Question

TOPIC- DIABETES

focus on the patient population care needs and how we can meet their needs and support them utilizing the interdisciplinary teams while taking into account access to care and social determinants of health.

Answer 1

Needs for Psychological Support

We should understand the patient’s feelings and expectations which might be hidden . We should devoting sufficient time and attention to the needs of patients is required in order to express his thoughts, fears and concerns about his condition. Psychological support, which is also provided to certain groups of people with diabetes, during visits at home is of very high importance. Such groups are newly diagnosed insulin-dependent diabetes patients (which usually develops in young people) during visits at home is of very high importance.

Needs for training

This includes promotion of self-care and the prevention of complications.

Needs for technique learning

This referred to a daily act and it needs some kind of training in order to perform. Such actions are insulin injection, the self-examination for blood glucose test even the urine test. Insulin-dependent patient must on a daily and periodic bases undergo, in an outpatient setting, with laboratory tests, such as:

Glucose of capillary blood, by a small device and the appropriate test strips. The frequency of the tests depends on the difficulty of regulation of diabetes. In some patients the daily control is required, with 3-4 daily measurements. The examination of urine sugar nowadays tends to be replaced by capillary blood tests. Glycosylated hemoglobin every three months (HbA1c).

Needs for diet and exercise

The diet of a patient with type II diabetes does not differ at all from the diet of a healthy individual, if they are following the traditional Greek lifestyle. Nurse must respect the religious specifics of each patient and its fasting periods.

Need for knowledge about Hypoglycemia

Hypoglycemia is the most frequent and more severe side effect of insulin therapy, but it can happen after the administration of hypoglycemic tablets. The fear of hypoglycemia and the effects of severe and extended hypoglycemia on the brains functions that are reversible, but under certain circumstances may become permanent, are a key obstacle in the regulation of diabetes.

Need for Communication

One of the important need is need for communication.

Needs for recognition and addressing complications

Another very common and important reason for hospitalization is the diabetic foot. The patient needs to be aware for it prevention and how to avoid this complication.

The everyday needs

Everyday needs is essential for every one especially old ages and single living patients.

The interdisciplinary team in diabetics include

• GP. ...
• Diabetes specialist nurse (DSN) ...
• Practice nurse. ...
• Diabetes specialist (diabetologist or endocrinologist) ...
• Dietitian. ...
• Foot specialist (podiatrist) ...
• Eye doctor (ophthalmologist) ...
• Pharmacist.

They work together and help the patients to solve their problems. The IDT approach can be effective in delivering care to people who have chronic conditions, such as T2DM, that require both self-management and major lifestyle alterations. In the case of T2DM, the complexity of the disease and its associated multiple comorbidities also raises particular diverse challenges that individual clinicians may find difficult to manage. Integrated team-based care has been associated with improved glycaemic control and reduced HbA1c levels in people with diabetes.