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Handbook of Diabetes Management / Edition 1

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The growing problem of diabetes presents difficult challenges for sufferers and for those in the healthcare professions, who are in the unenviable position of trying to convince patients to change their lifestyle "for their own good." Handbook of Diabetes Management provides practical knowledge and advice that can help you anticipate the challenges of working with these Patients. What's more, since the knowledge here is evidence-based, you can assure your patients that the guidelines you're presenting to them have been shown to be effective.

This guide takes into account the complexity of the disease, the diversity of the populations it affects, and the continued improvement of care systems. It discusses the origins of diabetes and medication management and treatment, then presents advice based on the latest research findings on:

-behavioral health and self-management issues and interventions

-tips for patients dealing with issues such as travel, surgery, and foot care

-treating specific patient populations including Latinos, Native Americans, rural communities, and the uninsured

-case studies from successful, replicable programs

Also addressing the business aspects of diabetes care related to such areas as legal and regulatory issues and health policy initiatives, Handbook of Diabetes Management, brings you practical insights based on the latest research.

"This handbook book by expert professionals covers every aspect of diabetic care. It is a sound, evidence-based, culturally informative, practical approach to diabetes prevention and disease management."

-Kathleen Lambert, BSN, RN, JD, from the Foreword

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Editorial Reviews

Doody's Review Service
Reviewer: Karen M. Green, BSN, MSN (University of Chicago Medical Center)
Description: This handbook not only comprises a multidisciplinary approach to diabetes management, but also addresses diabetes as a public health problem with solutions for prevention and treatments sensitive to diverse community needs. The sections on nutrition and self-management have convenient patient education material inserted in evidence-based provider guidelines; the figures and tables throughout concisely summarize chapter contents.
Purpose: The purpose is to provide persons involved in public policy, community health, clinical management, and ancillary healthcare with a comprehensive, evidence-based, community driven reference on diabetes in all its complexity. This book goes beyond the chronicity and complications for persons with diabetes to include prevention, self-management, cultural nuances, and special cases. It also reflects the effect diabetes has on the community, the healthcare system, and access to care. The book meets the authors' objectives.
Audience: The target audience is rather broad and includes medical practitioners, diabetes educators, public health nurses, and policy makers in finance and insurance. The organization of the book makes the content pertinent to each audience easy to find. The contributors are experts in their field and the editors have extensive background in the public health arena.
Features: The book presents diabetes as a community and public health problem of epidemic proportions. It explains the complexity of the disease process; the multifaceted treatment including diet, exercise, medicine, and self-management; and the effect culture, beliefs, and readiness for change have on patient outcomes. In addition, there is discussion of the direct and indirect cost diabetes has upon the community. The tables, figures, and patient education material is noteworthy. The section on medical therapies is brief, more of a listing than in-depth coverage, which does not conform to the detail provided in the rest of the book.
Assessment: This book is unique in its approach to the problem of diabetes. It views diabetes from a community or public health perspective. Its sections on cost, both direct and indirect, cultural diversity, prevention, and raising public awareness broadens the clinician's knowledge base. It summarizes effectively the pathophysiology, nutritional, exercise, and self-management aspects of diabetes and diabetes management.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781441936332
  • Publisher: Springer US
  • Publication date: 10/29/2010
  • Edition description: Softcover reprint of hardcover 1st ed. 2005
  • Edition number: 1
  • Pages: 404
  • Product dimensions: 6.90 (w) x 9.90 (h) x 0.80 (d)

Meet the Author

Donna Zazworsky, MS, RN, CCM, FAAN, is an internationally known expert in case management and disease management with community populations. She is managing partner for Case Manager Solutions, LLC, and director of Grants, Partnerships and Policy for St. Elizabeth of Hungary Community Health Center—-a large clinic that serves more than 18,000 uninsured in Tucson and the surrounding communities. On a personal note, Donna’s mother and two maternal aunts have experienced the devastating complications of Type 2 Diabetes. Six years ago, her mother suffered a stroke that has left her with left sided weakness. Both aunts died of diabetes complications related to above the knee bilateral amputations and end stage renal disease. Not only is diabetes prevention a personal motivation for Donna, but case management and disease management systems provide a primary focus for her work in understanding and reducing barriers for people with diabetes.

