The role of a hospital diabetes specialist in New Zealand is very important in helping to treat and manage those with type 2 diabetes. Specifically, diabetes specialists often examine and diagnose diabetics, recommend medical treatments and work with families or caregivers of those affected, provide the necessary treatment to patients and follow them up with progress checks, keep patients diabetes records and coordinate with their family doctor and will often be involved in the research of the diabetes mellitus disease (Physicians, 2017). Diabetes specialists work may involve caring for a child with diabetes, which usually involves working closely with families and is therefore important that the specialists understand the developmental stages …show more content…
Diabetes specialists are specialists for a reason – they are familiar with the nature of the disease and how to combat or manage diabetes with each individual case. Their responsibility within the hospital environment is to effect cure and therefore their involvement in the patient’s experience in hospital is very intermittent, intervening with patients in small chunks, leaving most of the care to the nurses (Gloubermann & Mintzberg, 2001). Their perspective is less centred around caring for patients or working collectively but more independent in their decision making, following the direction of the physician profession and working for the interest of the patient. Although diabetes specialists do talk to patients and offer advice on the management of diabetes, most of their time and energy goes into administering cure, and the perspective they therefore hold regarding type 2 diabetes services is that what is most important is improving the health of the individual diabetics they treat, and having the freedom to make the decisions surrounding treatment and management they feel is in the best interests of the patient (Gloubermann & Mintzberg,
To overcome this obstacle, nurses should be persuaded to understand how important it is to ensure that diabetics are safe and receive consistent diabetes management wherever they are. There is a nursing shortage in all areas of healthcare and especially in most school systems, nurses are not always present, and diabetes is becoming more prevalent, so having other personnel who can be trained to deliver routine care and emergency care can ensure that someone knowledgeable is always present. Wood (2013) reported that with the shortage of nurses, diabetic students are not getting appropriate care throughout the day and families are facing hardship trying to ensure that timely and appropriate care is being
Diabetes has recently become a focal point of health care systems around the world due to its high prevalence and the severity of secondary complications caused by the disease. Over the course of my project on diabetes, I have had the opportunity to speak with a group of diabetics to understand from a patient’s perspective how diabetes is managed in a rural community. While I found that while some patients ignored treatment and refused to make any dietary changes, the majority of the patients I interviewed were well-informed and actively managing diabetes in their everyday life.
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
Individuals that have been diagnosed with type 2 diabetes are cared for by a variety of people like podiatrist, district nurses, DSNs, GPs, and practice nurses. Good communication between these professionals and the person with type 2 diabetes can lead to better insight into the individual’s life, therefore helping to plan and provide the best care for that person. This can reduce repetition, improve quality of care for people with diabetes type 2 and
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.
As stated above, diabetes is a very complex disease affecting millions of people in the world. Due to this, the nursing profession
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.
Dominique presented on Population Health Management and Standardized Care in Type 2 Diabetes. The meeting was held November 1st at 3:00-4:00pm in the Corporate Auditorium at Centura Health Corporate Building. The concentration of her presentation was based on Figure 2 and Figure 2 maps. Figure 1 represents the increase shade of blue proportional to the increase of percentage being told they had diabetes (Centers for Disease Control and Prevention,
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[ ].
Unfortunately, due to the unprecedented increase in diabetic diagnoses, there are simply not enough doctors available. Educators, therefore, are and will continue to be needed to assist in this shortfall. They will teach new patients how to manage their diabetes, and assists and educate “older” patients in new, exciting technologies.
The role of the nurse in Sue’s diabetes management is a check-up every three month. Sue’s discusses Sue’s diabetes and gives her information. Sue’s nurse educates her on the correct way to use her medication, exercise and diet to help her lose weight (Daly, Arroll, Kenealy, Sheridan & Scragg, 2015). Sue also arranges for her to have an annual flu vaccine every year free of charge (HNNZ, 2015b). The nurse also gives her advice, support and information about smoking cessation.
In relation to systemic factor, Brown, J. et al (2002) reported that most doctors often have limited time to study and abide to Clinical Practice Guidelines (CPG) that sometimes provide multiple guidelines and implementation changes within short time. This additional task although aids to improve effectiveness strategy in practice somehow considered troublesome especially when the healthcare system unable to address this issue. Brown, J. et al (2002) concluded that challenges arise in type 2 diabetes management were not caused by one factor instead, each roles (patient, doctor and healthcare system) play crucial responsibility and influences the elements that could be important to the others. In regards to the findings, development of diabetes management model that integrate and incorporate the patients together with other roles in diabetic care treatment was recommended by Brown, J. et al (2002). Several limitations were found in the study include the small sample size and the selection process were not explicitly
The main concern that JB as well as this author identified as needing to be addressed to ensure JB’s health and well being for her and her children was the prevention of diabetes mellitus. JB’s genogram revealed that she had numerous family members on her mother’s side that suffered from the consequences of developing type 2 diabetes mellitus. Her maternal grandmother and four out of five of her grandmother’s children, including JB’s mother, acquired type 2 diabetes mellitus.
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.