages/β‰ˆ1375 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
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Topic:

Change Strategy and Implementation: Renal Failure Related to Diabetes

Coursework Instructions:

Analyze a professional environment and relevant data and develop a change strategy 5 pages and discuss how to implement it successfully.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

Knowing the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.

The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For if we cannot effectively implement changes in practice or procedure, then our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.

This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.

Coursework Sample Content Preview:
Change Strategy and Implementation
Student’s Name
Institutional Affiliation
Course Code and Title
Instructor
Due Date
Data Table
Current Outcomes

Change Strategies

Expected Outcomes

Patients who suffer from Renal Failure (RF) related to Diabetes are at an increased risk of malnutrition due to several dietary restrictions and nausea and vomiting.
1 Most patients with RF related to Diabetes are not able to meet their recommended dietary allowances (RDAs) because their meal choices are limited.
2 These patients are also unable to retain any food consumed orally.

To ensure that patients with RF related to Diabetes achieve optimal nutrition that will boost their immunity and lessen their risk of malnutrition, the following changes should be implemented:
1 These patients should walk closely with registered clinical dietitians who will prepare high-calorie and protein (if they are undergoing dialysis) diet plans according to the patient's nutrition status, economic capability, physical access to food, and personal preferences (MacLaughlin et al., 2022). The dietitian will regularly monitor their anthropometrics and biochemical tests such as WBC count, Hgb, RBCs, Urea, Electrolytes, and Creatinine (Dai et al., 2022).
2 Medication to control and reduce nausea should be prescribed and followed by close monitoring (Metzger et al., 2021).
3 Regular nutrition education by nurses or a dietitian should empower the patients to take care of their health and modify their meal content and frequency to reduce episodes of nausea and vomiting. Education should also focus on ways to meet the patients’ individual RDAs.
4 The patients should be referred to a psychiatrist to help them cope with the disease state and progression. These patients may experience mental health issues such as hopelessness and depression, which may interfere with their appetite and ability to meet their RDAs. Psychiatrists may help these patients find the strength to fight for their lives by observing good nutrition and a consistent drug/treatment regimen.

Patients who suffer from RF related to Diabetes will have a reduced risk of malnutrition and lesser episodes of nausea and vomiting.
1 They will ardently follow the meal plans to meet their RDAs.
2 Their biochemical tests, such as Hgb, Urea, Electrolytes, and Creatinine, will be close to or within the normal range (MacLaughlin et al., 2022).
3 They will receive regular follow-up and education from a registered dietitian.
4 They will be able to accept their health conditions and be motivated to continue fighting for their lives, even when the condition appears to be progressing (Teasdale et al., 2018).

Proposed Change Strategies
To reduce the risk of malnutrition in patients with RF related to diabetes and control nausea and vomiting to enhance appetite and food retention, several change strategies will need to be implemented. One of these is enhancing interprofessional collaboration, where a registered dietitian will be sought to closely walk with the patients by placing them on high calorie-high protein diet plans and regularly monitoring their anthropometrics, clinical signs, and biochemical metrics (Dai et al., 2...
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