NRS 410 Week 5 Discussion Essay

NRS 410 Week 5 Discussion Essay

NRS 410 Week 5 Discussion Essay

WEEK 5 ARTICLE

https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(21)00422-8/fulltext#secst120 

HeatherScreening, diagnosis and management of diabetic sensorimotor polyneuropathy in clinical practice: International expert consensus recommendations

Dan Ziegler 1, Solomon Tesfaye 2, Vincenza Spallone 3, Irina Gurieva 4, Juma Al Kaabi 5, Boris Mankovsky 6, Emil Martinka 7, Gabriela Radulian 8, Khue Thy Nguyen 9, Alin O Stirban 10, Tsvetalina Tankova 11, Tamás Varkonyi 12, Roy Freeman 13, Péter Kempler 14, Andrew Jm Boulton 15

Affiliations expand

• PMID: 34547367
• DOI: 10.1016/j.diabres.2021.109063

Free article

Abstract

Diabetic sensorimotor polyneuropathy (DSPN) affects around one third of people with diabetes and accounts for considerable morbidity, increased risk of mortality, reduced quality of life, and increased health care costs resulting particularly from neuropathic pain and foot ulcers. Painful DSPN is encountered in 13-26% of diabetes patients, while up to 50% of patients with DSPN may be asymptomatic. Unfortunately, DSPN still remains inadequately diagnosed and treated. Herein we provide international expert consensus recommendations and algorithms for screening, diagnosis, and treatment of DSPN in clinical practice derived from a Delphi process. Typical neuropathic symptoms include pain, paresthesias, and numbness particularly in the feet and calves. Clinical diagnosis of DSPN is based on neuropathic symptoms and signs (deficits). Management of DSPN includes three cornerstones: (1) lifestyle modification, optimal diabetes treatment aimed at near-normoglycemia, and multifactorial cardiovascular risk intervention, (2) pathogenetically oriented pharmacotherapy (e.g. α-lipoic acid and benfotiamine), and (3) symptomatic treatment of neuropathic pain including analgesic pharmacotherapy (antidepressants, anticonvulsants, opioids, capsaicin 8% patch and combinations, if required) and non-pharmacological options. Considering the individual risk profile, pain management should not only aim at pain relief, but also allow for improvement in quality of sleep, functionality, and general quality of life.

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Keywords: Diabetic polyneuropathy; Diagnosis; Guidelines; Neuropathic pain; Screening; Treatment.

Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.

Similar articles

• [Diabetic polyneuropathy].
• Ziegler D.Internist (Berl). 2020 Mar;61(3):243-253. doi: 10.1007/s00108-020-00770-8.PMID: 32086529 Review. German.
• Current concepts in the management of diabetic polyneuropathy.
• Ziegler D, Papanas N, Schnell O, Nguyen BDT, Nguyen KT, Kulkantrakorn K, Deerochanawong C.J Diabetes Investig. 2021 Apr;12(4):464-475. doi: 10.1111/jdi.13401. Epub 2020 Oct 11.PMID: 32918837 Free PMC article. Review.
• Diagnostic Tools, Biomarkers, and Treatments in Diabetic polyneuropathy and Cardiovascular Autonomic Neuropathy.
• Bönhof GJ, Herder C, Ziegler D.Curr Diabetes Rev. 2022;18(5):e120421192781. doi: 10.2174/1573399817666210412123740.PMID: 33845748 Review.
• Neuropathic pain is not adequately treated in the older general population: Results from the KORA F4 survey.
• Meisinger C, Bongaerts BWC, Heier M, Amann U, Kowall B, Herder C, Rückert-Eheberg IM, Rathmann W, Ziegler D.Pharmacoepidemiol Drug Saf. 2018 Jul;27(7):806-814. doi: 10.1002/pds.4559. Epub 2018 May 24.PMID: 29797371
• Current Pharmacological Treatment of Painful Diabetic Neuropathy: A Narrative Review.
• Ardeleanu V, Toma A, Pafili K, Papanas N, Motofei I, Diaconu CC, Rizzo M, Stoian AP.Medicina (Kaunas). 2020 Jan 9;56(1):25. doi: 10.3390/medicina56010025.PMID: 31936646 Free PMC article. Review.

