Case Analysis – In this assignment, you will address the application of the standards of care and clinical evidence to analyze scenarios in clinical practice

Scenario:
Esteban is a busy professional in his late thirties. Three years ago, at his last visit, the doctor recommended he quit smoking and lose weight. According to his doctor, his blood sugar, blood pressure, and cholesterol were a little high and improving his diet would help improve his overall health. He has cut back on his smoking and has also gained a little weight, despite his efforts to lose. He was too busy to return to the clinic for 6 months follow-up labs or return for last year’s health maintenance. He returns to the office today, three years later, for another health maintenance visit.
– Fasting Labs: 2021
     – A1c = 6.3%; Urinalysis – Glucose 280mg/dl; Cholesterol Total – 288mg/dl; Triglyceride – 420mg/dl; CMP Glucose – 235mg/dl
– Fasting Labs: 2019
     – A1c = 6.3%; Urinalysis – Glucose 280mg/d; Cholesterol Total – 201mg/dl; Triglyceride – 230mg/dl; CMP Glucose – 134mg/dl
(Archetype Innovations, LLC)

DISCUSSION PROMPT
You have been asked to address standards of care and clinical practice in primary care. Begin by addressing the following:
– Analyze case using Diabetes standards of care and clinical practice.
     – Identify and explain the standards of care and clinical practice applicable to this case.
     – Explain how the standard of diabetes care was or was not followed in the care of this patient
– Explain the role of EBP in directing established practice standards and guidelines relevant to this case.

Review:

• Standard of Care for nurse practitioner (NP) Practice
• NP competencies
• Evidence-based practice inquiry process
• Evidence-based practice models in APN Upon completion of this module, you will be able to:
  1. Apply the standard of care and practice evidence to analyze clinical practice.
  2. Engage EBP inquiry process to guide clinical problem appraisal and decision making
  3. Employ clinical investigative processes, skills, and models or frameworks to produce clinical evidence to support practice decision

Additional Material:

Read:

• Buppert (2021), Chapters 14
• Evidence-based Practice (Hamric’s 10, 23)
• Melnyk & Overholt (2018)
• Evidence-Based Practice – The Picot Method:  (Links to an external site.)“>Evidence-Based Practice: Step by Step: The Seven Steps of Ev… : AJN The American Journal of Nursing (lww.com) (Links to an external site.)
• Evidence-based Practice: Step by Step – Evidence-Based Practice Step by Step (nursingcenter.com)