In 2012, 29 million patients were diagnosed with diabetes, which account for 9.3% of population.1 Low level of health literacy is observed in diabetic patients with 15- 40% of sampled population. Inadequate health literacy is associated with poorer diabetic knowledge and considered a potential barrier to improving health outcome. Health literacy is defined as the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
Management of the Diabetes is becoming a national issue because of large number of patients and the rising cost of the treatment. It is one of the metabolic disorders, which put patients in to other risks associated with
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Providers have different knowledge, perception and attitude towards disease, which create confusion and conflict in relationship and lead to poor outcomes. Qualitative analysis conducted by Lames and associates revealed that physician doubted the efficacy of treatment. They expressed their frustration to patients during encounter. Some physicians reported lack of communication skills to deal with diabetic patients and perceive this lack of skill as a barrier to diabetes management. Provider considered diabetes harder to treat than other chronic disease like hypertension and angina.
More than 75% patients receive diabetic care from primary healthcare providers. In primary healthcare setting it is very difficult for primary healthcare provider to give extensive time to attend behavioral, psychosocial and emotional issues of diabetes patients.
Gwen’s textbook has discussed the various concepts like cultural competence, role of confirmation and empathy, trust in patient provider relationship, impact and limitation of self disclosure, skillful use of questions, proper placement of advisement, assessment of low literacy and use of plain language in patient provider
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Patient should accept the disease and take complete responsibility of their condition. Patients should be aware of signs and symptoms of hyperglycemia and hypoglycemia and procedures of self-medication to control diabetes.
Provider should engage patients in collaborative care planning and problem solving. Providers should use active voice to give instructions and use plain language to define technical terms. They should discuss all associated risk factors and provide written information. Providers should ask patient to repeat the information shared in order to assess their understanding. Diabetes educator could be a great help to educate patients in management of disease.
Diabetes related material should be developed to address low health literacy and to be used extensively by primary healthcare providers to improve patient engagement and self care
Racial and ethnic inequalities in healthcare results in non-white patients receiving lower quality care that White patients. Additionally, people who speak limited English encounter more communication issues with doctors and nurses that people whose primary language is English. (AHRQ, 2011). Consequently, as people with chronic conditions utilize more healthcare services, they are more likely to complain of issues with the doctor-patient relationship. They feel as though they are not able to participate in their care, their doctors do not allow them to contribute to their medical decisions and they feel like doctors are not disclosing all information related to care. People who encounter this type of cultural ignorance become dissatisfied with their treatment and overall healthcare experience and are at high risk for negative
Sarah should determine the LPN’s knowledge base regarding the current patient cases she is responsible in caring for. For instance, the LPN may have extensive knowledge regarding the care of the diabetic patient and may be able to provide patient education to them on her own. However, Sarah should still assess the LPN’s knowledge regarding the teaching and may be able to advise the LPN of specifics to educate on. Additionally, Sarah should still speak with the diabetic patient and assess their understanding of the teaching and serve as a resource for any questions the patient might
Diabetes education is a structured education and self-management (at diagnosis and regularly reviewed and reinforced) to promote awareness. Diet and lifestyle, healthy diet, weight loss if the person is overweight, smoking cessation, regular physical exercise. Maximizing glucose control while minimizing adverse effects of treatment such as hypoglycemia. Reduction of other risk factors for complications of diabetes, including the early detection and management of hypertension, drug treatment to modify lipid levels and consideration of antiplatelet therapy with aspirin. Early intervention for complications of diabetes,, including cardiovascular disease, feet problems, eye problems, kidney problems and neuropathy.
Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38. Torpy, J. M. (2011). The 'Standard' Diabetes. Jama, 305(24), 2592 pp.
Possible benefits are if a patient eats his or her breakfast and his or her blood sugar returns to normal. However, there are applications in the computer where a diabetic educator is able to view when a patient had low blood sugar and it was not rechecked in a timely manner to ensure that the blood glucose returned to normal. Managers are often being talked to by diabetic educators, because nursing staff at times decide to use their own judgment when treating low blood sugars rather than following the hospital protocol, and then nurses are forced to explain their decisions. Thus, the importance of documenting and ensuring a patient’s blood glucose has returned to normal, even though the flow chart was not implemented, is often emphasized. Discussion B Describe an ethical dilemma that could occur in your organization.
