At her teenage years, Andie would not have realized how her behavior could impact her future health and her love ones. Her older sister Denise, who also had type 1 diabetes, was Andie’s role model growing up. Despite being told otherwise, Denise would reuse her needles, intentionally miss shots, and not alternate her shots, and yet nothing happened to her. Andie has watched Denise and followed her non-adherence until Denise passed away in her thirties. Denise’s death was a cue to action that made Andie recognize her susceptibility to the complications of uncontrolled diabetes and started to seek and trust medical help. Her developed retinopathy also raised her susceptibility of other complications. These factors are consistent with the …show more content…
From school, we know that diabetic patients need to monitor their diet, their blood glucose level, as well as insulin dose through shots, pumps, or pills on a daily basis. The things that we often times neglect is the emotional impact that comes with the disease. For juvenile diabetic patients, not only did they have to deal with the symptoms from the disease, but also ignorance from friends, peers, and sometimes health providers. Andie had to deal with bullies in school who tease her, nurses who took away her candy during her insulin reaction, and paramedics who wouldn’t listen to her. Diabetes had forced Andie to face many challenges and we as future pharmacist need to learn to acknowledge those challenges. This book definitely has an impact on my practice of pharmacy by emphasized the importance of empathy and partnership with patients. One of the challenges that Andie should not have to deal with was feeling alone in her disease state. As future pharmacist, I want my patients to know that they are not fighting the disease by themselves and that I am there to support them along the way. To sum up, I really enjoy reading this book and the insights of diabetes from the patient’s perspective. The book did help me understand diabetes more and the core of PHRM 826
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
Over this last week, I have received a patient named Sherman “Red” Yoder. He is an 80-year-old male farmer, who lives alone in the farmhouse that he had grown up in. Red was married for 50 years and has been a widow now for 10 years. Red has one son, Jon, who takes care of the farmhouse and the land. He has one daughter-in-law, Judy, who is in involved with his care. Red was diagnosed with diabetes six months ago. Diabetes mellitus is a chronic condition that affects your body 's ability to use the energy found in food. As of only a few weeks ago, Red has been managing his diabetes with insulin. Insulin is a hormone that controls blood sugar. Before he began using insulin, he managed his diabetes with oral medication. After carefully assessing Red’s chronic illness, diabetes, many red flags were presented that could interfere with his management. In turn, this would cause further complications.
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.
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[ ].
Mrs. Jameson is an African American 69-year-old retired teacher who was diagnosed with advanced type 2 diabetes one year ago. She has been responding well to the interventions, including medications, dietary measures, and physical exercise, until recently. She was admitted into the emergency room with muscle weakness, vomiting, fatigue, headache, and confusion. Physical examination revealed that her skin was dry and had lost its turgor, while an osmolality blood test revealed an elevated level of sodium in her blood. She confirmed that in the past week, she had breached the diet as was indicated by a dietician, and had been consuming less water. She further confirmed that she felt unfulfilled due to the disease, and the recognition that she was getting older ‘made’ her seek fulfillment by ‘living her life’. Mrs. Jameson saw diabetes as a limitation to the full enjoyment of her last days on earth, and said she has left it all to God.
There are many individuals who are diagnosed with type two diabetes who do not truly know what it is, or chooses not to take it seriously. My grandmother is someone who has suffered with this for over twenty years, and still fails to realize how important it is to maintain good habits to stay healthy and alive. The cause of this disease is from being obese, and for my Nanny that was a hard thing to accept. Although she was married and seemed to be happy to others, that was far from the truth. She suffered from many years due to an emotionally abusive relationship. When she was diagnosed with diabetes the struggles and abuse seemed to grow worse. She found out that my grandfather had been cheating on her with various women and divorced him immediately. A few years after she was diagnosed with diabetes, she allowed her blood sugar to get dangerously high and ended up in the hospital. Since then she has been obsessive with keeping it low, and sometimes too low. She also became obsessive with losing extra weight she had, but did not handle it in the proper way. Instead of problems with high blood sugar she now has problems with low blood sugar, and we have almost lost her several times. This is an example of someone who is not properly educated on the many factors that come along with type two diabetes and how to cope with it appropriately. It is our job to inform those who suffer from this life changing disease on proper ways to deal with type two diabetes before
For me, the most difficult part of having the disease is accepting the fact that my body will never be perfect; I will always have bad days, and worse days, and there is no way for me to “win.” Like everyone with diabetes, I will have to keep it—every second, minute, hour, day, until a cure is found. Over the past 14 years I’ve learned to control my diabetes without allowing it to control me, and to not let the attack on my pancreas become an emotional attack on myself. As I begin to mature, so does my understanding of my diabetes. For now, instead of focusing on what I don’t have, I focus on what I do have.Also, of course, I dream of a day where I can once again think of food as simple
Imagine what life would be like having a shot every day to control a person’s sugar level.Mr.Whisler is sixty-one years old and he retired from Bryan middle school. He was a science teacher.Mr.Whisler likes to travel, he has a wife, has 2 adult sons, and he also does photography. Mr. Whisler is a person with Diabetes and he has a story that is inspiring. Type one Diabetes is a lifelong illness that requires daily treatment.
Ashley, a high school student diagnosed with Type 1 diabetes at age sixteen, experienced a potentially fatal incident when a substitute teacher denied her request to go to the school nurse. Ashley’s family was aware of how important it was for their daughter’s school to be kept informed about her diabetes. They worked with the school and the nurse to follow all of the schools procedures and protocols relating to a diagnosis of diabetes. The family worked closely with the school to provide snacks, glucose tablets, and information about how the school could help support Ashley’s wellbeing.
A patient is referred to the medical center by a physician after which the doctor, patient, and pharmacist collaborate the best option for a successful health plan. The American Association of Diabetes Educators (AADE) came up with a framework to generate an ideal practice of Diabetes Self-Management Training (DSMT). The process was an interactive and collaborative one that convoluted a patient with a diabetic educator(s). “The steps of the procedure were comprised of assessing an individual’s educational needs, determining one’s self-management goals, educational and behavioral intervention, and evaluating the progress of a patient” (Shane-McWhorter, 2005). The educational behaviors that have been identified as essential to living a healthy lifestyle are called the AADE7TM. The behaviors include: healthy eating, physical activity, medication taking, monitoring, problem solving, healthy coping, and reducing risks. Pharmacists and their patients then set accomplishable goals based on those practices and after determined time periods evaluate the patients’ progress (Shane-McWhorter, n.d.).
Patients with Diabetes have very comprehensive learning needs. The learning needs arefocused on managing their glucose levels and preventing complications of diabetes. Learningneeds for managing diabetes are complex and include: monitoring blood glucose levels,menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to managehypo or hyperglycemic episodes. Many patients are diagnosed with diabetes every year andmany are unaware that it requires lifestyle changes, especially in the areas of nutrition and
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,
In today’s world, parents have an abundance of worries when it comes to their children. Drugs, bad grades, and pre marital sex are just some things that may plague a parent with sleepless nights. But even on the worst of those nights of worry, most parents can’t imagine that their child could face an illness. Not just a runny nose or seasonal flu, but an illness that would affect their child throughout his or her entire life. Diabetes is a disease without a cure, and one that more, and more children have to live with.
Diabetes is one of the leading causes of death. More people get diagnosed with diabetes every year and according to the National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) (n.d.) that “As of 2014, 29.1 million people in the United States, or 9.3 percent of the population, have diabetes” (para. 2). Diabetes has become an epidemic in this country that even newborns are not exempted from it. This paper aims to understand and look into an older patient who is diagnosed with diabetes.
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.