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The clinical problem identified in this scenario is the management of hypoglycemia in Rosie Smith, a 72-year-old woman with unstable blood sugars associated with post-viral gastroenteritis. Reason for the Problem: The problem exists due to a knowledge or practice gap in recognizing and managing hypoglycemia in patients receiving insulin infusion. The nurse in charge questioned the decision to cease the actrapid infusion, indicating a lack of understanding regarding the signs and symptoms of hypoglycemia and the appropriate response. Significance and Harm of the Problem: Hypoglycemia is a potentially life-threatening condition that can lead to severe neurological consequences if not promptly recognized and treated. According to the available literature, hypoglycemia can cause cognitive impairment, confusion, seizures, coma, and even death (American Diabetes Association, 2020). In older adults like Rosie, hypoglycemia is particularly concerning as they may have impaired awareness of the symptoms and are at higher risk for falls and injuries (Kirkman et al., 2012). Studies have shown that hypoglycemia is associated with increased hospitalization rates, longer hospital stays, and higher healthcare costs (Bonds et al., 2010; Garg et al., 2014). Therefore, the failure to promptly recognize and manage hypoglycemia can result in significant harm to the patient, including neurological complications,
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