Lack of proper education on patient with type 2
diabetes
Quality Measures
How does lack of knowledge in
management of diabetes Type 2 impact;
equitable and efficient care
appropriate and Timely
Patient safety
Patient centered care
Purpose
The purpose is to explore lack of proper
education in patients with Type II diabetes to;
Understand socio-economic impact for
To identify barriers to patient education
To eliminate barriers using proper algorithm
Problem
The main problem is lack of knowledge
about diabetes in the community- especially
in young generation
Most people are not aware on ways to
manage or cope the disease
These makes the people to be confused,
disoriented, and unsure about the disease
Proposed Evidence Based Change
Apply of teach back method to
advocate for effective behavioural interventions
identifying strategies that could fail if specific regimen is not understood
Identify the environmental or even psychological barriers
screening these potential problems,
offers comprehensive training on the appropriate therapies and medications
Project Goal
To understand the impact of proper
education of patients with Type II diabetes
in promoting quality care management
regimen.
Review of the Literature and Body of Evidence Supporting the
Proposed Change
Effective management of the glycosylated haemoglobin (HbA1c) involves,
attaining stable blood sugar control
understanding the food intake and physical activity balance.
Anticipatory patient education using teach back will facilitate lifestyle modification as
a routine care especially during the developmental transitions(Reinehr, 2013).
successful management of diabetes type 2 need heterogeneous interventions including
(Stranieri, Yatsko, Jelinek & Venkatraman, 2015);
cognitive behavioural therapy, general diabetes education and skills training.
This is associated with significant improvements on emotional, physical and
developmental outcomes
Body of Evidence Supporting the Proposed Change
The evidence found supports the main reason for increased complications among
diabetes type 2 patients is reduced knowledge on coping strategies.
There is no treatment for diabetes Type 2; patient should be supported through
patient education. (Steinsbekk, et al., 2012).
Patient education empower the patient with capabilities that help them overcome
any shortcomings that would prevail (Kayshap et al., 2013).
Feasibility, Benefits, Risks
Benefits
Enable the patients to
understanding disease
pathophysiology,
establishment necessary
coping strategies
make appropriate decision,
ultimately reducing the
readmission rates, length of
hospitalization and slows the
disease progression
Risks
Increased confusion
Communication barriers
Ethical legal issues or
concerns
Feasibility
Cost effective
Timely care
Improve patient
knowledge
Improve patient quality
of life
Step 4: Design Practice Change
Process Variables
These includes outcome measures that can be expressed as a numerical figure.
In this case, designing of change practice model will focus on length of
hospital, departmental performance, emergency department performance etc.
Step 4: Design Practice Change
Key Attributes that influence the designing of practice change includes;
Creativity: to ensure that the team have dependent and independent solutions
Commitment: to ensure that the patients remain
Patience: Notably, change is invisible and slow, it needs time
Resilience; there are setbacks expected, but with commitment they will be
overcome.
Step 4: Design Practice Change
Change implementation
Step 4: Design Practice Change
Resources for Design Practice Change
Social: human resources such as nurses,
general physician, patient, and key
management representatives
Economic: fiscal resources to manage the
change implementation process
Environment: organization culture and
establishment of an environment that
promotes change
Step 5: Evaluating Change
the evaluation will be done on
quarterly bases using these
questions
Outcome Variables & Measurement Tools
Outcome variables that will be used to
assess change includes
lower clinical visits,
Morbidity
mortality
limp amputation rates
or disability for health issues associated with
diabetes
Cont’d
Measurement tools used to evaluate
change
Focus groups
One on one in-depth interviews
Online forums
Online communities/focus groups
Step 6: Maintain Change in Practice
Identify that change is a continuous process
Maintain review plans until one is sire that they are not needed
If the change lapse one should not start from the drawing board but instead
from the recognized process they should implement new plan based to the
mistakes
Always research on new ways to help others and the organization to make
positive changes at large
Final Discussion
Patient education – most cost effective intervention for patients with diabetes type 2 include
pharmacological -insulin action, the various modes of
administrations, and the processes of
blood glucose monitoring.
Nutrition therapy education – appropriate diet in
terms of quality and quantity.
physical activeness training -effective duration
of exercise, what should
be done before and after the exercise.
Cont’d
address underlying barriers including
Socioeconomic needs
cultural issues,
Psychological needs eg body shape
insecurities and substance use.
The proposed plan is anticipated to
support and maintain patient health safety
simultaneously and strengthen the
healthcare expertise, productivity and
quality management of care.
Source: http://www.acc.org/membership/member-benefits-and-resources/acc-member-publications/cardiosurve
Reflection
management of diabetes type 2 is a complex process.
Promotion of patient education is important
Patient education empower patients on
pharmacological therapy,
balanced nutrition
exercises to maintain.
manage effective glycemic control
prevent disease progression or associated complications.
Questions?
What are the Risk factors for type 2 diabetes?
Untreated diabetes may result in ?
Is diabetics patients at increased risk of heart disease?
References
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