THE ROLE OF NURSES IN DIABETES CARE AND
THE ROLE OF NURSES IN DIABETES CARE AND EDUCATION By Prof. Morsi Arab IDF Chair EMME Region University of Alexandria
The Diabetes Care Team The Nurse is a member of the Diabetes Health Care Team which requires: - complementation - integration - no contradictions - strict job description ( without overdoing)
A special Member he nurse is a privileged member of the team. Why ? 1. Has more time ( to listen and to educate) ace the doctor’s ‘orders’ by ‘instructions and guidance’ : a psychol. value ? ses understand communicate better with ( a female pt. or mother of a diab. child ) pathy and Care is a feminine specialty……
Positive and Negative Aspects of Historical Significance in the ME ed the role of woman nurses. ** 2. Cultural factors delayed women’s development. In the region X eputation about the standard of nursing in Arab hospitals X ablishment of Higher schools of Nursing (Alexandria early 1960 ) ** nition & a parallel international course (Alexandria 1991) **
Cont. (Historical …) 6. Developing National Diab. Nurse Training Programs ** 7. A generation of high-standard specialized educators with a nursing background **
The Diabetes Nurse gets international recognition
Notional Programme for Nurses Training
Nurse Training Workshops
Requirements to Perfect The General Requirements for a nurse to perfect her role in diabetes care and education : I. Knowledge -in diabetes and related sciences. -in basic principles in education II. Skills -clinical : history taking , examination , etc. ucational : skills of teaching knowledge and skills , and changing attitudes of pts. III. Special talents (Attitude) : est, team working, respecting limitations, etc
Specific Considerations Specific role in “ Acute complications” owledge of causes, symptoms and signs, prevention and principles of management. 2. Clinical Skills : e. g. history, exam. (P & BP, urine test, bld sugar, acetone breath, etc) follow-up observations…………. 3. Educational Skills e. g. instructing prevention , diagnosing and immediate management.
The Diabetes Nurse in Foot Care Knowledge : foot anatomy, vulnerability, types of injuries (mechanical, thermal, chem. ) weight bearing walking dynamics , etc. linical examination Skills : pulses, sensation, dryness, colour changes, points of stress , etc ), Management skills according to her training. Level I : e. g. dressings, nail cut, etc. Level II : e. g. ulcer debridement , etc Education Skills for patients on : self inspection, shoes , stockings, , preventing mech. , thermal and chemical injuries, etc
In the Absence of the Physician The Diabetes Nurse : - At School - As Health Visitor to Homes - At Far Rural Centres
The Diabetes Nurse at School - Keeps records of children with diabetes - checks times for insulin intake and snacks - manages acute episodes e. g. hypoglycemia - educates school staff to: - consider the needs of the diab child - manage emergencies - avoid discrimination
The Diabetes Nurse at Homes - Encourages pt. compliance to: - regular check of glycem. Control dic checks e. g. , ophthalmoscopy, e. c. g. , etc - Monitors early develop. of complications - Guidance (Education) about special needs Elderly , the Isolated , and the Handicapped diabetic.
The Diabetes Nurse at Far Rural Centres eps sound balance between active management of diab care or referral ( to physicians and specialists) in due time. - Manages immediate care in emergencies sufficient stores of medications and equipment for emergencies. readiness of fast means for transportation in emergencies
- Slides: 16