Introduction The purpose of this report is to show how to research the different information available from various sources, for the Long-term condition of type 2 diabetes, and how this is used in evidence-based practice. This topic has been chosen due to at least 40% of the current caseload allocated within the work setting has the long-term condition. It will discuss how to search all the relevant information that is available for the Long-term condition, and the evidence there is to support this. The report will also show how to access the information relating to the chosen topic, following the various sources that are available: Books, internet and Journals.Diabetes is known as a common Life-Long health condition, according to Diabetes UK (2018) it is estimated that over 12.3 million people are diagnosed in the UK with type 2 diabetes, 6 out of 10 people show no symptoms when they are diagnosed with type 2 diabetes. According to diabetes UK it is estimated that a total of 11.718 billion pounds is spent a year treating the long-term condition, this is potentially 10% of the health services budget. It is suggested that a further 263.000 people with type 2 diabetes will have the condition by 2035 if the obesity crisis continues. Type 2 diabetes is mainly treated with oral medication called metformin; this will normally be observed for a minimum of 3 months to gain the evidence that the medication is keeping the blood glucose levels stable.There are more people with type 2 diabetes who are dependent of administering insulin, according to Eating well (2018), experts believe even more people with type 2 diabetes should be taking insulin to control blood sugar-and the earlier the better. With an increase in people developing type 2 diabetes at a younger age and living longer. More and more people will likely be administering insulinBackgroundThe evidence that has been searched from the various sources could be of use to the health care professional, but not all the material that has been published will be of a dependable source, therefore when doing a search for information on type 2 diabetes it is best practice to explore other areas to seek out reliable up to date information that can be evidenced. All Healthcare professionals will need to be able to search for the most relevant and up to date information on the required subject, with their career to gain the most recent and relevant facts to date. This will allow the health care professional to deliver the most reliable and up-to-date information to their patients and families. Evidence based practice has been shown to play an important area for the research, most of the information that is available will have been published by professionals, they will have demonstrated the work-based practice and have gained the knowledge (Jolley 2010). Evidence based practice is an evolution in the health care environment, that is proven to be one of the most effective, safe and efficient ways in practice. New knowledge has been proven not to be enough within this field of care, and this knowledge must be transformed in to the environment, evidence-based practice is one of the top core competencies for Health Professionals, it combines the best research with the clinical expertise and patient values to promote the best care possible to individuals, and by contributing in the learning and research activities (nursing world). NICE (2017) report that it is important to adopt an individualised approach to diabetes care, and that it is evidenced based to suit the needs of the patient.Literature searchTo perform a literature search, firstly specify the topic of choice. To start the literature review, you will need to formulate a plan and must narrow down the chosen topic. This will be mostly be made up of the use of different key words. The key words used to find the specific information required that is relating to the topic are: diabetes, type 2, elderly, evidence-based practice. Some search operators allow to combine the words OR, AND to widen or define the search to be more accurate to the subject title, this is known as Boolean operators (MIT, Libraries). To perform a search using BooksThe search will be within the library within my local town, in the healthcare section firstly look for the books containing the relevant key words, type 2 diabetes. To establish the most relevant books required to evidence the work-based practice on type 2 diabetes, it was found to be most important to read several short areas of the books selected to seek out the most correct and relevant information that was required. The books that was chosen seemed most relevant to type 2 diabetes were, ‘Care of people with diabetes: a manual of nursing practice (Dunning, T),’ Management of type 2 diabetes mellites ’a practical guide (levene, S. Donnelly, R), and; ‘A handbook for the primary care healthcare team’ (McDowell, J. Matthew, D. Brown, F).To perform a search using the InternetThe main search engine that was used for the search was Google, and Google Scholar. To perform the search on the chosen topic, the key words used were type 2 diabetes and evidence-based practice. Using the key words type 2 diabetes this returned over 368,000,000 links, and 738,000,000 links for evidenced based practice, the information that was returned in the links was found to not always be appropriate and reliable. Filters were then used to do an advanced search, this is performed by clicking on the settings option that is situated at the top of the screen, by adjusting the settings within this the country selected was the UK, the date range that was required is 2007-2019 this was obtains via the tools section and verbatim was selected, this provides the most relevant information required available within the first page.To perform a search using a JournalsTo obtain the required journal the search engine used was Google Scholar. The search was then refined by dates 2007-2019, it was found that by adding in another key word such as ‘elderly’ this returned over 800 journals, the most relevant was managing problems with medications for type 2 diabetes (Morris, D).FindingsOnce all the evidence has been collected from the three sources: journals, books, and the internet. All the information will need to be studied to find the most up to date and relevant information to evidence the workplace practice.Findings from journalsThe largest journal source in the United Kingdom is Google Scholar it has the largest online archive of nursing journals and articles that provide evidence of workplace practice.According to Yates et al (2009). Studies have shown that a change in the physical activity will show a dramatic effect on the risk of developing type 2 diabetes. Morris (2017) went into depth about the effects and the managing of medications for the long-term condition, these provided a reliable source of data to support the evidence, on how the different treatments are used to manage the disease of type 2 diabetes.The journals obtained provided a reliable source of information that is up to date and provided the knowledge to support the evidence of work-based practice, and how this evidences the many treatments that are made available