Clinical Care Guidelines for Glycemic Control in Long-Term Care: Utilizing the Best Evidence

2.50
Hdl Handle:
http://hdl.handle.net/10755/152404
Type:
Presentation
Title:
Clinical Care Guidelines for Glycemic Control in Long-Term Care: Utilizing the Best Evidence
Abstract:
Clinical Care Guidelines for Glycemic Control in Long-Term Care: Utilizing the Best Evidence
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Kazim, Oanh Kim Thi, RN, BSN
P.I. Institution Name:Christus St. Joseph Hospital
Title:Clinical Nurse
Co-Authors:Lindy Lou Moreno, RN, BSN; Susamma Abraham, RN; Shyang-Yun P. K. Shiao, PhD, RN, FAAN
At many as 60-70% of patients requiring long-term care have diabetes or problems with glycemic control. At least 10% of acute care patients are diabetic and another 10% experience stress hyperglycemia with their hospitalizations. Long-term care patients present unique challenges to the health care as most patients have repeat hospitalizations with degenerated physiologic functions. About half of these patients have recent acute care hospitalizations. The goal of this presentation is to present the best evidence of intervention strategies to care for patients who present pool glycemic control in long-term care. Low-carbohydrates diet (limiting sugar and simple carbohydrates) has been suggested for diabetic patients for their limited insulin levels. However, some patients could over ingest fat content with low fiber content. High-fat diet presents problems in long-term care for patients' decreased gastric-intestinal and metabolic functions. Low-fat diet as compared to low-carbohydrates diet is more beneficial for these patients, for glycemic control and preventing the development of cardiovascular complications. The strategy is to increase the fiber content (including vegetables and low-sugar fruits) and the natural nutrients in the diet. Beneficial supplements for these patients include vitamins (C, B12, and E), magnesium and chromium, and antioxidants, to stabilize blood glucose. Antioxidants are rich in fruits (berries and grape seed extracts), vegetables, nuts, seeds, flowers, aloe, and bark. Exercise as a form of active life is the 'golden pill' for patients with pool glycemic control. The most useful form of exercise for long term care patients is walking and related exercises. The use of supplements and complementary therapies has increased dramatically in the United States in the past decade, and more patients are taking these dietary supplements. This is a new venture for conventional health care. Clinical care guidelines for glycemic control in long-term care will be presented based on the best evidence.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleClinical Care Guidelines for Glycemic Control in Long-Term Care: Utilizing the Best Evidenceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152404-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Clinical Care Guidelines for Glycemic Control in Long-Term Care: Utilizing the Best Evidence</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kazim, Oanh Kim Thi, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Christus St. Joseph Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">oanh.kazim@christushealth.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lindy Lou Moreno, RN, BSN; Susamma Abraham, RN; Shyang-Yun P. K. Shiao, PhD, RN, FAAN</td></tr><tr><td colspan="2" class="item-abstract">At many as 60-70% of patients requiring long-term care have diabetes or problems with glycemic control. At least 10% of acute care patients are diabetic and another 10% experience stress hyperglycemia with their hospitalizations. Long-term care patients present unique challenges to the health care as most patients have repeat hospitalizations with degenerated physiologic functions. About half of these patients have recent acute care hospitalizations. The goal of this presentation is to present the best evidence of intervention strategies to care for patients who present pool glycemic control in long-term care. Low-carbohydrates diet (limiting sugar and simple carbohydrates) has been suggested for diabetic patients for their limited insulin levels. However, some patients could over ingest fat content with low fiber content. High-fat diet presents problems in long-term care for patients' decreased gastric-intestinal and metabolic functions. Low-fat diet as compared to low-carbohydrates diet is more beneficial for these patients, for glycemic control and preventing the development of cardiovascular complications. The strategy is to increase the fiber content (including vegetables and low-sugar fruits) and the natural nutrients in the diet. Beneficial supplements for these patients include vitamins (C, B12, and E), magnesium and chromium, and antioxidants, to stabilize blood glucose. Antioxidants are rich in fruits (berries and grape seed extracts), vegetables, nuts, seeds, flowers, aloe, and bark. Exercise as a form of active life is the 'golden pill' for patients with pool glycemic control. The most useful form of exercise for long term care patients is walking and related exercises. The use of supplements and complementary therapies has increased dramatically in the United States in the past decade, and more patients are taking these dietary supplements. This is a new venture for conventional health care. Clinical care guidelines for glycemic control in long-term care will be presented based on the best evidence.</td></tr></table>en_GB
dc.date.available2011-10-26T11:35:02Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:35:02Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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