P4 Professionals involved with diabetes : Diabetes specialist nurses -Diabetes Specialist Nurses (DSNs), also called Community Diabetes Specialist Nurses, are the backbone of diabetes treatment and care in the UK Their primary goal is to help people self-manage their diabetes. Patients with type 2 diabetes usually see both a practice nurse at their local GP’s whereas an individual with type1 would only see one nurse,in addition to a diabetes specialist nurse who will provide additional support and advice.They are legally required to be constantly maintaining and expanding their knowledge of their specialised sector, as well as personally ensuring that they are qualified to undertake every duty or responsibility they are given, as such a diabetic patient can be sure they are receiving the best possible care. Diabetes and primary care trust - The NHS Primary Care Trust (PCT) is the part of the National Health Service that provides both primary and community services in a number of fortes in the medical sector, primarily they are responsible for spending around 80% of the total NHS budget. Depending on the Primary Care Trust in which the individual lives, access to healthcare professionals will vary. The following section outlines the various healthcare professionals in the UK, and how they can help you.Remember, you are the most important person in diabetes care and successfully managing diabetes, but your healthcare team can help to manage diabetes and maintain good health.Each PCT has their own specialised diabetes clinic and drop in centre to allow diabetics access to a team of highly specialised and dedicated professionals who offer education, support and advice to people with diabetes.
Nurses play a major role in improving diabetes care and empowering patients to develop their self-management and life skills. Managing effectively this disorder is critical since it is associated with serious complications, which may lead to both reduction in longevity and quality of life (Mold et al. 2008). Early diagnosis of diabetes and early interventions can prevent the rise of complications. Obesity, adherence, diabetic foot, depression and micro- and macro-vascular complications are five of the many areas that pose the most challenges for nurses and other healthcare professionals in treatment of the disorder.
For instance, if a lab results for diabetes are received through the HIE system it can be fused into the providers EHR and a list of patients with diabetes can be created and the physician can conclude which patient have uncontrollably blood sugar and need schedule a follow up if needed. There are three key forms of health information exchange, which are, direct exchange, consumer-mediated exchange
There are many pros and cons in these articles about how the insulin pump or shots can improve patients care. Insulin pumps can considerably reduce hbA1c levels in patients with type I diabetes and reduce the risk of overall diabetes related complications. Shauna S. Roberts, with the Diabetes Forecast discusses how insulin pumps and shots can have the same level of control. Roberts talks about what method is best for blood sugar control, the pump or shots? According to her article, in the past pumps were recommended for people who could not control their blood sugar with three to four shots a day.
Oral medications are readily available as a 1st treatment along with meal planning, weight loss, and exercising (ADA, Herbs, supplements) (ADA, Oral Medications). Insulin in patients diagnosed with type II diabetes do not use it properly, and are therefore usually prescribed insulin if the treatments mentioned before do not balance their systems efficiently (American Diabetes Association, Insulin). Patients also have the option of taking alternative medicines. Preventing type II diabetes is fairly easy while being aware of how to maintain a healthy lifestyle. Maintaining a nutritious diet, and exercising often helps in prevention.
A nurse can take these categories and apply it to the management of a patient with a chronic disease. A patient education plan for Diabetes includes remembering the names of the different insulin prescribed for treatment. The patient should be able to list the steps of insulin administration. After the patient has received verbal, written, and video education on Diabetes one should have an understanding of the disease and can recognize the signs of hypoglycemia and hyperglycemia. Once the patient has an understanding of the disease they can apply this knowledge to real-life situations by following a diabetic diet and choosing the appropriate food to maintain proper glucose levels.
Certain formal training is required for licensure which is checked by the Nursing practice act. Each state board of nursing in the U.S. develops different NPA for that state. What is the Definition of Advanced Practice? Advanced practice nurses are registered nurses who receive specialized training that allows them to practice independently or in partnership with doctors. Many concentrate in primary care services, though there are many advanced practice nurses who specialize in a particular field.
Nurses also provide counseling, patient education, health education, and patient advocacy. They administer medication and treatment as prescribed by a physician. The promotion, maintenance, and restoration of health also are responsibilities of the registered nurse. The definition of
Nurses apply health promotion everyday to their patients wither they realize it or not. Health promotion does not focus on a specific illness, it focuses on improving or maintaining the general health of individuals, families and communities. To successfully facilitate the improvement or maintenance with the patient’s health we must educate. There are many avenues that nurses have regarding health promotion and that is: education, practice, and research. Typically nurses have always taught their patients how to manage their daily lives with an illness, but now the purpose is more on how the patient can remain healthy and what preventative measures the nurse needs to implement for their patients.