It is anticipated that the initial discussion post should be in the range of 250-300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
Classroom Participation
Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.
Initial Response
You are seeing a 64-year-old Hispanic male for his diabetes management. He reports that his morning capillary blood sugar readings are ranging in the 150 to 190 range.
· Last month his Hgb A1C was 7.8
· He is on Metformin 1000mg twice a day and Glipizide 5mg daily.
· He walks a couple miles three to five times a week.
· A dietary review reveals that his daily total carbohydrate intake is in the range of 75 to 100 grams per day.
· Last eye exam did not reveal any problems. He wears reading glasses when needed.
· He does report some intermittent burning sensation in his feet.
· Ht 5’10”, Wt 168 lbs, BP 118/72, P 72, R 17
· Heart regular rhythm, without murmur or gallop
· Lungs clear
· Monifilament testing does not reveal any decreased sensation in the feet
Please develop a discussion post that responds to each of the following prompts. Where appropriate your discussion needs to be supported by scholarly resources. Be sure to include in-text citations in the context of the discussion and provide a full reference citation at the end of the discussion post:
· Provide your diagnosis.
· Discuss how you would manage the patient’s current diabetes regimen and provide a rationale supported by scholarly reference for your treatment plan.
· Include your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).
· Describe the patient education you would provide in relation to your treatment plan.
· Provide your plan for follow-up and/or referral (if indicated)
Please be sure to validate your opinions and ideas with citations and references in APA format.
