Patient Education in the Hospital

Nettles, Anne

doi:10.2337/diaspect.18.1.44

Cited by 41 publications

(29 citation statements)

References 38 publications

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“…Another study noted that in general, nurses' knowledge was adequate, but there were deficiencies in certain aspects of diabetes management [11]. Yet another study revealed that nurses' understanding of diabetes is not at a desirable level to provide adequate diabetic care [7].…”

Section: Introductionmentioning

confidence: 99%

“…This is traceable to the type and quality of diabetes related instructions that patients receive from healthcare professionals [6]. Nurses are key providers of diabetes care but research has shown that their knowledge is variable [7]. Nurses play an important role in diabetes education as they constitute the largest group of healthcare professionals who have a lengthy contact with diabetic patients.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge of Diabetes Mellitus among Registered Nurses in Benin City

Odili¹,

Eke²

2011

Int J Health Res

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an online international journal allowing free unlimited access to abstract and full-text of published articles. The journal is devoted to the promotion of health sciences and related disciplines (including medicine, pharmacy, nursing, biotechnology, cell and molecular biology, and related engineering fields). It seeks particularly (but not exclusively) to encourage multidisciplinary research and collaboration among scientists, the industry and the healthcare professionals. It will also provide an international forum for the communication and evaluation of data, methods and findings in health sciences and related disciplines. The journal welcomes original research papers, reviews and case reports on current topics of special interest and relevance. All manuscripts will be subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication) will be published without delay. The maximum length of manuscripts should normally be 10,000 words (20 single-spaced typewritten pages) for review, 6,000 words for research articles, 3,000 for technical notes, case reports, commentaries and short communications. Submission of Manuscript:The International Journal of Health Research uses a journal management software to allow authors track the changes to their submission. All manuscripts must be in MS Word and in English and should be submitted online at http://www.ijhr.org. Authors who do not want to submit online or cannot submit online should send their manuscript by e-mail attachment (in single file) to the editorial office below. Submission of a manuscript is an indication that the content has not been published or under consideration for publication elsewhere. Authors may submit the names of expert reviewers or those they do not want to review their papers. .4% of the respondents answering correctly questions on symptoms of numbness and tingling, cause of high blood glucose, and problems associated with diabetes respectively. Although, nurses knew that diet plays a great role in management of diabetes mellitus, they were not aware of the effect of "unsweetened" fruit juice on blood glucose (15.2%), a free food for a diabetic (20.9%), and the identification of a proper diabetes diet (42.9%). There was a statistical difference in the knowledge scores of nurses that had a family history of diabetes and those that did not (P < 0.05). Enquirie Conclusion:The knowledge of the nurses sampled as regards diabetes mellitus was less than satisfactory; areas of knowledge deficits include diet and signs of acute complications of diabetes as well as proper foot care. We suggest regular appraisal of nurses' knowledge requirement followed by educational training tailored to improve nurses' level of knowledge.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge of Diabetes Mellitus among Registered Nurses in Benin City

Odili¹,

Eke²

2011

Int J Health Res

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“…The expectation was for all patients with hyperglycemia and/or diabetes to receive ''survival skills'' education prior to discharge. 12 These skills are listed on the Table. A conscious decision was made to provide patients with this critical information without providing any excessive education during a time when they may be less receptive to learning; almost all of these patients were hospitalized for a reason other than diabetes. The following resources were provided to the clinical staff: (1) an algorithm known as the decision tree (Figure) to assist in decision on when and how to refer to the Diabetes NOW team), (2) monthly meetings where access to available resources was presented such as the referral process to the Diabetes NOW team, (3) provision of electronic education materials, (4) information regarding availability of supplies (glucosemeters, approved education materials and resources, etc), and (5) a diabetes discharge checklist and a decision tree were placed on every bedside …”

Section: Preparation For Dischargementioning

confidence: 99%

One Institution's Experience in Implementing Protocols for Glycemic Management

Corbin

Carmical

Goetz

et al. 2010

Dimensions of Critical Care Nursing

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“…3 Specifi c issues that may be addressed while the patient is in the hospital are summarized in Table 1. 21 It is important to note that the hospitalization period may be an opportunity to deliver diabetes education. One clinical study is evaluating patient adherence to discharge diabetes medications up to 120 days following pharmacist counseling about self-management during the hospital stay.…”

Section: General Considerations In the Transition From Inpatient To Omentioning

confidence: 99%

Transitioning From Inpatient to Outpatient Therapy in Patients with In-Hospital Hyperglycemia

Peterson

2011

Hospital Practice

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Transition from inpatient to outpatient care for patients with type 2 diabetes mellitus is an important aspect of patient management for which there is no guidance. Intensive glucose lowering with insulin is generally favored for seriously ill hospitalized patients, but after discharge, patients often resume their prior regimens, which may include an array of oral or injected glucose-lowering agents. Factors that should be considered in this transition include goals of care/life expectancy, glycated hemoglobin at hospital admission, home medications for other illnesses and their potential for interactions with antidiabetes treatment, comorbidities, nutritional status, physical disabilities, ability to carry out self-monitoring of blood glucose, risk for hypoglycemia, contraindications to oral medications, health literacy, and financial and other resources. Traditional oral therapies that may be used after the patient leaves the hospital include sulfonylureas, α-glucosidase inhibitors, thiazolidinediones, and metformin. α-Glucosidase inhibitors are limited by gastrointestinal adverse events, and thiazolidinediones by fluid retention and increased risk for heart failure. Thiazolidinediones also require a long period of administration for onset glucose lowering and are not suitable for transitioning hospitalized patients who have been receiving insulin to outpatient care. Metformin is contraindicated in patients with renal, cardiac, or pulmonary insufficiency. Incretin-based therapies, glucagon-like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors, have limited use in hospitals, but may be suitable for the transition to outpatient treatment. The most common adverse events with glucagon-like peptide-1 inhibitors involve the gastrointestinal system. More formal studies of treatment regimens for patients with hyperglycemia leaving the hospital are needed to guide care for this group.

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Patient Education in the Hospital

Cited by 41 publications

References 38 publications

Knowledge of Diabetes Mellitus among Registered Nurses in Benin City

Knowledge of Diabetes Mellitus among Registered Nurses in Benin City

One Institution's Experience in Implementing Protocols for Glycemic Management

Transitioning From Inpatient to Outpatient Therapy in Patients with In-Hospital Hyperglycemia

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