Lack of proper education on patient with type 2 diabetes
Locating the Best Evidence
Often, diabetes type 2 patients lack proper education mainly because of the different
barriers that they face as well as the receiving education that lacks a proper algorithm. Therefore,
there is a great need for these measures to be acted upon so that the patients can realize more
positive outcomes. Mshunqane, Stewart and Rothberg (2012) indicated that diabetes type 2 is
associated with numerous complications, many of which can cause death if not managed
appropriately. In addition to this, at the worldwide level, the disease is acknowledge as a main
challenge that nags the policymakers each day. There is presently some staggering statistics of
the increasing prevalence as well as the linked economic and health impact.
Further, the World Economic Forum, World Health Organization, as well as the United
Nations recognize the challenge. All these bodies suggest for collective dedication to improve
the life quality of the patients as well as prevent the disease. They are clear that the challenge is
universal, urgent, and critical. There is also the acknowledgment that the disease is serious for
two main reasons (Stults-Kolehmainen & Sinha, 2014). First is the health impacts linked to it
which are more critical including increased likelihood for lower limb amputations, blindness,
heart attacks, kidney failure, as well as stroke. Second, there are indirect and direct costs which
are a major drain on the healthcare budgets as well as productivity.
The issue is very urgent considering that its prevalence is rising. Moreover, managing the
complications associated with the disease is very costly, same as incorporating appropriate
measures to ensure that the patients lead a high quality and independent life. The mentioned
bodies also agree that proper education is one of the strategies through which the disease can be
prevented and managed efficiently. However, there are a number of barriers that prevent this and
LACK OF PROPER EDUCATION ON PATIENT WITH TYPE 2 DIABETES
the education algorithm normally used is inappropriate. Therefore, this systematic review will
aim at finding information suggesting the appropriate algorithm as well as the common barriers
as well as how they can be addressed.
Methods
Search strategy
Peer-reviewed academic journals will be sought from different databases, and these will
be used to conduct the systematic review (Lee et al., 2013). The intention will be creating a
proper algorithm on diabetes type 2 education, as well as identify some of the barriers to proper
education and how they can be addressed. The databases to be used for the systematic review are
CENTRAL, Social Science Citation Index, Science Citation Index, PSYCLinfo, Medline, ERIC,
and CINAHL. The references to the articles that were selected were also evaluated for leads.
Reading the reviews was necessary as it helped identify if the article was appropriate. In relation
to the inclusion criteria, there was selection of articles that were not older than five years.
Particularly, there was selection of those discussing the barriers to proper diabetes type 2
education and their solutions, and those discussing proper education standards (Kapoor &
Kleinbart, 2012).
Critically Analyzing the Evidence and Synthesis
Proper education algorithm
Diabetes type 2 education preventive measures will be informed to all the people through
local barazas. This would ensure that all people engage in appropriate lifestyles to prevent the
disease. Cultural competent educators, and those with proper listening and communication skills
will be used to offer the education so that no one can be left behind (Garber, Gross & Slonim,
LACK OF PROPER EDUCATION ON PATIENT WITH TYPE 2 DIABETES
2010). It will be necessary to educate the patients on all aspects of the disease including the
causes, risk factors, predisposing factors, preventive strategies, available treatments, and
management. In addition, awareness on how a patient can ensure self-care should be offered,
same as the complications and the direct and indirect costs that a family can suffer because of the
disease. Moreover, the educator should go into details when elaborating on the preventive
measures including the diet and physical activity. The more the patients and all people know
about the disease and how it is connected to other chronic conditions, the more efficiently they
can engage in self-care (Green, 2014).
Barriers and addressing them
for patients to be able to receive the recommended diabetes type 2 education, they should
really be concerned about their healthcare and ready to access or seek quality medical education.
However, because of the ignorance some patient have, they prefer using over-the-counter
medications or seeking traditional medicine men. They never seek the quality healthcare services
because of their ignorance and low socioeconomic backgrounds. Therefore, even the use of
preventive services among these patients is very minimal. To address this, the local authorities
will be given a chance to mobilize people from their living areas, so that education can start at
the grassroots level before even being offered at the healthcare institution (Zoepke & Green,
2012).
