Adherence In Nursing

According to the case study, Ellen is non-compliant with managing her diabetes and this behavior worsens when her mother tries to intervene. Borus and Laffel conducted a study in order to find out the adherence challenges in the management of T1D in adolescents and discovered that common barriers are peer influences, affect/depression, and disordered eating (2010). However, in order to overcome these barriers, Borus and Laffel suggest that interventions are successful

Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of

Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.

It also shows that not having someone to help these patients manage their diabetes as an obstacle to good diabetes management. This study created a plan and this plan was able to be tested to show its effectiveness in diabetes

This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement.

Diabetes is a chronic illness that requires continuous medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications[ ].

Patient Adherence: There is no known cure for chronic disease, the progressive nature of chronic disease the patient and family must adjust to continual treatment changes, and the chronic disease continues throughout the patient’s lifetime developmental and lifestyle changes often influence or pose additional challenges to the person with a chronic

Retrieved from http://www.ebrary.com The purpose for this source is teach diabetics how to prevent acute and long term complications and to improve quality of life and avoid premature diabetes associated with death. In this source the topic of how to live with diabetes, the advance of health information on diabetes and Medicine and self-management of diabetes. Successful diabetes management relies on successful patient engagement as well as medical treatment, and regular assessment of education needs is as important as medical care. I found this information in the online library.

Steinbeck and colleagues (2012) examined the impact of group based diabetes self-management education (GBDS) on the clinical, lifestyle and psychosocial outcomes among type II diabetes patients by reviewing and extracting data from 21 research studies. Analyses of the data showed lowering of the blood glucose levels and glycated hemoglobin in 1503 patients out of the total 2833 participants within 12 months of participation in the GBDS intervention (Steinbeck et al. 2012). Improvement in self-management skills was also noticed among the participants (Steinbeck et al. 2012).

Improving relationships between patient-provider will increase communication which is essential to improve outcomes and lower healthcare expenditures. According to the World Health Organization (WHO) there are about 350 million people suffering from diabetes mellitus (DM) and by 2030, diabetes will become the seventh leading cause of death worldwide with diabetes deaths expected to raise by 50% by the next 10years. (http:/ /www.who.int/features/factfiles/diabetes/en/index.html.) Cases of diagnosed diabetes cost the United States an estimated$245million in 2012. This cost is expected to rise with the increasing diagnoses. (Center for Disease and Control and prevention).

Another topic that is underlined throughout the book was Andie’s non-adherence to her insulin shot and other medications. Throughout the book, Andie has demonstrated many incidences of non-adherence. Andie does not use her needles properly and has intentionally miss insulin shots to lose weight. The reason behind her behavior can be explained by the “Health Belief Model” in the Adherence and Behavior section of PHRM 826 Patient Centered Care. For patients to take action, they need to have high perceived threat from not taking the action. Threat is influenced by severity of non-adherence and susceptibility of those severities. For Andie, she definitely has high perceived severity from knowledge of possible complications of diabetes from

Diabetes has been around for many years and even though our healthcare system in the United States is better than many years ago, it’s still a current problem that our society has to deal with. We have better understanding of diabetes and we don’t have doctors tasting the patients’ urine, instead we have lab test that can tell a story on the potential diagnoses that a person might have. Five years ago Ofelia a 58 year old female, got diagnosed with type II diabetes and hypertension. Her early symptoms that she had before being diagnosed with diabetes were feeling thirsty all the time. Ofelia stated, “Even though I kept drinking a lot of water, I was still thirsty. I would constantly have to go to the bathroom. I was tired all the time” (O.Navarro , personal interview, March 17,2017). When Ofelia was diagnosed with diabetes her blood sugar reading was at 525mg/dL. Ofelia has limited resources since she lives in Mexico: when she was first diagnosed she would go to the government clinic. She stated, “My diabetes was not in control. Every time I went to the clinic I would have different doctors who kept on changing my medications. I felt like nothing was controlling it and no one talked to me about how to control it” (O.Navarro, personal interview, March 17, 2017). The only thing that the doctors would tell Ofelia, was to walk and to cut down on the salts, but never

Living with diabetes poses many challenges for patients in areas like nutrition, glycemic monitoring and medication adherence. In fact, patients with diabetes

Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,

On November 15, 2017, I attended a professional meeting called “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The sponsors for this meeting were SNDA and CVD. The speaker who presented at the meeting was Gary Scheiner Ms, CDE. He is an author of the book “Think Like A Pancreas: A Practical Guide to Managing Diabetes with Insulin.” The general objective for this meeting helped people gain more knowledge about diabetes, and learned more from author personal experiences with type I diabetes. After I attended this meeting, I become more knowledgeable about diabetes. I have a chance to learn more about diabetes nutrition, different type of medications, and many tools that are available for diabetes patients to keep track on the blood glucose.