Trisha Dunning (Clinical Nurse Consultant, St Vincent's Hospital, V, Alan J. Sinclair (UK University of Birmingham)

Care of People with Diabetes

A Manual for Healthcare Practice

• Broschiertes Buch

Produktbeschreibung

Now in its fifth edition, Care of People with Diabetes is a comprehensive clinical manual for nurses, healthcare professionals and students alike, providing an extensive summary of the most up-to-date knowledge in a rapidly developing field, as well as the role of education and self-care in achieving desirable outcomes. Covering both the theory and evidence-based practice of diabetes care, this authoritative volume integrates traditional thinking and innovative concepts to challenge readers to 'think outside the box' when rendering care.
_ New and updated content on the pathophysiology of diabetes and the implications for management, how to apply guideline recommendations in practice, and contemporary evidence for best practice diabetes care
_ Highlights personalised care and shared, evidence-based decision-making, emphasising the need for effective communication to reduce judgmental language and the negative effect it has on wellbeing and outcomes
_ Written by internationally recognised experts in diabetes care, research and education
_ Includes a range of learning features, such as practice questions, key learning points, diagrams, and further reading suggestions

Care of People with Diabetes is an essential companion to clinical practice for both trainee and experienced nurses and healthcare professionals, particularly those in acute care settings, and students undertaking diabetes courses or preparing for qualification exams.

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Produktdetails

• Verlag: Wiley & Sons / Wiley-Blackwell
• Artikelnr. des Verlages: 1W119520850
• 5. Aufl.
• Seitenzahl: 624
• Erscheinungstermin: 2. April 2020
• Englisch
• Abmessung: 254mm x 203mm x 33mm
• Gewicht: 1318g
• ISBN-13: 9781119520856
• ISBN-10: 1119520851
• Artikelnr.: 57502273

Autorenporträt

PROFESSOR TRISHA DUNNING, AM, RN, MEd, PHD, CDE, FACN (DLF), is a Registered Nurse and credentialed Diabetes Educator. She is the Chair in Nursing at Barwon Health and Deakin University Partnership in Geelong, Australia. PROFESSOR ALAN SINCLAIR, MSC, MD, FRCP, is Director of the Foundation for Diabetes Research in Older People (FDROP) at Diabetes Frail, and Visiting Chair in Diabetes Care, King's College London, London, UK.

Inhaltsangabe

Foreword xiii

Preface xv

Acknowledgments xvii

List of Abbreviations and Symbols xix

1 Diagnosing and Classifying Diabetes 1

Key points 1

What is diabetes mellitus? 2

Prevalence of diabetes 2

Classification of diabetes 3

Overview of normal glucose homeostasis 3

Brain-centric model of glucose homeostasis 10

Metabolic syndrome in children and adolescents 13

Types of diabetes 14

Diagnosing diabetes 22

Preventing diabetes 26

Managing diabetes mellitus 29

Key points 29

Complications of diabetes 36

Aims and objectives of diabetes care 38

Technology and diabetes management 40

A sobering final comment 42

References 43

2 Holistic Personalised Diabetes Care 49

Key points 49

Rationale 49

Shared decision-making (SDM) 50

Holistic diabetes care 51

Communication and the power of language 52

Reading fiction to improve empathy and communication skills 53

Care models 53

Characteristics of an holistic health history 55

References 58

3 Assessing and Monitoring People with Diabetes 61

Key points 61

Rationale 61

Key issues to consider in comprehensive assessments 62

Monitoring glucose levels 62

Monitoring 1: Blood glucose 64

Key points 64

Insulin pumps 75

Monitoring 2: Urine glucose 76

Key points 76

Monitoring 3: Additional assessment 78

Self-care 82

The annual review 83

Summary 83

References 83

4 Nutrition and Weight Management 87

Key points 87

Rationale 87

The importance of good nutrition 88

Malnutrition and undernutrition 88

Method of screening for dietary characteristics and problems 90

Principles of dietary management for people with diabetes 92

Goals of dietary management 95

Overweight and obesity 95

Methods of measuring weight 99

Managing obesity and diabetes 100

Dietary management: overweight and obesity 101

Factors associated with making dietary changes 103

Key points 104

Alcohol 107

Exercise/activity 107

References 108

Further reading 112

5 Medicine Management 113

Key points 113

Introduction 114

QUM 114

QUM and diabetes 114

GLM 117

Medicine interactions 129

Combining GLMs and insulin 130

When should insulin be initiated in Type 2 diabetes? 131

Challenges to initiating insulin therapy 134

Some strategies to overcome the barriers 135

Insulin therapy 136

Types of insulin available 136

Storing insulin 139

Injection sites and administration 140

Mixing short/rapid acting- and intermediate-acting insulins 141

Commonly used insulin regimens 141

Interpreting morning hyperglycaemia 143

CSII 143

Continuous blood glucose sensors 144

Subcutaneous insulin sliding scales and top-up regimens 145

Uses of insulin infusions 147

Insulin allergy 149

Pancreas transplants 150

Stabilising diabetes 150

Stabilising diabetes in hospital 150

Community and outpatient insulin stabilisation 151

Lipid-lowering agents 153

Monitoring lipid medicines 157

Antihypertensive agen