Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

                                                       Initial post 

                         Blood Glucose Management By Nurses Article

Blood glucose management in the neuro-intensive care by neurologists and neurosurgeons is not as aggressive as physicians in the cardiac, surgical and medical unit. One example, this week I have a patient admitted for seizures and he is in three different types of seizures medications which makes him lethargic and unable to eat. There were no orders for glucose checks and I chased the neurology for almost two days to get an order for a glucose blood check. The truth I was checking the patient sugar for safety and preventing comatose from hypoglycemia. In my practice the article researching “Nurse-Directed Blood Glucose Management in the Medical Intensive Care Unit” (Gibbs H, Rowden AM, 2017). is very interesting to me because the management of blood glucose in the medical ICU is organized and if nurses manage it will improve time, planning and prevention of hypoglycemia. I noticed that’s Walden Library has good articles and journals good for patients and family education in blood sugar control. Diabetes problem is growing in our community because of obesity and genetics. There are several ways and material available in different languages to help decrease diabetes. The goal of the research of this article is to decrease risks of hypoglycemia and hyperglycemia. (Critical Care Nurse. 2017;37[3]:30-41). 

               Complementary Health Implementation by Nurses 

The second article I research on is about complementary care such as massages, bone stretching and more implemented by certified nurses. In the article, there is a statement about the increased demands of this care. It is interesting to me because we touch patients all day when caring for them and due to policies and ethical rules we cannot massage or scratch their back when needed. In my opinion, the patient’s dignity is loss immediately they walk in the clinic or Emergency room. This article is good for education with nursing students, nurses, and family.   In my current hospital, pet therapy music and art just initiated for patients. (Critical Care Nurse. 2017; 37[3]:60-65). 

Watching the video in the Walden University writing center helping me in improving my references and paragraphing formats. Am planning to watch it each time am writing a paper.

                                                     References 

1.National Center for Complementary and Integrative Health. What complementary and integrative approaches do Americans use? Key findings  

2. National Center for Complementary and Integrative Health. NCCAM 

Third Strategic Plan: 2011–2015 exploring the science of complement- 

tary and alternative medicine. https://nccih.nih.gov/about/plans/2011. 

3.Laureate Education, Inc. (Executive Producer). (2012d). Introduction to scholarly writing: Tips for success. Baltimore, MD: Author.