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Educating Your Patient with Diabetes

  • Erscheinungsdatum: 22.10.2008
  • Verlag: Humana Press
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Educating Your Patient with Diabetes

Diabetes affects an estimated 20 million people in the United States, with many people remaining unaware that they suffer from the disease. While the number of diabetics continues to rise, the number of caregivers who specialize in diabetes treatment does not. In Educating Your Patient with Diabetes , Katie Weinger and Catherine Carver assemble commentary from a panel of leading diabetes practitioners and researchers and put together a highly readable guide to supplying patients with diabetes with the information and ability to successfully cope with their disease. The authors and editors provide substantive data on successful models of diabetes education and the process of educating diabetes sufferers. Additional chapters discuss diabetes in pregnancy, the challenge of weight and diabetes management in clinical practice, and diabetes education in geriatric populations. Timely and accessible, Educating Your Patient with Diabetes is a must have for all diabetes educators, physician assistants, nurses, and endocrinologists who endeavor to support their patients' diabetes self-care efforts and help them maximize the opportunities for patient learning.


    Format: PDF
    Kopierschutz: AdobeDRM
    Seitenzahl: 334
    Erscheinungsdatum: 22.10.2008
    Sprache: Englisch
    ISBN: 9781603272087
    Verlag: Humana Press
    Größe: 5545 kBytes
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Educating Your Patient with Diabetes

6 Meeting the Challenge of Inpatient Diabetes Education: An Interdisciplinary Approach (p. 81-82)
Jane Seley, GNP, MPH, MSN, CDE and Marisa Wallace, MS, FNP
Teaching diabetes self-management to the growing number of hospitalized patients with diabetes and hyperglycemia is a challenging task. Inpatients are acutely ill and in an environment that is fraught with frequent interruptions and other concerns related to the admitting diagnosis. Because of these competing priorities, limited time, and an ill-conducive learning environment, the primary focus for diabetes self-management education should be on those skills that are essential for the patient to be able to return home safely. This chapter explores the inpatient diabetes self-management education process including assessment, identifying barriers and advantages, goal setting, key topics of content, delivery, communication among providers, and discharge. Practical tips are offered to help integrate diabetes self-management education into current clinical practice in the inpatient setting.
Key Words: Inpatient Education, Diabetes Education, Diabetes Self- Management, Patient Education, Hospitalized Education, Nursing.
The diabetes epidemic has created both challenge and opportunity for our health-care system to provide comprehensive services for people with diabetes across all settings. Just as the number of Americans diagnosed with diabetes has grown from 5.6 to 15.8 million people in the past 25 years, the number of hospital discharges carrying a diagnosis of diabetes has escalated from 2.2 million in 1980 to 5.1 million in 2003 (1). Although these figures are staggering, the true number of inpatients with diabetes is probably much higher. The majority of patients with diabetes are hospitalized not strictly for diabetes, but rather with a co-morbidity. Because the focus of attention is on the admitting diagnosis, glycemic control is often overlooked or placed on the back burner (2).
Until recently, a common belief was that it was safer for blood glucose to remain somewhat elevated in the acute care setting because of the potential risk of overtreating and causing hypoglycemia. There is now a growing body of knowledge that suggests that ignoring short-term hyperglycemia in an acutely ill patient has serious consequences (3). Many times, it is the diabetes educator who is the voice of reason in advocating for strict glycemic management of the hospitalized patient.
The benefits of glycemic control and diabetes self-management education in the outpatient setting are well established. Recently, many studies have validated the need for attention to the importance of inpatient glycemic control as critical to successful outcomes in the acute care setting. Pivotal studies have demonstrated that hyperglycemia management decreases the risk of mortality and morbidity post-myocardial infarction, and coronary artery bypass surgery, in the critically ill, it reduces infections and promotes wound healing, as well as shortening length of stay and reducing readmissions (3,4).
The heightened awareness regarding optimal diabetes management in the acute care setting presents a unique opportunity for improvements in both glycemic control and self-management education. Because diabetes is often not the primary reason for admission, educational opportunities may be missed.

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