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Nursing Ethics: Commitment, compassion, quality care<br />
The Virtual Nurse: Adding Value to Perioperative Experience<br />
Julie Hamm, MSN, BSN, ACNP-BC<br />
Laura Hollis, DNP, RN, CCRN<br />
The purpose of this poster is to understand the impact a virtual nursing role has on different aspects of the perioperative<br />
experience. This poster describes the creation of RN positions to create “virtual” appointments using technology to facilitate<br />
pertinent patient information for anesthesia providers in order to add value to the patient experience and optimize perioperative<br />
patient movement on the day of surgery.<br />
Which Interventions are Most Effective in Treating Blood Glucose Dysregulation Related to<br />
Pregnancy Outcomes?<br />
Nhan L. Dinh<br />
Nicole Becker<br />
Gestational diabetes mellitus (GDM) is a condition experienced by pregnant women who are glucose intolerant; in fact, it is<br />
prevalent in as many as 2.5% of all pregnancies. Due to this high prevalence, many research trials have attempted to discover<br />
effective treatments of this illness. Such experimental treatments have generally been found effective, significantly reducing<br />
perinatal morbidity of infants (Crowther et al., 2005). The authors utilized the online resource CINHAL to research which<br />
interventions are most effective in treating blood glucose dysregulation and how they relate to the pregnancy outcome.<br />
The authors were able to search the database using key terms such as “gestational diabetes,” “diabetes and pregnancy,” and<br />
“interventions and gestational diabetes.” Oral therapies have increased in popularity of late, perhaps due to their lower cost and<br />
easier administration; in addition, patients have demonstrated better adherence to oral hypoglycemic therapy than to traditional<br />
subcutaneous insulin injections. Beginning nutritional counseling in the first trimester of pregnancy greatly reduced the risk of<br />
GDM and its complications, as does watching that expecting mothers do not over-exert themselves for the health of the baby.<br />
A combination of all three – oral insulin therapy, nutritional counseling and moderating activity – seems to be the most effective<br />
prevention that health care team members can recommend to their patients to reduce the risk of GDM and prevent pregnancy<br />
complications.<br />
Future research should examine the relationship between these three factors, as well as investigate the influence of elevated BMI<br />
on adverse pregnancy outcomes of women with GDM.<br />
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