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Running head: NARRATIVE OF EVIDENCE-BASED1Narrative of Evidence-Based Concept MapPichsinee SmithCapella UniversityEvidence-Based Practice for Patient-Centered Care and Population HealthJune 2020
ABBREVIATED TITLE OF YOUR PAPER2AnalysisCarole Lund is a 44-year-old female with mixed heritage of Native American and European descent and was diagnosed with gestational diabetes during the 30thweek of her pregnancy (Capella University, n.d.). Carole thought that once her baby was born that the gestational diabetes would go away and is concerned that it is not going away. She is also worried that her daughter will develop Type 2 Diabetes. This is not the case for Carole, accordingto Killion (2018), “Although GDM often resolves after birth, up to approximately 33% of women will have diabetes or prediabetes (impaired fasting glucose or impaired glucose tolerance) at their postpartum screening” (Killion, 2018, p.231).Carole’s treatment for GDM during her pregnancy was a glucometer, setting alarms reminding her that it was time to eat something and eliminated the sugary beverages (Capella University, n.d.). Her laptop had three alarms set up on it to remind her to eat, because she normally would eat one big meal n the evening after work instead of eating during the day. Her OBGYN felt that the steps Carole had taken were not enough and had suggested that she should be started on insulin. As Carole is part Native American, she had her mother consult the tribe elders, which is important to Native Americans because the wisdom and experience the elders have is weighed heavily on decisions that are made (Boyer, 2012). The elders concluded that injecting animal hormones was not the best way to go forward in treating her GDM. The OBGYN mentioned that the insulin also comes from a synthetic sources, but Carole already had the mindset of “my baby is big and healthy, so I will just ride out the pregnancy and the blood sugars will return to normal after labor” (Capella University, n.d.).Carole has a situation of her blood glucose levels during pregnancy and post-partum of being elevated. Carole has been diligent in logging her blood pressure during and after
ABBREVIATED TITLE OF YOUR PAPER3pregnancy and she is showing a blood glucose level of 150-200 fasting and over 200 after eating (Capella University, n.d.). After he diagnosis of GDM, Carole’s family had helped her with preparing healthy meals and kept her on a schedule, but now it is just her and Kassandra and she is having difficulty balancing work, caring for her daughter, and managing her blood sugar levels. Carole is worried about Kassandra developing Type 2 Diabetes and is adamant in preventing that from happening by teaching her how to care for herself properly as she grows (Capella University, n.d.).