Date of Award

Summer 2021

Document Type

Final DNP Paper

Degree Name

Doctor of Nursing Practice (DNP)



Faculty Chair

Dr. Laura Barrow


Dr. Ralph Redd, Dr. Marilyn Hepperle


Background: Diabetic peripheral neuropathy (DPN) affects the lives of approximately 50% of all persons diagnosed with diabetes. Patients who are minorities, residents of rural communities, low income, or non-compliant with treatment, have a higher risk of developing DPN. The long-term effects interfere with the patient’s abilities to carry out activities of daily living (ADLs) and instrumental activities of daily living (IADLs).

Patients incur debt from medical expenses, depression from the inability to perform self- care, and became withdrawn because of their distorted body image.

Purpose: The purpose of this project was to use the Michigan Neuropathy Screening Instrument (MNSI) scale to improve patient outcomes by promoting better identification of individuals who need to be referred out to a specialist.

Design Methods: The patients were interviewed and surveyed using the Michigan Neuropathy Screening Instrument (MNSI). After using the MNSI tool, patients were evaluated for possible referral to podiatry and vascular specialty.

Conclusion: Results demonstrated the use of the MNSI tool improves the screening process of patients diagnosed with diabetes reporting signs and symptoms of DPN.

Implications for Nursing: This project has the potential to improve patient quantality of life, and lower cost to both patient and healthcare providers.


To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.