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Diabetes Management: Clinical Pathways, Guidelines, and Patient Education

Overview

Diabetes Management: Clinical Pathways, Guidelines, and Patient Education is an ideal reference for clinicians developing and implementing a management program for their diabetes patients. This resource is packed with 300 pages of comprehensive, detailed clinical pathways and guidelines, expert treatment strategies, and easy—to—read patient education handouts, collected from medical professionals at leading health care facilities across the country.

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Overview

Diabetes Management: Clinical Pathways, Guidelines, and Patient Education is an ideal reference for clinicians developing and implementing a management program for their diabetes patients. This resource is packed with 300 pages of comprehensive, detailed clinical pathways and guidelines, expert treatment strategies, and easy—to—read patient education handouts, collected from medical professionals at leading health care facilities across the country.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Joyce B. Vazzano, BS, MS (Johns Hopkins University School of Nursing)
Description: This book provides comprehensive, detailed guidelines on all aspects of managing diabetes from the initial diagnosis in the clinical examination to the treatment, including drug therapy, life style modification, and nutrition.
Purpose: The purpose is to provide caregivers (nurses, diabetic nurse specialists, and nursing students) with relevant information on the diagnosis and management of diabetes. The essentials of administering diabetes management programs are addressed, with information on developing and implementing clinical pathways, measuring and managing outcomes, and monitoring and improving patient satisfaction.
Audience: The editor is targeting healthcare providers with information about diabetes and its management in a concise, practical, and pertinent manner. In my judgment, it is pretty basic and would be easily understood by nurses and diabetic nursing specialists, although nursing students may have some difficulty.
Features: Part I addresses clinical management of diabetes and is intended to be a starting point for providers. Information is given on developing and implementing clinical pathways, measuring and managing outcomes, and implementing and improving patient satisfaction. Part II includes large print patient handouts including general information on diabetes, medications, nutrition, exercise, blood sugar control, pregnancy and diabetes, special considerations (such as travel), and complications of diabetes. This information is easy to understand and relevant to patient teaching.
Assessment: This is a clearly written, comprehensive book intended for healthcare providers working with patients with diabetes. It is an excellent reference for this purpose. It offers the nurse the ability to provide holistic and comprehensive care to the diabetic patient and his/her family. The clinical pathways for patients in a variety of settings (office, hospital, community) are provided, which will guide the clinician in providing patient care and education. Easy to read patient teaching handouts are also provided. Some color illustrations would enhance the quality of this book, as well as some more up-to-date references, since quite a few are from 1991.
Joyce Vazzano
This book provides comprehensive, detailed guidelines on all aspects of managing diabetes from the initial diagnosis in the clinical examination to the treatment, including drug therapy, life style modification, and nutrition. The purpose is to provide caregivers (nurses, diabetic nurse specialists, and nursing students) with relevant information on the diagnosis and management of diabetes. The essentials of administering diabetes management programs are addressed, with information on developing and implementing clinical pathways, measuring and managing outcomes, and monitoring and improving patient satisfaction. The editor is targeting healthcare providers with information about diabetes and its management in a concise, practical, and pertinent manner. In my judgment, it is pretty basic and would be easily understood by nurses and diabetic nursing specialists, although nursing students may have some difficulty. Part I addresses clinical management of diabetes and is intended to be a starting point for providers. Information is given on developing and implementing clinical pathways, measuring and managing outcomes, and implementing and improving patient satisfaction. Part II includes large print patient handouts including general information on diabetes, medications, nutrition, exercise, blood sugar control, pregnancy and diabetes, special considerations (such as travel), and complications of diabetes. This information is easy to understand and relevant to patient teaching. This is a clearly written, comprehensive book intended for healthcare providers working with patients with diabetes. It is an excellent reference for this purpose. It offers the nurse the ability to provideholistic and comprehensive care to the diabetic patient and his/her family. The clinical pathways for patients in a variety of settings (office, hospital, community) are provided, which will guide the clinician in providing patient care and education. Easy to read patient teaching handouts are also provided. Some color illustrations would enhance the quality of this book, as well as some more up-to-date references, since quite a few are from 1991.
Booknews
A guide for clinicians to managing the chronic condition in the most cost-effective yet efficacious manner. Addresses the essentials of administering diabetes management programs, such as establishing guidelines and pathways, measuring and managing outcomes, and improving patient satisfaction. Also provides many pages of handouts by which to educate patients about the interventions and about self- management techniques such as changing lifestyle or diet. Annotation c. Book News, Inc., Portland, OR (booknews.com)

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780834217034
  • Publisher: Jones & Bartlett Learning, LLC
  • Publication date: 12/31/1998
  • Edition description: 1E
  • Edition number: 1
  • Pages: 326
  • Product dimensions: 11.00 (w) x 8.25 (h) x 0.68 (d)

