Create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change. Title SlideIntroduction (1 slide): Slide should identify concepts to

Create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change.

  1. Title Slide
  2. Introduction (1 slide): Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.
  3. Practice Issue (1-3 slides): Describe the area of interest and practice issue/problem related to NP practice selected in week 2. Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes. Provide speaker notes. Provide scholarly references to support your ideas.
  4. PICOT Question (1 slide): Provide the PICOT question.
  5. Literature review (2-4 slides): Summarize the literature review.
  6. Recommendations (3 slides)
  7. Conclusion: (1 slide) Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.
  8. References:Reference elements provided in APA format, may use bullets. Hanging indents not required.

Create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change. Title SlideIntroduction (1 slide): Slide should identify concepts to
Elderly Patients with Diabetes Ruby Simpson Chamberlain University College of Nursing NR505NP-10897: Advanced Research Methods: Evidenced-Based Practice Professor Chapman February 2, 2022 PICOT QUESTION (sentence format): In elderly diabetic patients what is the effect of complementary and alternative therapy in comparison to lifestyle management and pharmacological treatment on blood sugar levels to be completed over three months QUALITATIVE STUDIES Author/Title/Year (APA format): Pumthong, G., Nathason, A., Tuseewan, M., Pinthong, P., Klangprapun, S., Thepsuriyanon, D., & Kotta, P. (2015). Complementary and alternative medicines for diabetes mellitus management in ASEAN countries. Complementary therapies in medicine, 23(4), 617-625. Problem-related to PICOT: The study examines the effectiveness of Complementary and Alternative practices in treating diabetes. Purpose: The article explored the use of Complementary and Alternative practices in reducing the complications experienced by diabetic patients. Sample: The sample consisted of 30 respondents (15 diabetic patients and 15 practitioners) that had experienced any type of complementary and alternative medicines (CAMs). Data Collection Method: Interviews. Key Findings/Themes: The study found out that CAM such as herbalism, massages, acupuncture, and exercise are effective in the management of diabetes. Besides, these therapies are readily available and cheaper compared to pharmacological methods. Contribution to Review of the Literature: The findings of the study help build on the literature on the effects of Complementary and Alternative in elderly patients with diabetes. The authors were able to highlight these effects and their efficiency in treating diabetes. Author/Title/Year (APA format): Chang, H. Y. A., Wallis, M., Tiralongo, E., & Wang, H. L. (2012). Decision‐making related to complementary and alternative medicine use by people with Type 2 diabetes: a qualitative study. Journal of Clinical Nursing, 21(21-22), 3205-3215. Problem-related to PICOT: The decision-making processes used to arrive at choosing complementary and alternative therapies are poorly understood. Purpose: The study explored how diabetic patients decide on incorporating complementary and alternative medicine (CAM) in the control of the disease. Sample: The respondents were sampled using purposive sampling. Data Collection Method: The study utilized In-depth semi-structured interviews. Key Findings/Themes: The study found out that the evolution of using CAM, personal philosophy, the need for these therapies, and the potential therapy to use are some of the factors that these patients consider before deciding to use them. Contribution to Review of the Literature: The article provides information on the decision-making processes that diabetic patients use before deciding to use complementary and alternative therapies. QUANTITATIVE STUDIES Author/Title/Year (APA format): Kumar, S., Kumari, P., Kumar, V., & Fatima, M. (2020). Efficacy of Alternative Medicine in Reducing Hemoglobin A1c (HbA1c) in Type 2 Diabetes Mellitus. Cureus, 12(9). Problem-related to PICOT: The use of complementary and alternative therapies has become popular. However, little is known about the effectiveness of these treatment options. Purpose: The study’s objective was to examine the efficacy of alternative therapies in the management of diabetes. Sample/Population: The sample consisted of 101 diabetic patients that have used these methods before. Data Collection Method: The hemoglobin A1c (HbA1c) levels and blood glucose levels were collected through laboratory analysis and compared to these levels after being administered with alternative therapy. Major Findings/Conclusions: The study found out that there were no significant changes in HbA1c levels. Contribution to Review of the Literature: The findings of this study would be used to build on the literature concerning the effectiveness of alternative therapies in treating diabetic patients. Author/Title/Year (APA format): Wanchai, A., & Phrompayak, D. (2016). Use of complementary and alternative medicine among Thai patients with type 2 diabetes mellitus. Journal of integrative medicine, 14(4), 297-305. Problem-related to PICOT: Even though many diabetic patients use complementary and alternative therapies in managing the disease, little is known on the factors related to and types of these methods. Purpose: This study evaluated the factors related to and types of complementary and alternative therapies. Sample/Population: The sample consisted of diabetic patients from six medical facilities. Data Collection Method: Questionnaires. Major Findings/Conclusions: The study found out that diabetic patients from 40 to 69 years, women, and farmers tend to use these methods more. Contribution to Review of the Literature: The findings from this study will help build on the literature concerning the prevalence of using these alternative methods among the elderly population. MIXED METHODS STUDIES Author/Title/Year (APA format): Boston, C., Wong, N., Ganga, T., Chandradatt, K., Rosales, J., Singh, J., & Kurup, R. (2019). Comparison and effectiveness of complementary and alternative medicine as against conventional medicine in the treatment and management of Type 2 diabetes. Journal of Complementary and Alternative Medical Research, 1-8. Problem-related to PICOT: Using complementary and alternative therapies could delay patients from seeking appropriate treatment. Therefore, this study determined the effectiveness of these alternatives. Purpose: The study’s objective was to compare the effectiveness of CAM against conventional drugs in the management and treatment of diabetes. Sample: The sample consisted of 80 patients. Data Collection Method: A semi-structured questionnaire, hematology and biochemistry reports, and laboratory analyses were used to collect data for the study. Key Findings/Themes/Conclusions: the study found that diabetic patients using alternative therapies indicated a better live function, lipid profile, glycemic control, and WBC and Hb values. Contribution to Review of the Literature: the findings of this study will help build on the literature about the effectiveness of alternative therapies in managing diabetes. Author/Title/Year (APA format): Adeniyi, O., Washington, L., Glenn, C. J., Franklin, S. G., Scott, A., Aung, M., … & Jolly, P. E. (2021). The use of complementary and alternative medicine among hypertensive and type 2 diabetic patients in Western Jamaica: A mixed-methods study. PloS one, 16(2), e0245163. Problem-related to PICOT: The intermittent or simultaneous treatment and management of type 2 diabetes mellitus and hypertension can lead to poor health outcomes. Therefore, this study was conducted to determine whether these alternative therapies are safe. Purpose: The study’s objective was to examine the practices and beliefs related to using CAM in treating type 2 diabetes mellitus and hypertension. Sample: The sample consisted of 60 participants selected using convenience sampling. Data Collection Method: Surveys and FGD questions. Key Findings/Themes/Conclusions: The respondents indicated based on their experiences that complementary and alternative options are effective and have fewer side effects compared to using prescription medicine. Contribution to Review of the Literature: This article provides insight into the views and use of CAM. These findings can help healthcare providers develop correct interventions to ensure that these treatment alternatives are used appropriately. META-ANALYSIS STUDIES Author/Title/Year (APA format): Ramamoorthi, R., Gahreman, D., Moss, S., & Skinner, T. (2019). The effectiveness of yoga to prevent diabetes mellitus type 2: A protocol for systematic review and meta-analysis. Medicine, 98(3). Problem-related to PICOT: There is limited information on the effectiveness of yoga in managing diabetes. Purpose: The article examined the effect of yoga (one of the complementary and alternative practices) in the management of diabetes. Search selection method: The articles used in the meta-analysis were retrieved from online databases such as IndMED, Cochrane Library, Medline/PubMed, EBSCO, and Scopus. Meta-Analysis Model: Random-effects models Consistency/Variation of Studies: The articles used in the study provided consistent results. Summary of Findings: The article concluded that yoga is effective in the management of diabetes. Author/Title/Year (APA format): Alzahrani, A. S., Price, M. J., Greenfield, S. M., & Paudyal, V. (2021). Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis. European journal of clinical pharmacology, 1-16. Problem-related to PICOT: While there is a wide prevalence of the use of CAM, some patients hide this information from their healthcare professions, therefore this meta-analysis was conducted to increase awareness and encourage healthcare providers to be aware of these methods o that they avoid adverse herb-drug interaction and encourage their patients to adhere to medication. Purpose: The article examined the types and global prevalence of CAM among adult diabetic patients. Search selection method: The articles used in the meta-analysis were obtained from nine databases. The articles selected were also those published between 2009 and 2019. Meta-Analysis Model: Random-effects model Consistency/Variation of Studies: There was a wide variation in the degree of CAM use prevalence. Summary of Findings: The meta-analysis found out that many diabetic patients use alternative options in the treatment of diabetes. Besides, the common methods used include spiritual healing, acupuncture, herbal medicine, and homeopathy. CLINICAL PRACTICE GUIDELINES Author/Title/Year (APA format): Hur, K. Y., Moon, M. K., Park, J. S., Kim, S. K., Lee, S. H., Yun, J. S., … & Ko, S. H. (2021). 2021 Clinical Practice Guidelines for Diabetes Mellitus in Korea. Diabetes & Metabolism Journal, 45(4), 461-481. Problem-related to PICOT: there are several methods of managing diabetes. However, this CPG was created since patients need to be educated on complementary and alternative methods of managing the disease. Stakeholders represented: Korean Diabetes Association. Systematic review of literature: In the explanation of each recommendation, the authors utilized several studies to build on their literature. Strength of recommendations used: The recommendations provided in this CPG were comprehensive and thorough. The authors explained these recommendations in detail. Recommendations have been peer-reviewed: The recommendations were peer-reviewed by several Korean scholars. Summary of findings as related to PICOT: The study found out that diabetic patients should be educated on the usage of CAM in the management of diabetes because they are useful. Author/Title/Year (APA format): Dunning, T., Martin, P., Savage, S., & Duggan, N. (2010). Guidelines for managing diabetes at the end of life. Nurses Board of Victoria. Problem-related to PICOT: There is little evidence for the correct management of diabetes among patients. Besides, patients are using alternative methods without proper information on the effectiveness of the methods. Stakeholders represented: Nurses Board of Victoria Systematic review of literature: there was little use of literature to support recommendations. Strength of recommendations used: The use of alternative therapies in managing diabetes has been lightly covered. Recommendations have been peer-reviewed: The recommendations were peer-reviewed by several scholars from Deakin University. Summary of findings as related to PICOT: The authors stated that even though some CAMs can be more effective than pharmacological interventions, medical care providers should determine which methods a patient is using and establish whether it is appropriate. Reference: Adeniyi, O., Washington, L., Glenn, C. J., Franklin, S. G., Scott, A., Aung, M., … & Jolly, P. E. (2021). The use of complementary and alternative medicine among hypertensive and type 2 diabetic patients in Western Jamaica: A mixed-methods study. PloS one, 16(2), e0245163. Alzahrani, A. S., Price, M. J., Greenfield, S. M., & Paudyal, V. (2021). Global prevalence and types of complementary and alternative medicines use amongst adults with diabetes: systematic review and meta-analysis. European journal of clinical pharmacology, 1-16. Boston, C., Wong, N., Ganga, T., Chandradatt, K., Rosales, J., Singh, J., & Kurup, R. (2019). Comparison and effectiveness of complementary and alternative medicine as against conventional medicine in the treatment and management of Type 2 diabetes. Journal of Complementary and Alternative Medical Research, 1-8. Chang, H. Y. A., Wallis, M., Tiralongo, E., & Wang, H. L. (2012). Decision‐making related to complementary and alternative medicine use by people with Type 2 diabetes: a qualitative study. Journal of Clinical Nursing, 21(21-22), 3205-3215. Dunning, T., Martin, P., Savage, S., & Duggan, N. (2010). Guidelines for managing diabetes at the end of life. Nurses Board of Victoria. Hur, K. Y., Moon, M. K., Park, J. S., Kim, S. K., Lee, S. H., Yun, J. S., … & Ko, S. H. (2021). 2021 Clinical Practice Guidelines for Diabetes Mellitus in Korea. Diabetes & Metabolism Journal, 45(4), 461-481. Kumar, S., Kumari, P., Kumar, V., & Fatima, M. (2020). Efficacy of Alternative Medicine in Reducing Hemoglobin A1c (HbA1c) in Type 2 Diabetes Mellitus. Cureus, 12(9). Pumthong, G., Nathason, A., Tuseewan, M., Pinthong, P., Klangprapun, S., Thepsuriyanon, D., & Kotta, P. (2015). Complementary and alternative medicines for diabetes mellitus management in ASEAN countries. Complementary therapies in medicine, 23(4), 617-625. Ramamoorthi, R., Gahreman, D., Moss, S., & Skinner, T. (2019). The effectiveness of yoga to prevent diabetes mellitus type 2: A protocol for systematic review and meta-analysis. Medicine, 98(3). Wanchai, A., & Phrompayak, D. (2016). Use of complementary and alternative medicine among Thai patients with type 2 diabetes mellitus. Journal of integrative medicine, 14(4), 297-305.

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