The initial and ongoing assessment of a patient with diabetes serves as a catalyst for establishing rapport between the person with diabetes and the educator, while simultaneously elucidating what aspects of a patient’s life impact diabetes management. Accurate and thorough assessment allows the educator to best determine what education and support may be beneficial (American Association of Diabetes Educators, 2011). The factors that impact patients’ food choices are complex and intertwined with such things as culture, health beliefs, familial traditions, and economics to name a few. Since the nutritional aspects of diabetes management also have a tendency to be the most challenging for a patient, particular care should be given to the process …show more content…
Getting to know the patient as a person before jumping into sensitive or clinical topics, such as weight history and dietary practices, would likely help establish rapport sooner and promote more open sharing. The way the current form is set-up, and the way we opted to follow the flow of the form, may not have been ideal. One aspect to consider changing is adjusting the process, so that the interviewer gets to know the interviewee as a person first, and then moves into more clinical aspects. This would put the interviewee more at ease, and likely also promote more open …show more content…
For instance, if the interviewee was simply asked to read the questions on the form without engaging in dialogue, it is unlikely the interviewee would fully open up and share details that could be crucial to the overall understanding of the patient, and their individual learning needs. As clinicians we must also consider that both verbal and non-verbal cues are ways in which we communicate. Our patients may be providing us with critical non-verbal cues about their nutritional status, which will be missed if we are facedown and consumed with merely “filling out our
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.
Wyness, L. (2009). Understanding the role of diet in type 2 diabetes prevention. British Journal of Community Nursing, 14(9), 374.
Participants had to meet certain criteria. They set up an interview day with the first hour being the section of the workshop that contained personal results such as scores on lower body strength and problem solving. Next they attended three 30-minute sessions that gave them information on topics such as nutrition and stress management. There were a group of participants that participated in the actual interview. They were taken to a private room where they sat at a table. Questions were asked and the person being interviewed would respond with an answer. The interview started with questions such as how life was living with FM and then questions became more detailed such as how to maintain
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.
According to the Center for Disease Control and Prevention (CDC) (2012), the diabetes rate has more than tripled since 1980 from about 5.6 million people affected, to nearly 21 million people. And, of the 2.9 million Native Americans, approximately 16% have been afflicted with type-2 diabetes (U.S. Census Bureau, 2010). These rates were more than twice the rates for the white population and strongly correlated with income level. One factor that is believed to have contributed to the high rates of non-insulin-dependent diabetes is dietary changes from traditional foods to processed foods (Reinhard et al., 2012).
Ross, Matt. “Diabetes education with a twist.” Indian Country Today, 22 April 2004; available at http://www.indiancountry.com
Glucose is a sugar that plays a big part in a human’s health and well-being. This sugar is a major source of energy for the body’s brain and cells. The Cells that receive energy from glucose help in the building of the body’s muscle and tissue. Although glucose may be important to the body too much of this sugar can cause a chronic condition called Diabetes. Diabetes, also known as Diabetes mellitus, is a chronic condition that is caused by too much sugar in the blood. This condition can affect all age groups. In fact, in 2010 a survey was taken by the National Diabetes Information Clearinghouse, on the number of newly diagnosed diabetes. Out of 1,907,000 people: 24.38% were ages 20-44, 55.17% were ages 45-64, and 20.45% were ages 65 and greater. Diabetes is a very serious condition, and it can be deadly if left untreated. This paper will help better educate the reader on the signs and symptoms, the testing process, and the management of diabetes.
Millions of people throughout the United States are affected by diabetes. It is considered to be one of the leading causes of death. But what exactly is it? What are the symptoms and how do we prevent it? The goal of this essay is for you to understand the answers to these questions, and be able to apply your newly gained knowledge to your own life, hopefully decreasing your risk of developing diabetes.
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.
Diabetes mellitus is one of the common diseases of the hormonal system. Diabetes is a disease caused by a number of factors such as due to complete or partial loss of insulin production or complete or partial loss of its action or both. Whatever the type of diabetes, the main feature of all types of diabetes is elevated level of blood glucose termed as hyperglycemia. A disease forming alterations in capillary’s basement membrane thickening, elevation of matrix of vessel wall and proliferation cell leading to the vascular complications such as narrowing of the lumen, and early atherosclerosis. Diabetes is found to be related with the elevated generation of atherosclerosis that affects the arteries involve in the circulation to the heart, brain and lower extremities. As well as diabetic myocardial disease, is one of the complications of diabetes. Diabetes founds to affect about 100 million people all over the world. The conditions of diabetes leading to the introduction and generation of microvascular disorder that is results by the destruction of the small blood vessels and macrovascular disorders that results by the destruction of arteries. In diabetic patient the major reason of inability and death is the vascular disease mainly atherosclerosis.
I think overall my 24-Hour Recall went okay, but it definitely can be improved through more practice. I used a little cheat page to help me to stay on track with the stages. I began the recall by introducing myself to my client and explaining to them what a 24-Hour Recall consisted of to begin the interview on the right foot. Before I began collecting food intake information I made sure I asked if the day was a typical day for him. I wanted to ensure the information I was gathering was typical so my overall assessment would be more accurate.
Key words such as closed and open questions are very well explained. Differentiating when to use each type of question is described and useful for facilitating an interactive dialogue. It is important to understand how to assist the patient in relaying important details and to ensure that what the patient has expressed is understood.
The first question I asked was “How are you today?” and other examples of open-ended questions were “What, if any, negative experiences have you had with the medication that you currently take, or have taken in the past?” and others like “How has your treatments or medications hindered your ability to do the things you enjoy?” Some open-ended questions presented themselves like a series of open ended like “Tell me about your family” to “How do they support you with your medical conditions?” to “What types of support have they given through all of this?” Using these serial open-ended questions allowed me to control the direction of the conversation before it begun, because my patient liked to talk for 2-3 minute intervals and would usually get off topic or move onto a new topic in the
My cultural background will be a great contribution to the Washington State University Coordinated Dietetics Program. Being raised in a Malasia, having visited different countries, and now living in the United States, I have experienced the similarities and differences among many diverse cultural groups and nutritional diets. This broad exposure to different cultures allowed me to relate to different types of people by understanding their ways and beliefs, a quality that will help me work well with other students and people. For example, many Malasians will eat something that is unhealthy in nutritional standards and has no benefits to the body. However, they will continue to consume it because it is common in their culture. I would like to teach Malasian people to look at food from a cultural and nutritional angle to be more healthful.
In a society where food comes in abundance, people are overeating. Compared to the beginning of the twenty first century when only about five percent of the population had diabetes (Nazarko, 2009), today that number is rising and continuing to do so. This is starting to affect the health of children diagnosed with diabetes at a young age. When a child has diabetes, it becomes very serious since children are at such a young age to deal, process, and handle the responsibilities that come with this disease.... ...