See all similar articles

Cited by

• Effects of 1-methyl-1, 2, 3, 4-tetrahydroisoquinoline on a diabetic neuropathic pain model.
• Tokhi A, Ahmed Z, Arif M, Rehman NU, Sheibani V, Sewell RDE, Rauf K.Front Pharmacol. 2023 Mar 22;14:1128496. doi: 10.3389/fphar.2023.1128496. eCollection 2023.PMID: 37033637 Free PMC article.
• Screening for diabetic peripheral neuropathy in resource-limited settings.
• Nkonge KM, Nkonge DK, Nkonge TN.Diabetol Metab Syndr. 2023 Mar 22;15(1):55. doi: 10.1186/s13098-023-01032-x.PMID: 36945043 Free PMC article. Review.
• Diagnosis and management of patients with polyneuropathy.
• Mirian A, Aljohani Z, Grushka D, Florendo-Cumbermack A.CMAJ. 2023 Feb 13;195(6):E227-E233. doi: 10.1503/cmaj.220936.PMID: 36781195 Free PMC article. Review. No abstract available.
• The 8-Week Efficacy of Frequency Rhythmic Electrical Modulated System (FREMS) as an Add-on Therapy in the Treatment of Symptomatic Diabetic Peripheral Polyneuropathy.
• Gorczyca-Siudak D, Dziemidok P.Int J Environ Res Public Health. 2022 Dec 22;20(1):111. doi: 10.3390/ijerph20010111.PMID: 36612433 Free PMC article. Clinical Trial.
• Serum neurofilament light chain: a novel biomarker for early diabetic sensorimotor polyneuropathy.
• Maalmi H, Strom A, Petrera A, Hauck SM, Strassburger K, Kuss O, Zaharia OP, Bönhof GJ, Rathmann W, Trenkamp S, Burkart V, Szendroedi J, Ziegler D, Roden M, Herder C; GDS Group.Diabetologia. 2023 Mar;66(3):579-589. doi: 10.1007/s00125-022-05846-8. Epub 2022 Dec 6.PMID: 36472640 Free PMC article.

This is a Collaborative Learning Community (CLC) assignment.

As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Create a 2 slide PowerPoint presentation (not including the title page and references) on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.

Include the following:

1. Describe the intervention or treatment tool and the specific patient population used in the article.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Rubric Criteria

CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes Part 2 – Rubric

Rubric Criteria

Criteria Description

Current relevant article to nursing practice with focus on specific intervention or new treatment tool for diabetes management in adults or children 

Intervention or Treatment Tool and Specific Patient Population of Study

Criteria Description

Description of the intervention or treatment tool and the patient population used in article. 

Summary of Article

Criteria Description

Summary of the main idea of the research findings for the patient population, including current and relevant clinical findings to diabetes and nursing practice.

Treatment Tool or Intervention Integration

Criteria Description

Description of integration of treatment tool or intervention into nursing practice including evidentiary support and effect on nursing practice and disease process. 

Inclusion of the Psychological, Cultural, and Spiritual Aspects

Criteria Description

Explanation of the importance in considering psychological, cultural, and spiritual aspects for a patient who has been diagnosed with diabetes including a description of the support that can be offered with provided examples. 

Presentation of Content

Criteria Description

Presentation of Content

1. Target 

The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout

Criteria Description

The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Criteria Description

Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Mechanics of Writing 

Criteria Description

Includes spelling, punctuation, grammar, language use

Format/Documentation

Criteria Description

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline. 

ORDER A PLAGIARISM-FREE PAPER HERE

WEEK 5
ARTICLE

study
https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(21)00422-8/fulltext#secst120

