NUR 504 CLC Group Assignment Week 7-2

NUR 504 CLC Group Assignment Week 7-2

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CLC – EBP Develop Clinical Guideline and Implementation Plan Studies have shown that diabetic patients can have difficulty regulating their glucose levels when stress impacts their life. The information given in this paper describes the development and implementation of stress reduction techniques for diabetic patients to help with glycemic control. Problem Statement It is widely known that stress has many negative effects on the human body. “The experience of stress is associated with the release of counter-regulatory hormones and energy mobilization, often resulting in elevated glucose levels…Several studies have demonstrated a relationship of stress to glycemic control in samples of patients with type 2 diabetes” (Surwit, Van Tilburg, Zucker, McCaskill, & Parekh, 2002). In fact, even in healthy persons, acute psychological stress does impact glucose control and it has been found that even the anticipation of stress can raise blood glucose in Type II diabetics (Faulenbach, Utoff, Schwegler, Spinas, Schmid, & Wiesli, 2011). These elevated glucose levels further exacerbate the disease and make it more difficult to control. Therefore, by identifying these stressors early, patients can receive education on how to manage and lower these stress factors for better glycemic control. Evidence-Based Practice Question “How does psychological stress affect the blood glucose and well-being in diabetic patients?” Literature Review Searches for peer reviewed research articles were conducted through GCU library database. Search words included diabetes, stress, diabetic related stress, psychological stress, effect of stress on glucose metabolism, teaching stress management, and comorbidity in diabetes. Thirty- 2
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GUIDELINE AND IMPLEMENTATION five articles initially met the inclusion criteria, the articles spanned period from 1980 to the present. These were fine-tuned to reflect more recent publ…………

NUR 504 CLC Group Assignment Week 7-2