A 21 page overview of the many concerns presented by poor blood glucose level protocols for surgery patients.  This paper outlines the literature on the subject and presents the methodology and data analysis for a proposed study.  Bibliography lists 12 sources.
                                    
  
                                    
                                     Name of Research Paper File: AM2_PPglycemicHrtSurgPart2revised.rtf
                                    
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                                                    This paper investigates the relationship that is known to exist between blood glucose levels and the development of perioperative infections.  A literature   
                                                
                                                    review is conducted that provides a conceptual framework for this relationship and that evidences an evolution in our understanding of it.  The author then presents a proposal for additional   
                                                
                                                    research that will better define this relationship through the elimination of other factors in the data base that could also feasibly contribute to perioperative infection.  This proposed study is   
                                                
                                                    designed to investigate the relationship between blood glucose levels and the development of perioperative infection among four hundred patients that have undergone or will undergo open heart surgery at one   
                                                
                                                    specific hospital under the care of two specific physicians.                Conceptual Framework   
                                                
                                                    Deep wounds are frequently encountered problem in the hospital environment.  These wounds result from a variety of causes, causes ranging from injuries or incisions to underlying   
                                                
                                                    physiological changes.  Wound care is a critical component of patient well-being.  Coutts and Sibbald (2005) emphasize that wounds can result not just in adverse impacts to the patients   
                                                
                                                    themselves but also in significant societal costs.  Wounds that are improperly cared for risk the potential for long term physiological complications and even certain emotional impacts.  The fact   
                                                
                                                    that a wound is the result of a surgical procedure does not lessen these potential impacts.  Wound infections among patients that have undergone surgical processes are, of course, less   
                                                
                                                    acceptable than wound infections stemming from other causes.  Patients undergoing surgery depend on medical personnel to guard against such infections using best practice and that knowledge that has evolved   
                                                
                                        
                                     
                                    
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