A Successful Diabetes Management Model of Care in Long-Term Care Facilities
| Autor: | Medha Munshi, Elaine Doherty Sullivan, Joyce Lekarcyk, Sarah L. Sy |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Psychological intervention
Staff education Hypoglycemia Education curriculum 03 medical and health sciences 0302 clinical medicine New England Diabetes management Diabetes Mellitus medicine Humans 030212 general & internal medicine Clinical care Competence (human resources) General Nursing Skilled Nursing Facilities business.industry Health Policy General Medicine medicine.disease Long-Term Care Long-term care Caregivers Medical emergency Geriatrics and Gerontology business 030217 neurology & neurosurgery |
| Zdroj: | Journal of the American Medical Directors Association. 22:1322-1326.e2 |
| ISSN: | 1525-8610 |
| DOI: | 10.1016/j.jamda.2020.06.046 |
| Popis: | The management of diabetes in long-term care (LTC) facilities requires facility staff to perform most self-care activities on the behalf of the residents. A practical model of care to improve diabetes management was developed and implemented at 6 LTC facilities in the Northeast United States between 2009 and 2012. The components of the program included (1) developing an individualized education curriculum and educating LTC interdisciplinary staff; (2) educating patients and caregivers; and (3) developing a clinical care algorithm. Over 500 staff members were educated and achieved competence. There were 1031 residents screened for risk of hypo- or hyperglycemia on admission, and 245 residents (24%) experienced hypoglycemia and 240 residents (23%) experienced hyperglycemia. Hypoglycemia episodes resolved without recurrence in 73%-90% cases because of interventions initiated by LTC staff. The implementation of a practical model of diabetes management in LTC facilities can improve staff education and lead to improved diabetes management. |
| Databáze: | OpenAIRE |
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