Diabetic Patterns

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

Diabetes mellitus is an ever common and increasing in prevalence, disease process afflicting many. Proper treatment, management and ultimately control of diabetes, is a complex and difficult task. Many factors contribute to the complexity of diabetes treatment. These factors play a role in the large occurrence of non-compliance in diabetic treatment therapies. Identifying, understanding and finally, addressing these issues will help alleviate these obstacles in diabetes management.

In the case of the reviewed study, care was delivered fruitfully to a group of sick individuals that were poorly controlled, and the main medium used included live phone calls. According to the review paper, new forms of interventions that are based on technology emphasize on the utilization of the internet, telephone, pagers, cell phones, email and web-based programs to monitor and measure the condition status of diabetes patients, report on various habits and symptoms and encourage changes in a number of aspects of the management of the disease. In the case of the reviewed study, the central aspect was improved glycemic control and better adherence to medication (Fisher & Dickinson, 2011).

The ages of the participants ranged from 18-65. The eligibility criteria required participants to have accessibility to a mobile phone device. Moreover, only patients with oral medications as their therapeutic regimen were considered for the study. Eighty individuals met all the criteria and decided to participate, but 3 of them were lost before the posttest was conducted. The lasting 77 participants were randomly assigned to two separate groups: short message service (SMS) group (n=38) and telephone group (n=39). A small education session was held for the members of the SMS group, in order to assess their capacities to send and read messages. Simultaneously, the members of the telephone group were coordinating the schedules and dates for the follow-up calls for the next three months of intervention. In average, each patient in the SMS group received 72 messages in a period of 3 months, while the members of the telephone group received approximately 16 calls, each consisting of 20 minutes. Diabetes educators provided the same topics of conversation (diet, exercise, medication adherence, risks for complication, and maintenance of blood sugar levels) during the interactions with all 77 participants. Glycosylated hemoglobin (HbA1c) tests were taken from all participants at baseline, then 3 months later for the posttest, in order to measure the

The purpose of this study was to evaluate the at the community-level problems of diabetes among the underserved communities. The research question for this study is “How to promote diabetes prevention and self-management in a medically underserved community” (Cadzow et al., 2014). The program design used “health talkers

Many resources in the health sector get wasted as their deployment do not to attain the intended result. Although there are laws in the health sector, no legislation that gives the direction on how to deal with non-adherence to the diabetes management recommendations, hence the proposed diabetic policy will not be affected by the current law in the health sector. The diabetic policy will only promote adherence to diabetes management recommendations for people with diabetes and other chronic diseases. It will enhance the level of adherence to treatment in diabetes patients in the United States.

There are daily instances of patient noncompliance in the medical field. One of the most common occurrences of challenges can be found in diabetes management. It is a diligent nurse who is educated on the latest research regarding certain persuasive strategies to help assist patients in their struggle to make a health change. The rational-empirical, normative-reeducated and the power-coercive approaches are just three tools a nurse can use to formulate a patient centered plan which can help guide a patient into taking action. The case of Sam’s compliance is a perfect example where these strategies can be utilized. Each approach has its own unique application which the nurse can use to extrapolate a plan to increase Sam’s acceptance in following a prescribed blood glucose monitoring and insulin administration. By using these strategies in her approach to Sam, it places the willingness to make a decision in Sam’s court without forcing the issue or causing undue pressure to change, which is honoring and respecting his wishes.

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,

Medical adherence can be classified as an issue among the entire health care field. Often, the case is that people simply forget to take their medicine. To address this issue many pharmacies offer monthly bubble packs (often times called Dispill packing). These bubble packs feature the date and time each medicine should be taken daily. Patients are also skipping doses to medication because the side effects of their prescribed medication is worse than the issue of which their taking their medication for. Patients need to establish an open dialect among health care professionals. Often, doctors can prescribe a medication to substitute their previous one in order to accommodate to the previous negative side effects. Also, a growing concerns is people that can’t physically see or feel an anatomical or physiological problem often times believe that their medicine intake will not affect them. This is often the case among hypertension and cholesterol. Patients can’t feel if their cholesterol or blood pressure is high or low so they often just don’t take their medicine properly.

According to the American association of diabetes educators,7 there are seven diabetes self-care practice : being active (physical activity and exercise); healthy food diet ; taking medications; blood glucose monitoring ; problem solving, especially increasing and decreasing blood glucose levels); minimizing risks ( decrease diabetes complications; smoking cessation); and healthy coping (psychosocial adaptation). These behaviors have been explained as measurable outcomes of effective diabetes education and thus should be achieved for both individual and population levels to fullfill the desired outcomes of prevention of diabetes complications beside physical and psychological

Yang et all 2009 predicted the medication non-adherence among diabetic patients with oral anti-diabetic medication and other drugs patients were taking along with their anti-diabetic therapy. Basic objective behind his study was to analyze and study the reasons and prevalence of non-adherence in diabetic population and the basic demographic factors responsible for it. He performed a retrospective cohort study in various states of the USA (Alabama, California, Florida, Mississippi, New York, and Ohio). According to the data collected, mean age of patients was 71 years, 59% of the population were female, estimated non-adherence was calculated to be 35% and co-morbidities present were CVD. In his study, he also focused on interventions developed to improve

The implementation of my nursing change proposal is providing educational programs on diet and exercise to improve blood glucose levels in newly diagnosed type 2 diabetes mellitus patients. Important safety concern to keep in mind when implementing this type of care are: Improving staff communication is important, according to a study conducted by He, Zhang & Zhao (2013) suggest that “effective communication collates with increase patient adherence.” When newly diagnosed patients

In 2012 it was estimated that 1.5 million deaths worldwide were caused by diabetes mellitus. Diabetes mellitus requires self-managing by the patients. However, many patients have difficulty managing to achieve appropriate glycemic control. With a significant issue being lack of knowledge and access to healthcare of those diagnosed with diabetes, other methods of providing education have been explored, such as telephonic outreach. This literature review analyzes how the use of the telephone for diabetes education affects glycemic control (HbA1C) and weight management. Six articles met the criteria for review and were critiqued and analyzed using the methods by Melnyk & Fineout-Overholt (2014). The results of the review demonstrated that the use of telephonic education does not make a significant difference in weight or HbA1C at 12 months of follow up. However, one article (Bird, et al., 2011) showed a significant improvement in HbA1C for the group receiving the telephone intervention over a 12 month period. More research on this topic should be conducted as most of the studies found were conducted outside of the United States. Also, with the continuing advancement of technology, further research should be conducted on how the use of technology such as cellular phone applications can be used to assist in