Moving Toward Preventive Education, Essay Example

Many nurses lack the skills of teaching patients with diabetes care. Many patients with diabetes lack the knowledge of diabetes self-medicated care management skills.A development on nurse-patient with diabetes relationship on diabetes self-medicated care management is needed due to the high prevalence of diabetes population died of diabetes nationwide.

Diabetes is a form of a disease that lingers pancreas’s blood glucose or sugar levels and sets them at unbearable rate for the blood glucose to function properly. Diabetes disease has three types of illness, Type 1 and Type II and gestations diabetes.  Type 1 diabetes is developed by stand-alone glucagon hormone, which it cannot produce glucose without insulin. The adverse health effect of the insulin imbalance influences the blood flow to slow and reduce the amount of beta cells of the immune system; Type II diabetes is developed by padded organs, (e.g., liver, muscles, and fat) in which, nearly blocks insulin hormone to travel through the long grain glycogen to the pancreas. Which the hormones affect the body to break down to lower physical energy. Slowing the movement of doing daily tasks.

All kinds of diabetes illness can happen at any time at any age. The common signs are:  excessive thirst, frequent urination, fatigue, hunger, unexpected weight loss, skin sores, feet senses, and blurry vision.

According to, the Juvenile Diabetes Research Foundation International (2011) statistically reported that, there are more than three million of Americans has diabetes and approximately 80 people per day are diagnosed with all types of diabetes. These individuals faced the risk for serious problems like heart, eyes, kidneys, nerves, gums and teeth and physical impairments (i.e., leg amputation, blurry vision, and tremors in arms and legs) and even death.

Individuals checks their blood glucose, blood pressure, and cholesterol to be certain that all of the hemostatsis cells are in the target range. Reducing the chance of heart attack and stroke. Which, it is a vital organ to pay attention first before other organs like the eyes, kidneys, nerves, and teeth. However, all of the other organs can affect the heart when the blood glucose became imbalanced.

Gestational diabetes is developed by pregnant women, usually at third trimester. It is an acute diabetes illness shortens the path for insulin to join with other hormones in the pancreas. Often, it goes away after the baby is born (National Diabetes Information Clearinghouse).

Gestational diabetes, occasionally called ‘pre-diabetes’, it occurs when the blood glucose is too high during pregnancy. The weight gain and changing hormones and the choice of food lacks the energy for insulin to produce with glycogen.

According to the NDIC (2011) statistically reported that, out of three to eight of every 100 pregnant women get gestational diabetes. Predominately in African American, American Indian, Asian American, Hispanic/Latino and or Pacific Islander pregnant women. Gestational diabetes is often found in genetic link of family or siblings. Usually, pregnant women are 25 years old and older and weights above ideal pregnant weight.  The effects of gestational diabetes are diagnosed without symptoms for some women, however, it may increase risk high blood pressure and the need for cesarean section at delivery

Nurses dealing with the role of ambiguity and the role of boundaries fluids would demonstrate an ability to communicate effectively to the individuals, families, and or communities, which is critical to foster professional growth and leadership growth.

The nurses provide supportive services in a variety of medical settings (e.g., hospital, community-based, medical specialty office, and ambulance).In the traditional supportive services, nurses provided a directed instruction on the information pertinent diabetes disease consisted of insulin use, after insulin use care, and the side effects of insulin, along with thenutrition chart (s) of four food groups (fruits, grain, dairy, and meats) listed with carbohydrate intake information.It is difficult for many patients to plan their own diabetes self-medicated management plan. They also show a significance of not understanding the carbohydratesmeasures of each food item, for example. It is too exhaustive for some patients.

One missing relation of the supportive servicesis the information on patients coping physical activitieswith diabetes. Most importantly, on the degree of bloodglucose levels to judge how much insulin is needed against the instructed insulin intake, and patients to learn how to overcome the food/insulin intake problems. This disease does affect individual’s whole health and lifestyle. Including, when an individual is away from home, at school or at work and or in the time of natural disaster emergencies, diabetes must be taken care at all special critical times.

The benefit of preventive care measures education isteaching patients on survival problem solving skills, brainstorming with patients on survival skills strategies, and handle lapses. A method of teaching patients on diabetes-related content.As the Diabetes care standards for glycemic control to help patients to not to become too sick when in time for insulin injection medication. An effective didactic teaching method that would change the practice of evaluating patients’ lifestyle and disseminate patients’ learning styles in which would enable patients to take control of their diabetes disease. The relationship of achieving goals and objectives ensure patients to gain power and share the influence of behaviors associated with diabetes. This will hinder patients understanding of how imperative is to stay alive. (King,et .al, 2002).However, the implications of resistance-transference and counter transference may impede developing a good relationship due to the preferences cultural differences, and customs biases. The analysis of transference approach is the key to treatment of a nurse intervention. The person’s central task is to say everything that occurs to them, no matter how silly, vulgar, or irrelevant it might seem. Aquality of resilience is placed when necessary. The task of the client is very difficult– try spending 10 minutes some time speaking into a tape recorder really saying everything that comes into the client’s mind. APN will probably be amazed and horrified. Not surprisingly, the client finds himself/herself in a tough situation, and resists the task, concealing things that would be shameful or inappropriate (McAuley, 2003).

The mutual understanding of client’s strengths and weakness and specify addressing client’s needs with the formation of healing commitment for their disease. This stance would foster an accountability of educating patients and demonstrate an empathy and maintaining being supportive. An assessment in thediabetes self-medication care plan(s) and patients competency in survival skills; Providing informative information to where else to seek help and who to see in case of high glucose level may occur; Use an appropriate sense-of-humor behavior and speak unbiased tone would enable this patient to feel less tense in expressing feelings, emotions, and concerns relating to diabetes. The quality of empathic understanding has been one of the most widely used tools of the counseling relationship regardless of chronic illness theoretical orientation. Exercising diabetes –related content has been shown to be a critical factor in positive therapeutic outcomes. A change for a better health, get involved in complex self-care decisions, and knowledge of where to receive professional guidance in case of crisis situations are seen in many patients (King, et .al, 2002).

References

King, E., Schlundt, D. G., Pichert, J. W., Kinzer, C. K., & Backer, B. A. (2002). Improving the Skills of Health Professionals in Engaging Patients in Diabetes-Related Problem Solving. Journal of Continuing Education in the Health Professions, 22(2), 94-102. Retrieved from EBSCOhost.

McAuley, M.J. (2003) Transference, Countertransference, and Mentoring: The Ghost in Process. British Journal of Guidance & Counseling, 31(1) pp. 11-23. Retrieved July 12, 2011 from: EBSCOhost Database.

National Diabetes Information Clearinghouse (2011) Taking care of your diabetes at special times. Retrieved July 21, 2011 from: http://diabetes.niddk.nih.gov/dm/pubs/type1and2/specialtimes.aspx

National Library of Medicine and National Institute of Health (2011) Type 1 Diabetes. Retrieved July 21, 2011 from: http://www.nlm.nih.gov/medlineplus/diabetestype1.html