Diabetes care in rest homes in Christchurch, New Zealand

Gill, Emily; Corwin, Paul; Mangin, Dee; Sutherland, M.

doi:10.1111/j.1464-5491.2006.01976.x

Cited by 19 publications

(25 citation statements)

References 16 publications

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“…Since the publication of the original 1999 British Diabetic Association document [10], a further nine studies have been published, which shed additional light on the characteristics of the care home populations of residents with diabetes [3,6,11–17]. Their findings have been incorporated in the key messages section and in the major recommendations of the full guidelines.…”

Section: Key Research Underpinning the Guidelinesmentioning

confidence: 99%

“…Three studies published in 2006 added further insight into this relatively hitherto neglected area of diabetes research. A New Zealand study of 59 rest homes looked at residents with known diabetes [15]. Data revealed a mean of five co‐morbidities and 7.5 medications per resident, gaps in the diabetes knowledge of care staff and lack of monitoring of hypoglycaemia, which was a frequent occurrence.…”

Section: Key Research Underpinning the Guidelinesmentioning

confidence: 99%

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Good clinical practice guidelines for care home residents with diabetes: an executive summary

Sinclair¹,

Task²

2011

Diabetic Medicine

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A Task and Finish Group of Diabetes UK was convened over 14 months to undertake a systematic review of the original 1999 British Diabetic Association guidance on care home diabetes, incorporate new research findings and produce a set of recommendations that are evidenced-based, practical and implementable within UK care home settings. The anticipation of Diabetes UK is that these guidelines will represent a national policy of good clinical practice for diabetes care within care homes. This executive summary demonstrates how the full guidelines should provide a framework of assessment of the quality of diabetes care within care homes, for use by regulatory bodies who have responsibility for this provision of diabetes care. This document is primarily based on recommendations for adults living within British care home environments and its focus, by virtue of the nature and characteristics of residents, is on older adults. Improvements in diabetes care within residential and nursing homes are likely to follow a sustained commitment by health and social care professionals to ensure that the well-being of residents with diabetes is paramount, that high-quality policies of diabetes care are implemented and monitored and effective diabetes education is a mandatory and integral part of care home staff training.Diabet. Med. 28, 772-777 (2011)

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Section: Key Research Underpinning the Guidelinesmentioning

confidence: 99%

Section: Key Research Underpinning the Guidelinesmentioning

confidence: 99%

Good clinical practice guidelines for care home residents with diabetes: an executive summary

Sinclair¹,

Task²

2011

Diabetic Medicine

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“…After screening was completed, 20 studies were identified that met the criteria for inclusion in this review of the literature. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]…”

Section: Search Strategymentioning

confidence: 99%

“…33 The majority of the studies were descriptive and several used more than 1 descriptive method to collect and validate data. Most studies used convenience samples, except the database reviews 23,30 and 1 study, 21 which used a stratified and randomly selected sample in New Zealand. Three studies were quasi-experimental and used nonrandomized designs.…”

Section: Designs Instruments and Validity Assessmentmentioning

confidence: 99%

Diabetes Management in the Nursing Home

Garcia

Brown

2011

Diabetes Educ

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“…However, studies have reported findings such as: that CBGM is not always performed according to individual needs [ 9 – 11 ]; pathogen transmission due to incorrect sampling [ 12 – 14 ]; insufficient blood glucose logs [ 15 , 16 ]; uncertainty concerning physician involvement [ 15 ] and actual use of test results [ 17 ]; lack of procedures and inconsistent instructions [ 15 , 18 , 19 ]. In addition, training and guidance about symptoms requiring additional measurements are not always adequate [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

‘I try not to bother the residents too much’ – the use of capillary blood glucose measurements in nursing homes

et al. 2016

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BackgroundCapillary blood glucose measurements are regularly used for nursing home residents with diabetes. The usefulness of these measurements relies on clear indications for use, correct measurement techniques, proper documentation and clinical use of the resulting blood glucose values. The use of a regular, invasive procedure may also entail additional challenges in a population of older, multimorbid patients who often suffer from cognitive impairment or dementia. The aim of this study was to explore the perspectives of physicians, registered nurses and auxiliary nurses on the use, usefulness and potential challenges of using capillary blood glucose measurements in nursing homes, and the procedures for doing so.MethodsThis was a qualitative study that used three profession-specific focus group interviews. Interviews were transcribed in modified verbatim form and analysed in accordance with Malterud’s principles of systematic text condensation. Five physicians, four registered nurses and three auxiliary nurses participated in the focus groups.ResultsAll professional groups regarded capillary blood glucose measurements as a necessity in the management of diabetes, the physicians to ensure that the treatment is appropriate, and the nurses to be certain and assured about their caring decisions. Strict glycaemic control and excessive measurements were avoided in order to promote the well-being and safety of the residents. Sufficient knowledge of diabetes symptoms, equivalent practices for glucose measurement, and unambiguous documentation and communication of results were determined to be most helpful. However, all professional groups seldom involved the residents in managing their own measurements and stated that guidelines and training had been inconsistent or lacking.ConclusionInadequate procedures and training in diabetes care may compromise the rationale for capillary blood glucose measurements in nursing homes, and hence the residents’ safety. These concerns should be addressed together with the possibility of involving and empowering residents by exploring their ability and wish to manage their own disease.

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Diabetes care in rest homes in Christchurch, New Zealand

Cited by 19 publications

References 16 publications

Good clinical practice guidelines for care home residents with diabetes: an executive summary

Good clinical practice guidelines for care home residents with diabetes: an executive summary

Diabetes Management in the Nursing Home

‘I try not to bother the residents too much’ – the use of capillary blood glucose measurements in nursing homes

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