HeatherScreening, diagnosis and management of diabetic sensorimotor polyneuropathy in clinical practice: International expert consensus recommendations
Dan Ziegler 1, Solomon Tesfaye 2, Vincenza Spallone 3, Irina Gurieva 4, Juma Al Kaabi 5, Boris Mankovsky 6, Emil Martinka 7, Gabriela Radulian 8, Khue Thy Nguyen 9, Alin O Stirban 10, Tsvetalina Tankova 11, Tamás Varkonyi 12, Roy Freeman 13, Péter Kempler 14, Andrew Jm Boulton 15
Affiliations expand
• PMID: 34547367
•
• DOI: 10.1016/j.diabres.2021.109063
Free article
Abstract
Diabetic sensorimotor polyneuropathy (DSPN) affects around one third of people with diabetes and accounts for considerable morbidity, increased risk of mortality, reduced quality of life, and increased health care costs resulting particularly from neuropathic pain and foot ulcers. Painful DSPN is encountered in 13-26% of diabetes patients, while up to 50% of patients with DSPN may be asymptomatic. Unfortunately, DSPN still remains inadequately diagnosed and treated. Herein we provide international expert consensus recommendations and algorithms for screening, diagnosis, and treatment of DSPN in clinical practice derived from a Delphi process. Typical neuropathic symptoms include pain, paresthesias, and numbness particularly in the feet and calves. Clinical diagnosis of DSPN is based on neuropathic symptoms and signs (deficits). Management of DSPN includes three cornerstones: (1) lifestyle modification, optimal diabetes treatment aimed at near-normoglycemia, and multifactorial cardiovascular risk intervention, (2) pathogenetically oriented pharmacotherapy (e.g. α-lipoic acid and benfotiamine), and (3) symptomatic treatment of neuropathic pain including analgesic pharmacotherapy (antidepressants, anticonvulsants, opioids, capsaicin 8% patch and combinations, if required) and non-pharmacological options. Considering the individual risk profile, pain management should not only aim at pain relief, but also allow for improvement in quality of sleep, functionality, and general quality of life.
Keywords: Diabetic polyneuropathy; Diagnosis; Guidelines; Neuropathic pain; Screening; Treatment.
Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.
Similar articles
• [Diabetic polyneuropathy].
• Ziegler D.Internist (Berl). 2020 Mar;61(3):243-253. doi: 10.1007/s00108-020-00770-8.PMID: 32086529 Review. German.
• Current concepts in the management of diabetic polyneuropathy.
• Ziegler D, Papanas N, Schnell O, Nguyen BDT, Nguyen KT, Kulkantrakorn K, Deerochanawong C.J Diabetes Investig. 2021 Apr;12(4):464-475. doi: 10.1111/jdi.13401. Epub 2020 Oct 11.PMID: 32918837 Free PMC article. Review.
• Diagnostic Tools, Biomarkers, and Treatments in Diabetic polyneuropathy and Cardiovascular Autonomic Neuropathy.
• Bönhof GJ, Herder C, Ziegler D.Curr Diabetes Rev. 2022;18(5):e120421192781. doi: 10.2174/1573399817666210412123740.PMID: 33845748 Review.
• Neuropathic pain is not adequately treated in the older general population: Results from the KORA F4 survey.
• Meisinger C, Bongaerts BWC, Heier M, Amann U, Kowall B, Herder C, Rückert-Eheberg IM, Rathmann W, Ziegler D.Pharmacoepidemiol Drug Saf. 2018 Jul;27(7):806-814. doi: 10.1002/pds.4559. Epub 2018 May 24.PMID: 29797371
• Current Pharmacological Treatment of Painful Diabetic Neuropathy: A Narrative Review.
• Ardeleanu V, Toma A, Pafili K, Papanas N, Motofei I, Diaconu CC, Rizzo M, Stoian AP.Medicina (Kaunas). 2020 Jan 9;56(1):25. doi: 10.3390/medicina56010025.PMID: 31936646 Free PMC article. Review.
See all similar articles
Cited by
• Effects of 1-methyl-1, 2, 3, 4-tetrahydroisoquinoline on a diabetic neuropathic pain model.
• Tokhi A, Ahmed Z, Arif M, Rehman NU, Sheibani V, Sewell RDE, Rauf K.Front Pharmacol. 2023 Mar 22;14:1128496. doi: 10.3389/fphar.2023.1128496. eCollection 2023.PMID: 37033637 Free PMC article.
• Screening for diabetic peripheral neuropathy in resource-limited settings.
• Nkonge KM, Nkonge DK, Nkonge TN.Diabetol Metab Syndr. 2023 Mar 22;15(1):55. doi: 10.1186/s13098-023-01032-x.PMID: 36945043 Free PMC article. Review.
• Diagnosis and management of patients with polyneuropathy.
• Mirian A, Aljohani Z, Grushka D, Florendo-Cumbermack A.CMAJ. 2023 Feb 13;195(6):E227-E233. doi: 10.1503/cmaj.220936.PMID: 36781195 Free PMC article. Review. No abstract available.
• The 8-Week Efficacy of Frequency Rhythmic Electrical Modulated System (FREMS) as an Add-on Therapy in the Treatment of Symptomatic Diabetic Peripheral Polyneuropathy.
• Gorczyca-Siudak D, Dziemidok P.Int J Environ Res Public Health. 2022 Dec 22;20(1):111. doi: 10.3390/ijerph20010111.PMID: 36612433 Free PMC article. Clinical Trial.
• Serum neurofilament light chain: a novel biomarker for early diabetic sensorimotor polyneuropathy.
• Maalmi H, Strom A, Petrera A, Hauck SM, Strassburger K, Kuss O, Zaharia OP, Bönhof GJ, Rathmann W, Trenkamp S, Burkart V, Szendroedi J, Ziegler D, Roden M, Herder C; GDS Group.Diabetologia. 2023 Mar;66(3):579-589. doi: 10.1007/s00125-022-05846-8. Epub 2022 Dec 6.PMID: 36472640 Free PMC article.

This is a Collaborative Learning Community (CLC) assignment.
As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.
Create a 2 slide PowerPoint presentation (not including the title page and references) on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.
Include the following:
1. Describe the intervention or treatment tool and the specific patient population used in the article.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Rubric Criteria
CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes Part 2 – Rubric

Rubric Criteria

Criteria Description
Current relevant article to nursing practice with focus on specific intervention or new treatment tool for diabetes management in adults or children

Intervention or Treatment Tool and Specific Patient Population of Study

Criteria Description
Description of the intervention or treatment tool and the patient population used in article.

Summary of Article

Criteria Description
Summary of the main idea of the research findings for the patient population, including current and relevant clinical findings to diabetes and nursing practice.

Treatment Tool or Intervention Integration

Criteria Description
Description of integration of treatment tool or intervention into nursing practice including evidentiary support and effect on nursing practice and disease process.

Inclusion of the Psychological, Cultural, and Spiritual Aspects

Criteria Description
Explanation of the importance in considering psychological, cultural, and spiritual aspects for a patient who has been diagnosed with diabetes including a description of the support that can be offered with provided examples.

Presentation of Content

Criteria Description
Presentation of Content
1. Target

The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

Layout

Criteria Description

The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Criteria Description
Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Mechanics of Writing

Criteria Description
Includes spelling, punctuation, grammar, language use

Format/Documentation

Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.