In addition, there are many elderly people suffering from the disease and with hearing,
memory, and vision challenges. These will be offered the education in the presence of caregivers
who can assist them around (Chijioke, Adamu &Makusidi, 2010).
Feasibility, Benefits, and Risks
Feasibility
LACK OF PROPER EDUCATION ON PATIENT WITH TYPE 2 DIABETES
The project of delivering proper education to the patients is feasible, especially if the
most appropriate education is being delivered, with a consideration of the personal factors, and if
the barriers that might hinder the education have been considered and measures to address these
put in place. Healthcare providers would only need to offer patients attending the institution for
medical care services the pamphlets containing all the necessary information. However, when
dealing with diabetes type 2 patients, it would be necessary to find out first what they already
know and later creating awareness while dispelling the misconceptions. This would be relatively
cheap. It would also be necessary to explore other factors that affect individual patients so that
advice can be offered (Rosenstock & Owens, 2008).
Barriers
After proper education is offered and the barriers to it addressed, some patients might still
lack the funds to purchase even the affordable local foods. Considering that some patients might
be elderly, there might be issues such as improper vision, hearing loss, and memory loss, which
might influence practice of the education.
Benefits
Ensuring that the patients are receiving proper education and implementing it is essential
in that it can go a long way in reducing the high prevalence of the disease, preventing
complications, reducing the high costs needed to treat and manage the condition, as well as the
losses related to loss of productivity and need for a higher quality of life (Ruffin, 2016).
Risks
Some of the anticipated risks include limited resources to ensure that adequate and proper
education is being delivered to the patients (Valencia &Florez, 2014). In addition, there might
be absence of cultural competence professionals to deal with patients from different
LACK OF PROPER EDUCATION ON PATIENT WITH TYPE 2 DIABETES
backgrounds. In addition, tracking the patients at their homes to ensure that they are
implementing the proper education appropriately can be difficult and costly.
LACK OF PROPER EDUCATION ON PATIENT WITH TYPE 2 DIABETES
References
Chijioke, A., Adamu, A. N., &Makusidi, A. M. (2010). Mortality patterns among type 2 diabetes
mellitus patients in Ilorin, Nigeria : original research. Journal of Endocrinology,
Metabolism and Diabetes in South Africa, 15, 2, 79-82.
Garber, J. S., Gross, M., & Slonim, A. D. (2010). Avoiding common nursing errors.
Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Green, B. (June 06, 2014). Diabetes and diabetic foot ulcers : an often hidden problem : review.
Sa Pharmacist’s Assistant, 14, 3, 23-26.
Kapoor, B., & Kleinbart, M. (2012). Building an Integrated Patient Information System for a
Healthcare Network. Journal of Cases on Information Technology (jcit), 14, 2, 27-41.
Lee YK, Ng CJ, Lee PY, Khoo EM, Abdullah KL, Low WY, Samad AA, Chen WS, & Lee, Yew
Kong. (2013). What are the barriers faced by patients using insulin? A qualitative study
of Malaysian health care professionals’ views. Dove Press.
Mshunqane, N., Stewart, A. V., & Rothberg, A. D. (January 01, 2012). Type 2 diabetes
management : patient knowledge and health care team perceptions, South Africa :
original research. African Primary Health Care and Family Medicine, 4, 1, 1-7.
Rosenstock, J., & Owens, D. (January 01, 2008). Treatment of Type 2 Using Insulin: When to
Introduce?.
Ruffin, T. R. (January 01, 2016). Health Information Technology and Change.
Stults-Kolehmainen, M. A., & Sinha, R. (January 01, 2014). The Effects of Stress on Physical
Activity and Exercise. Sports Medicine, 44, 1, 81-121.
Valencia, W. M., &Florez, H. (January 01, 2014). Pharmacological treatment of diabetes in older
people. Diabetes, Obesity & Metabolism, 16, 12, 1192-203.
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Zoepke, A., & Green, B. (January 01, 2012). Diabetes and diabetic foot ulcers : an often hidden
problem : general review. Wound Healing Southern Africa, 5, 1, 19-22.