The care plan is composed of the right food, exercise and medication (Mayo Clinic Staff, 2014). The person needs to know what type of foods affects their blood sugar levels and most of the time the patient is sent to a nutritionist to follow a diabetic diet. The patient needs to keep track of a food log to discuss later with the doctor or nurse on the next appointment (Mayo Clinic Staff, 2014). An exercise regimen also helps to keep the sugar levels balanced. It is important to keep an exercise schedule that will help the person to keep an exercise routine in accord with the medications and meals. It is very important to stay dehydrated and to keep track of the blood sugar levels (Mayo Clinic Staff, 2014). The medications are to lower the blood sugar levels. It is very important to store the insulin properly, check the expiration date and double check the dose before administration. The person will need to report to the doctor if the blood sugar gets too low or still high, because the doctor might need to adjust the dosage or timing. Also, it is important for the doctor to know if the person is taking medications for other conditions, because that will help the doctor to prescribe the correct medication for the person (Mayo Clinic Staff,
P ICOT? Individuals with type II diabetes as well as their families and their healthcare professionals are impacted by this problem. The intervention identified as best practice focus on direct nursing support as the most effective management in diabetes patients. Interventions focused on management strategies prescribed by nurse practioners and medical doctors. The study results indicate that the use of direct patient support provided by nurse practioners were most effective for compliance and increasing management in diabetes
Specific purpose: To inform my audience about what diabetes is, what causes this condition and its health effects.
In recent years, diabetes education has become an integral part of diabetes treatment (Piccinino et al, 2015). The 2012 National Standards for Diabetes Self-Management Education (DSME) defines education as an exchange of knowledge, tools and practices that will address client needs. Patients need information about their illness, side effects, complications and how to care for it. Diabetes education must be effective and accurate in quality, content, and method (Atak & Arslan, 2005). Diabetes education should happen concurrently with diagnosis and throughout treatment for a patient and should involve a structured program.
Norris SL, Lua, J, Smith SJ, Schmid CH & Engelgau, MM 2002, ‘Self- Management Education for Adults With Type ‘Diabetes’, Diabetes Care, Vol. 25 no.7, July, pp.1159-1171.
However, health literacy is more than just read and write; it is the ability to understand and able to use health information to make choices about their health (Benyon, 2014). Low health literacy can have detrimental effect on the health of the client because it may cause misunderstand of the medical label or health information. According to McMurray & Clendon (2015), health literacy divided into three different levels which are functional, interactive/communicative and critical health literacy. As for functional levels, it is the most general and fundamental level for the general public because individuals need to receive and understand the information of health such as risk of health decision, consent forms, health instruction or medicine labels. (McMurray & Clendo , 2015) Turning to the next level, interactive/communicative health literacy, mainly involved personal skills to spread health knowledge to the community, and also , people are able to influence social norm and help others individuals to develop their personal health capacity. Because of this, understanding of how organization work and resounding communication skill which can help to support others and knowing how to get different health services other individuals need (McMurray & Clendo , 2015). The third level is critical health literacy, mainly divided to
Lawton, J., Ahmad, N., Hanna, L., Douglas, M. (2006) ‘Pakistani and Indian patient’s experience of Scottish diabetes services: a qualitative study.’ In: K101 An introduction to health and social care, resources, Block 2, pg. 15, Milton Keynes, The open university.
According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to successfully reduce the number of amputations and diabetic foot ulcers, patient teaching is essential. Patient teaching, as with the nursing process, begins with assessment in order to identify the patients learning needs (Wilkinson & Van Leuven, 2007).
Health literacy is a term not widely understood by the general population. It is defined as “the degree to which individuals have the capacity to obtain, process and understand basic health information needed to make appropriate health decisions and services needed to prevent or treat illness,” (About health literacy, 2014). A person’s level of health literacy is based on their age, education level, socioeconomic standing, and cultural background. Patients with low health literacy have a more difficult time navigating the health care system. According to the U.S. Department of Health and Human Services, this group of patients may find it harder to find medical services and health care providers, fill out health forms, provide their complete medical history with their providers, seek preventative care, understand the health risks associated with some behaviors, taking care of chronic health conditions, and understanding how to take prescribed medications (About health literacy, 2014). It is to a certain extent the patient’s responsibility to increase their own health literacy knowledge. But to what extent can they learn on their own? Those working in the health field have been trained to navigate the health system and understand the medical terms. They have the knowledge and capability to pass on that understanding to their patients. Health care professionals have a shared responsibility to help improve patients’ health literacy.
Diabetes is a common disease, which can be a serious, life-long illness caused by high levels of glucose in the blood. This condition is when the body cannot produce insulin or lack of insulin production from the beta cells in the islet of Langerhans in the pancreas. Diabetes can cause other health problems over time. Eye, kidneys, and nerves can get damaged and chances of stroke are always high. Because of the serious complications, the purposes of teaching a plan for diabetes patients are to optimize blood glucose control, optimize quality of life, and prevent chronic and potentially life-threatening complications.