Jane Nelson Bolin, RN, JD, PhD, is a professor and researcher in rural health and disease management at Texas A&M. On a personal note, Jane has had gestational diabetes during both of her pregnancies. Knowing that the incidence of getting Type 2 diabetes at a later age is more than 70%, Jane practices a personal prevention program that includes diet and exercise.

Vicki Gaubeca, MPH, is assistant director of Public Affairs and Community Outreach for the Mel and Enid Zuckerman Arizona College of Public Health. On a personal note, Vicki has had Type 1 Diabetes since she was a teenager. She knows the day-to-day struggles of self management and hopes that this handbook will lend insight to the public health workers who help people with diabetes.

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Table of Contents

Foreword Preface


Chapter 1: Chapter 2: Essentials of Quality Improvement with Special Reference to Diabetes
Carter L. Marshall

Chapter 2: The Chronic Care Model: Blueprint for Improving Total Diabetes Care
Anita C. Murcko, Jean Donie, Scott Endsley, Larry Cooper

Chapter 3: Promoting Cultural Competence Through Community Partnerships
Isela Luna

Chapter 3A: Hispanic American Culture and Diabetes
Lourdes Barrera

Chapter 3B: Cultural Competency: Native Americans
Terri Glasses

Chapter 4: Preparing for the Technology Revolution in Healthcare
Brian L. Foster


Chapter 5: Concepts on the Origin of Diabetes
Hirisadarahally N. Nagaraja, Patrick J. Boyle

Chapter 6: Medication Management
Carrie M. Maffeo

Chapter 7: Nutrition for Individuals with Diabetes
Catherine M. Robinson, Judith Beck

Chapter 8: Diabetes and Exercise
Scott Going, Betsy Dokken

Chapter 9: Living Well with Diabetes: An Approach to Behavioral Health Issues
Tim Moore

Chapter 10: Planning for Sick Days, Surgery and Travel
Betsy Dokken

Chapter 11: Self-Management
Donna Zazworksy, Lynda Juall Carpenito-Moyet

Chapter 12: The Diabetic Foot
Barbara J. Aung


Chapter 13: Prediabetes: A Risky Prodrome to Diabetes
James L. Dumbauld

Chapter 14: Gestational Diabetes
Jorge A. Arzac

Chapter 15: Chronic Kidney Disease
Leslie Spry

Chapter 16: Caring for the Uninsured and Diabetic
Daniel Casto

Chapter 17: Disease Management in Rural Populations: Can It Be Done?
Jane Bolin, Larry Gamm, Bita Kash, B. Mitchell Peck

Chapter 18: Caring for the Border Communities
Maia Ingram, M.P.H.

Chapter 19: Utilizing Community Health Advisors in Diabetes Care Management
Nancy J. Metzger

Chapter 20: Complementary and Alternative Medicine in Diabetes
Karen D’Huyvetter

Chapter 21: Leading Edge Technologies Related to Diabetes Care
Vicki B. Gaubeca, Donna Zazworsky

Chapter 22: Disease Management Research and Policy Initiatives
Larry Gamm, Jane Bolin, Bita Kash

Chapter 23: Legal and Regulatory Considerations of Diabetes Disease Management
Jane Bolin, Bita Kash, Larry Gamm


Chapter 24: Economics
Jennifer "Ginger" Ryan

Chapter 25: Funding
Donna Zazworsky

Chapter 26: Tools for Getting Your Message Out About Diabetes: Marketing/Public Relations, Social Marketing and Media Advocacy
Vicki B. Gaubeca


Case Study 1: Diabetes Disease Management Program
Donna Zazworsky, James Dumbauld

Case Study 2: Carle’s Diabetes Management Program
Christine Kucera, John Stoll, Cindy Fraser, James C. Leonard, Paul Shelton

Case Study 3: The Scott & White Experience: Chronic Disease Management on a Shoe String
Barbalee Symm, Michael Reis

Case Study 4: Nutrition Survival Skills for Diabetes: A Personal Experience
Annette I. Peery

Case Study 5: Diabetes Continuing Care Clinic Group Visits for the Uninsured
Donna Zazworsky, James Dumbauld, Charmaine Trujillo, Cecelia Hofberger, Juanita Peterman

Case Study 6: A Hospital Case Study in Diabetes Management: Carondelet Health Network
Rose Marie Manchon

Author Index Subject Index

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