and how these are managed alongside other long-term conditions. Yates et al (2009) reports that nurses have a key role in the promoting of the patient’s physical activity and lifestyle behaviours to reduce the risks of diabetes, and states that it is necessary to prioritise the information given to the patients during a consultation. It has been evidenced that by increasing daily activities, such as walking, running and maintaining a healthy lifestyle this will reduces the risk of type 2. Crowe (2016) reports that millions of people are prescribed glucose lowing medication and are routinely checking their blood sugar levels. Crowe (2016) states that the evidence behind diabetes is based mainly on professional opinions and set facts, stating that the relationship between the blood sugars and the disease is not completely understood, and that there is no evidence that the glucose lowering medications help with long term conditions.Findings from booksThe books that was chosen from the library, evidence the workplace practice for the managing of type 2 diabetes. The authors credential for the chosen books is that they are mainly a professor and have lots of experience and knowledge and this can be evidenced within the book. The findings are that Dunning (2009) has extensive knowledge of evidence-based practice for diabetic care and provides the best evidence for the consistent care and improvement of the patient’s outcome and provides all the required information on the long-term condition of type 2 diabetes. Dunning (2009) provides a considerable insight in to type 2 diabetes from the early stage of diagnosis to treatment and how the evidence surrounding type 2 diabetes is beneficial to patients, families and health care providers. McDowell (2007) reports that those who have been diagnosed with the long-term condition of type 2 diabetes are 15 times more likely to have an amputation of a limb due to the complications that arise with the disease. McDowell (2007) also evidences a comprehensive text on the management, of the long-term conditions of diabetes in the community and acute setting. The book advocates principles of care based on the latest research. It also evidences the effects that type 2 diabetes has on other conditions including diabetic ulcers, McDowell (2007) also suggests that education and evidence-based practice improves the care of patients. Levene and Donnelly (2011) report that most patients are diagnosed with the long term condition of type 2 diabetes after the age of forty, but this has been evidenced that a younger age onset is now occurring due to unhealthy lifestyle choices, especially within the individuals with unfavourable factors for insulin resistance, for example people who have obesity, unhealthy diet and poor exercise regime. Levene and Donnelly (2011) also state that it is evidenced there is likely to be a reduced life expectancy by up to ten years for people with the disease of type 2 diabetes, and on average 1.1 million days are spent acute hospitals every year due to complications of the long term condition of type 2 diabetes. It has been evidenced that with a healthier diet and increased daily activities this could potentially reduces the risk of insulin resistance leading to type 2 diabetes.Findings from the internetThe National Institute for Health and Clinical Excellence (NICE) reports that it is valuable to have work based evidence, they mainly focus on patient education and the evidence that is created from studies, they also ensue that a good structured programme for patients with type2 diabetes is evidence based to suit the needs of the individual and not generic. It is evidenced that with patient and carer education of the long-term condition of type 2 diabetes, it has proven to have been effective, and in return this has been demonstrated by the importance of the long-term condition preventing acute and chronic complications. It is also evidenced that Type 2 diabetes is a chronic illness, and that many people that are diagnosed with type 2 diabetes are mainly treated first with oral medication called metformin, and this treatment is normally observed for a minimum of 3 months to gain the evidence that the medication is keeping the blood glucose levels stable. There are more people with type 2 diabetes who are dependent of administering insulin. According to Eatingwell (2018) experts believe that it has been evidenced that more people with type 2 diabetes should be administering insulin at an earlier stage to control their blood glucose levels and to maintain stability. ConclusionIt was found that after all areas: books journals and the internet have been rigorously searched, they all provided different views on the long-term condition of type 2 diabetes. The journals provided information mostly aimed at the healthcare providers, and this would not be of interest to the public or a service user and their families, but it is of considerable interest to the health care professionals.The information that was found within the journals are to be of the best interest and was shown to be most informative and proved to be an appropriate reliable source of information for the report, it was found to support the evidence-based practice and the underlying knowledge that is required to support this.According to Crowe (2016), the evidence raises questions about the beliefs in modern medicine, this was found to be more focused on the treatment of type 2 diabetes. It was found that the books researched were mostly aimed at the healthcare sector and students to provide them with an overview of what type 2 diabetes is and how it can be treated. This has provided the evidence and knowledge required to support work-based practice, mainly due to the books being published by health care professionals. But once the books have been published, they automatically become out of date, due to the time scale it takes to publish.It was found that the internet provided all the basic information that is made widely available to the public and the healthcare professional. The websites used could be used to provide the evidence required, due to this being supported by health care professionals, but it was unfortunate that not all the information that was returned from the searches was of a reliable source. Overall it is found that there is an extensive range of evidence to support the many treatments that are made available, and there is evidence that by changing daily lifestyle and increasing exercise and opting for a more healthier lifestyle and diet, this could potentially prevent insulin resistance in the future, but it has also been evidenced that the evidence behind the disease type 2 diabetes is mainly entirely based on professional options and set facts, stating that the relationship between blood sugars and the disease is not entirely understood, it has been discovered that all the evidence surrounding the long term condition type 2 diabetes is merely provided from Healthcare professionals that have gained the understanding of the condition and have demonstrated this in their practice, to deliver better care and treatments to their patients.
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