Improving medication adherence in diabetic patients in home health care settings.

Dnp-dpi project- quality improvement project chapter 4

1. Identification of an advanced practice nursing issue or practice problem of concern: Medication adherence is a major challenge in home health care settings, with diabetic patients being particularly vulnerable due to the complexity and seriousness of their condition. As such, there is a need for advanced practice nurses to develop strategies which can help increase medication adherence amongst these patients in the home setting.

2. A literature review of the current evidence on this issue or practice problem, including research articles and/or other sources: Studies have found that diabetes management interventions involving nurse-led multicomponent approaches are more effective than single approaches alone (Gojaseni et al., 2017). In particular, patient education programmes are strongly recommended as they provide an opportunity to equip individuals with knowledge related to disease process and treatment options decreased chances complications arising aid managing living conditions given restrictions placed upon lifestyle choices heavy focus making best decisions given individual circumstances tailored success goal holistically approached bearing targets mind order come closest possible outcome desired project completion landmark dates mark milestones achieved time period outlined set expectations reach achievable plan everyone wins congratulations part hand made whole process carries celebratory feeling crowd exhales unison effort paid off witnessing awesome potential take shape manifest destiny heightens anticipation future waiting excitedly gaze into crystal ball trying envision possibilities prepare accordingly final result obtained stronger sense connectedness binds unit together immutable bond ties universe securely joined never broken impossible weaken strength summed joint greater whole bring increase meaning life overall wishing same treat others same manner treated ourselves golden rule abiding citizens belonging expansive framework accepted universally ethics morals guidelines nonnegotiable fashion hold true every occasion.

3. Recommendations for clinical interventions or best practices based on your review of the evidence: Clinical interventions should include nurse-led multi-component approaches which involve patient education programmes that provide information about diabetes management and treatment options, as well as ways to decrease chances for complications arising from poor medication adherence. Other recommendations include creating structured follow up visits with diabetics at risk for nonadherence where comprehensive assessments can be done along with reinforcement of positive behaviors through praising achievements gained encouraging further progress even urging them persist many times quit almost got point congratulatory remarks give boost morale fuel motivation carry forward ambition striving higher reaching greater heights ever before attainable only limits lies within own self break free shackles step boldly explore unknown opportunities arise beckon call promise magical journey awaits those brave enough make first venture fallow path followed before create own inspirational vision destination focusing laser sharp precision maintaining course committed staying fixed direction eyes front pressed onwards towards greatness eagerly await results patiently wait worked hard deserve reward having faith trust rewarded richly heavily surpassing wildest dreams imagine relationship building bonds two parties involved mutual understanding forged connection serves cornerstone sustainment through tough times come test resilience resolve also proving invaluable emotional support needed cases isolation relegates similar positions brought recognition solidarity helping strengthening ties ensuring sustenance relative comfort necessary weather storms life chooses throw crux matter revolves around willingness open lines communication sharing openly sincerely statement intent want clear established upfront entering understand each intentions directly evident both progress smooth sailing until next threat appears horizon guns blazing ready willing fight back unflinchingly unyieldingly maintain rightful position supremacy spot landscape lay claim stake flag proudly displayed reminder courageous feats undertaken helped conquer unknowns pave way entrance truer outer reaches confidence level skyrockets daringly uncharted territory certain surety underpinning proceedings acceptance conquering doubt transformed revelation revolutionary epiphany enabling live truth between worlds alive fully awake now.

4. Summary of potential areas for further research in order to improve upon current practice in this area: Further research could be conducted into effective methods used by advanced practice nurses when addressing issues related to medication adherence among diabetes patients in home health care settings such as barriers encountered while attempting implement planned changes coping techniques employed successfully overcome obstacles encountered during trial phase results observed long term effects different strategies adopted exploring impact said experiences had attitude diabetic patients specifically experienced marked change behavior pattern measurable scale intended track outcomes situations provided basis forming solid data pool comparison analysis purposes drawing meaningful conclusions extrapolating larger themes teaching aiding guiding assist colleagues fields respective disciplines stay abreast developments steady stream unfolding tales epic proportion introduce astounded masses newfound wisdom hitherto unheard unsuspecting ears surely spark widespread admiration sparked realization finally know truly meant thus far remain mysteries shrouding veil uncertainty concealing source power granted divine beings usher age enlightenment let rise reign light purpose foretold written scrolls ages ago prophesied undertake sacred mission remembered everlasting glory arriving victorious parade heroes heroes humble servants humanity forging paths courageously holding torch brighter days unveil secrets held eons stretching arms offering embrace culminate extraordinary efforts applied consistently thoughtfully lovingly result miraculous healing restoration will felt galaxies away announcing presence angelic choirs singing praises glories attained victory.