Quality Standards for Diabetes Care Toolkit



Yüklə 1,62 Mb.
səhifə37/355
tarix25.12.2016
ölçüsü1,62 Mb.
#3013
1   ...   33   34   35   36   37   38   39   40   ...   355
School age (6–12 years)

Integrate child into educational experience

Determine skill level

Identify self-care skills

Determine roles and responsibilities

Communication with peers and school staff who and when to tell about diabetes

Adolescence (12–18 years)

Begin transition care planning

Personal meaning of diabetes

Determine roles and responsibilities in care

Social situations and dating

Who or when to tell about diabetes

Driving

Sex and pre-conception counselling

Alcohol and drugs

College and career planning

Young adults

Personal meaning of diabetes

Roles and responsibilities in care

Social situations and dating

Who or when to tell about diabetes

Genetic risks, conception, and pre-conception

Travel

Choosing or pursuing a career

Workplace rights

Health or life insurance

Involving friends and significant others in diabetes care

Safety

Creating a support network

Establishing or maintaining independence

Middle-aged adults

Personal meaning of diabetes

Roles and responsibilities in care

Involving spouse or significant other in care

Sexual functioning

Developing a support network

Travel

Pursuing a career

Workplace rights

Health or life insurance

Talking with children or other family members about diabetes

Balancing other responsibilities with diabetes care

Safety

Facing complications

Older adults

Personal meaning of diabetes

Roles and responsibilities in care

Maintaining independence

Obtaining assistance with diabetes care tasks

Involving spouse or significant other in care

Travel

Talking with adult children or other family members about diabetes

Safety

Assessing for declines in ability to perform self-care/activities of daily living

Caring for diabetes along with other chronic illnesses or comorbidities

Obtaining health care when living in multiple locations

Community resources

Care of type 1 diabetes in long term or other care facilities





Implementation advice

Self-management education


As structured diabetes education is a critical component of diabetes care, it should be offered at diagnosis and on an ongoing basis (see Standard 16). When considering a structured education programme, the Scottish Intercollegiate Guidelines Network (SIGN) Clinical Guidelines for the Management of Diabetes (2010) state ‘the lack of head-to-head comparative trials renders it impossible to recommend one specific programme over another. Therefore, it is important to consider the outcomes that are desirable for the population being treated and to consider whether the trial data support the delivery of those outcomes for that population’ (p 10). Content and delivery is then tailored to local need. Overall recommendations include:

Content


Programmes should be evidence-informed, and suit the needs of the individual.

The programme should have specific aims and learning objectives.

Content must be specific to the diagnosis (eg, prediabetes versus type 2 diabetes).

It should support the learner plus his or her family/whānau/carers in developing attitudes, beliefs, knowledge and skills to self-manage diabetes.

Standards in teaching and use of adult learning techniques are basic to providing interactive sessions that take into account the learning needs and abilities of the group.

There must be flexibility of timing and venue to accommodate participants’ preferences.

Utilisation of a variety of delivery modes should be implemented (eg, face-to-face or contemporary, quality assured and New Zealand-centric online consumer resources).

The programme should have a structured curriculum that is theory-driven, evidence-based and resource-effective, has supporting materials, and is written down.




Yüklə 1,62 Mb.

Dostları ilə paylaş:
1   ...   33   34   35   36   37   38   39   40   ...   355




Verilənlər bazası müəlliflik hüququ ilə müdafiə olunur ©azkurs.org 2024
rəhbərliyinə müraciət

gir | qeydiyyatdan keç
    Ana səhifə


yükləyin