NURS 4320
Department of Nursing
Texas A&M University, Corpus Christi, Texas
Application of Learning Theory
INTRODUCTION
Among the many complications that can occur with pregnancy, one of the most prevalent and potentially life threatening for mother and fetus is gestational diabetes. Unfortunately, the possibility for the mother to eventually become a Type 2 diabetic is significantly higher if she was previously diagnosed with gestational diabetes. According to the National Institute of Health: * Reported rates of gestational diabetes range from 2 to 10 percent of pregnancies. * Immediately after pregnancy, 5 to 10 percent of women with gestational diabetes are found to have diabetes, usually type 2. * Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes in the next 10–20 years. * New diagnostic criteria for gestational diabetes will increase the proportion of women diagnosed with gestational diabetes. Using these new diagnostic criteria, an international, multicenter study of gestational diabetes found that 18 percent of the pregnancies were affected by gestational diabetes (National Diabetes Clearinghouse, 2011). The following teaching plan will help the gestational diabetic to successfully manage her illness during pregnancy, using guidance in glucose testing, menu planning, medication management, and follow-up teaching post partum to help reduce her chances of becoming a Type 1 or Type 2 diabetic.
TARGET POPULATION Because gestational diabetes is associated with pregnancy, the target population is young females of child-bearing years. The specific focus will be on those who live in an underserved area of the city and who tend to be on Medicaid due to lack of private insurance. Most of these females have minimal education and resources to adequately care for their illness. Another factor that may be considered is ethnicity in relation to
References: Bastable, S. B. (2008). Nurse as Educator: Principles of teaching and learning for nursing practice. (3rd ed.). Boston: Jones and Bartlett. Redman, B. K. (2007). The practice of patient education: A case study approach. (10th ed.). St. Louis: Mosby. Irland, N. B. (2010). The story of gestational diabetes. Association of Women’s Health Obstetrical and Neonatal Nursing. (vol. 14, issue. 2). Retrieved from http://ehis.ebscohost.com.manowar.tamucc.edu/ehost/pdfviewer/pdfviewer?vid=3&hid=102&sid=f77cda0a-f362-4a6c-a90b-fa600eb80a62%40sessionmgr110 Dabelea, D., Snell-Bergeon, J. K., Hartsfield, C. L., Bischoff, K. J., Hamman, R. F., McDuffie, R. S. (2005). Increasing prevalence of gestational diabetes mellitus (GDM) over time and by birth cohort. Diabetes Care. (vol. 28, num. 3). Retrived from http://care.diabetesjournals.org/content/28/3/579.full.pdf+html Colorado Department of Public Health and Environment. (2007). Gestational diabetes: Nutrition guidelines. Diabetes prevention and control program. Retrieved from http://www.cdphe.state.co.us/pp/womens/GDM/GDM_Nutrition_Guidelines.pdf American Diabetes Association. Living with diabetes. Retrieved from http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html