Treating the Type 2 DM With Cassia Cinnamon
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Treating the Type 2 DM With Cassia Cinnamon
Discussion #1
This week we are discussing Gami, who presents to the clinic for primary care. She is a 48-year -old female, whose history includes Type 2 DM, memory deficits. She is treating the Type 2 DM with cassia cinnamon is also prescribed Aricept and Coumadin.
Additional subjective data would include dates of diagnosis of current disease processes, pain scale, any adverse events, full surgical history, medical history including why she is being prescribed Coumadin, social history, familial history of disease, mental issues, ethnic considerations, nutritional information, and economic factors that may affect compliance. Objective data should include a full head to toe exam, blood work including A1C, vital signs, BMI, thorough wound check and foot care as well as a memory examination, dosages of all medications. It is important to gather as much relevant information as possible during the initial history and visit in order to be able to constructively evaluate the current treatment and what plan of care may be necessary with these factors included (HealthyPeople.gov, 2018).
Taking a position on the patients use of alternative supplements as the only treatment of a chronic serious disease such as type 2 DM can be a delicate balance of looking at the patient’s preferences and safety and efficacy. Using cassia cinnamon to treat Type II diabetes has been studied in several scholarly articles and show improvement in A1C results. I would monitor her more closely if she insists on using cassia cinnamon exclusively treating her type 2 DM. Cassia cinnamon is contraindicated in people with an allergy to cinnamon or Peru balsam and should be used with caution in patients with hepatic disease as it may cause toxicity and also affect blood glucose (Kwak, Park, & Kwon, 2017). The patient should have INR, platelet counts and closely monitor for signs and symptoms of a declining state of dementia (Wilson, Shannon, & Sheilds, 2015).
Due the patient’s history of type 2 DM , I would assess her lab results – A1C, fasting blood glucose, CMP, CBC, liver and kidney function and overall health and my first choice drug would be a prescription for Metformin 500 mg, PO, BID , with meals (Buttaro, Trybulski, Polgar-Bailey, & Sandberg-Cook, 2017). The decision is based on evidence that an additional drug should be added to the regimen of treatment with the cassis cinnamon, based on evidence and trials and regulations, unlike the cassis cinnamon alone, which is not regulated by the FDA(Woo & Robinson , 2014). Metformin is classified as antidiabetic, its mechanism of action is a binding of insulin to the receptors and potentiates insulin action, improves tissue sensitivity to insulin, and is effective in lowering serum glucose (Wilson, Shannon, & Sheilds, 2015). Metformin is 50-60% absorbed in the systemic circulation, is not metabolized, eliminate in urine, and has a half-life of 6.2-17.6 hours. Contraindications include hypersensitivity to metformin, hepatic or cardiopulmonary insufficiency and most serious cardiac issues, DKA, renal disease and impairment with creatinine clearance of 1.5 md/dl, and should be stopped 48 hours prior to surgery (Wilson, Shannon, & Sheilds, 2015). Metformin does carry a black box warning of being associated with potentially fatal lactic acidosis (Wilson, Shannon, & Sheilds, 2015).
Educating the patient on proper diet, exercise, taking all medications as prescribed and notifying the HCP of any side effects or missed doses as well as monitoring BG and moderate use of alcohol. Signs and symptoms of hypoglycemia and lactic acidosis should be given with a return demonstration (Buttaro, Trybulski, Polgar-Bailey, & Sandberg-Cook, 2017). Patient should also be made aware of bleeding precautions (Wilson, Shannon, & Sheilds, 2015). Follow up appointments every three months should be adhered to.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
CLICK ON THE LINK HERE: https://www.perfectacademic.com/orders/ordernow
Also, you can place the order at www.collegepaper.us/orders/ordernow / www.phdwriters.us/orders/ordernow
Do You Have Any Other Essay/Assignment/Class Project/Homework Related to this? Click Here Now [CLICK ME]and Have It Done by Our PhD Qualified Writers!!