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Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
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Stress Prevention and Stress Management Techniques VI01:30

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Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
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Peritoneal Dialysis III: Nursing Management01:25

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Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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[Self-Management Education in Rural Older Adults With Diabetes].

Shoa-Jen Perng1, Lee-Chun Tang2

  • 1PhD, RN, Associate Professor, Graduate Institute of Long-Term Care, Tzu Chi University of Science and Technology, and Deputy Director, Taiwanese Center for Evidence-Based Health Care, Taiwan, ROC. jen@ems.tcust.edu.tw.

Hu Li Za Zhi the Journal of Nursing
|December 6, 2019
PubMed
Summary
This summary is machine-generated.

Rural older adults with diabetes face challenges accessing care. This study proposes community-based strategies, including diabetes self-management education and support, to improve self-management capabilities in this population.

Keywords:
communityolder adultsself-management education and support (SMES)

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Area of Science:

  • Public Health
  • Gerontology
  • Chronic Disease Management

Background:

  • Diabetes is a prevalent chronic disease impacting public health globally.
  • The Taiwan government's Diabetes Shared Care Program aims to enhance diabetes self-management through continuous care and education.
  • Rural older adults encounter significant barriers to accessing healthcare and utilizing diabetes management programs due to limited resources.

Purpose of the Study:

  • To review the current status of Taiwan's Diabetes Shared Care Program.
  • To discuss the principles of diabetes self-management education and support (DSMES).
  • To propose community-based strategies to improve diabetes self-management among rural older adults.

Main Methods:

  • Literature review on the Diabetes Shared Care Program and DSMES.
  • Analysis of challenges faced by rural older adults in diabetes care.
  • Development of community-based intervention strategies.

Main Results:

  • The Diabetes Shared Care Program faces accessibility issues in rural areas for older adults.
  • Existing program structures may not adequately address the unique needs of rural elderly populations.
  • Community-based approaches are crucial for effective diabetes self-management support.

Conclusions:

  • Tailored, community-based DSMES is essential for rural older adults with diabetes.
  • Strategies include offering diverse DSMES services, training non-professional personnel, and providing culturally congruent health education.
  • Strengthening community-based support systems can enhance self-management capabilities and health outcomes for this demographic.