Table of Contents

Editorial Board vii
Introduction ix
Acknowledgments xi
Tracking Form xiii
Part I Managing Diabetes: Clinical Pathways and Guidelines 1
1. Diabetes Mellitus and Disease Management 3
Importance 3
Efficacy or Effectiveness of Interventions 3
Potential for Improving Quality 4
Cost-Effectiveness of Interventions 4
Health Plan Role in Providing Intervention 4
Areas for Outcomes Measurement 4
Tips for Designing Diabetes Management Programs 5
Diabetes Statistics 6
2. Managing Diabetes 9
Basic Guidelines for Diabetes Care 9
Algorithm for Therapy for Glycemic Control of Type II Diabetes Mellitus in Adults 11
Diabetes Control and Complications Trial (DCCT) 12
Benefits of Blood Glucose Control Confirmed--Incorporating the DCCT Results into Practice 13
Managing and Preventing Psychosocial Problems with Diabetes 14
Managing and Preventing Acute Glycemic Complications 16
Managing Hyperglycemic Hyperosmolar Nonketotic Coma 18
Managing Hypoglycemia 19
Managing Adverse Outcomes of Pregnancy with Diabetes 21
Managing the Child with Diabetes 25
Managing the Geriatric Patient with Diabetes 30
Managing Periodontal Disease 36
Managing Eye Disease 37
Clinical Manifestations of Eye Diseases 39
Managing Kidney Disease 40
Managing Cardiovascular Disease 42
Managing Neuropathy 45
Managing Foot Problems 49
Managing Hypertension in Patients with Diabetes 51
Example of an Office Guide 56
HPHC Adult Diabetes Guideline: For Screening and Prevention of Complications 57
Nutritional Management of Diabetes 63
3. Clinical Pathway and Care Planning Forms 67
Teaching Plan for Noninsulin-Dependent Diabetes Mellitus--Type II 67
Diabetes Teaching Sheet 70
Diabetes Flow Sheet 72
Diabetes, Type I, Pediatric--Provider Pathway, Office Setting 73
Diabetes, Type I, Pediatric--Provider Pathway, Posthospitalization Setting 76
Diabetes, Type I, Adult--Provider Pathway, Clinic Setting 81
Diabetes, Type II--Nonambulatory Provider Pathway 83
Diabetes, Type II--Provider Pathway, Ambulatory Setting 85
Diabetes, Type II--Provider Pathway 88
Diabetes Home Health Clinical Pathway 91
Skilled Nursing Facility Interdisciplinary Plan of Care: Diabetes Mellitus 94
Part II Self-Management of Diabetes: Patient Education 97
4. Overview of Diabetes 99
About Diabetes 99
What Is Diabetes? 106
Diabetes Mellitus 108
Symptoms of Diabetes 112
What Causes Noninsulin-Dependent Diabetes? 113
Who Develops Noninsulin-Dependent Diabetes? 114
Diagnosing Diabetes 115
5. Managing Diabetes 117
Treating Diabetes 117
Diabetes Diet 118
Why Is Diet Important? 120
Alcoholic Beverages and Diabetes 123
Exercise and Diabetes 124
Why Is Exercise Important? 126
Checking Blood Glucose Levels 127
Keep Daily Records 129
Diabetes To Do List 131
Sample Record for Each Physician Evaluation 132
Record for Each Physician Evaluation 133
Things To Do At Least Once a Year 134
Sample Record for Annual Test Results 135
Record for Annual Test Results 136
Questions To Ask Your Doctor about Blood Sugar Control 137
Managing Hypoglycemia 140
How Is Hypoglycemia Treated? 145
Guidelines for Sick Days 146
Diabetic Emergencies 148
Surgery and Diabetes 149
Pregnancy and Diabetes 150
Pregnancy, Diabetes, and Women's Health 151
Stress and Illness and Diabetes 154
Dealing with Diabetes 155
Traveling with Diabetes 156
6. Medications for Diabetes 165
Oral Medications for Diabetes 165
Oral Hypoglycemic Agents 167
What Are Diabetes Pills? 169
Insulin 171
What Is Insulin? 172
How To Give an Insulin Shot 175
Where Is Insulin Injected? 176
How To Draw Up and Inject Insulin 177
How To Care for Insulin 179
Alternative Therapies for Diabetes 180
7. Nutrition for Diabetes 183
Diabetes Mellitus Nutritional Goals 183
Noninsulin-Dependent Diabetes Mellitus and Diet 185
Insulin-Dependent Diabetes Mellitus and Diet 187
How Can I Find Out How Much To Eat Each Day? 189
Make Your Own Food Pyramid 191
Simplified Diabetic Diet 192
No Concentrated Sweets 193
How To Calculate Total Available Glucose 194
Examples of Foods To Add for Exercise 195
Carbohydrate Content of Foods Appropriate for Sick-Day Use 196
Diabetic Toddler Feeding Guidelines 197
Exchange Lists for Meal Planning for Vegetarian Diabetics 198
Sample Diet Plan Handout for Low Literacy Client with Diabetes 203
8. Complications of Diabetes 205
Diabetes Complications 205
What Are Possible Complications of Diabetes? 206
Managing Complications 207
Heart Disease and Diabetes 215
Women with Diabetes: Risk Factor for Heart Disease 216
Kidney Disease and Diabetes 217
Diabetes and Your Kidneys 218
Kidney Disease: Options for Prevention and Treatment 219
End-Stage Renal Disease and Hemodialysis 225
Hemodialysis--Know Your Number 229
End-Stage Renal Disease and Peritoneal Dialysis 232
End-Stage Renal Disease and Kidney Transplantation 236
Eye Problems and Diabetes 240
Diabetes and Your Eyes 241
Diabetic Retinopathy 243
Leg and Foot Problems and Diabetes 248
For People with Diabetes--How To Care for Your Feet 250
How To Take Care of Your Feet 251
Skin and Mouth Infections 257
Diabetes and Periodontal Disease 258
Enfermedad periodontal en los diabeticos (Spanish-language information on diabetes and periodontal disease) 259
Constipation and Diabetes 265
Diabetic Neuropathy: The Nerve Damage of Diabetes 272
Diabetic Ketoacidosis 282
Ketoacidosis and Hyperosomolar Nonketotic Coma 283
9. Patient Pathways 285
Diabetes, Type I, Adult 285
Diabetes, Type I, Pediatric 287
Diabetes, Type I, Pediatric--Sample 2 290
Diabetes, Type II 293
Diabetes, Type II--Sample 2 295
Diabetes, Type II--Sample 3 299
Index 301
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