International Diabetes Nursing最新文献

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Managing older people with diabetes in care homes 在养老院管理老年糖尿病患者
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1352141
T. Dunning, A. Sinclair
{"title":"Managing older people with diabetes in care homes","authors":"T. Dunning, A. Sinclair","doi":"10.1080/20573316.2017.1352141","DOIUrl":"https://doi.org/10.1080/20573316.2017.1352141","url":null,"abstract":"This paper discusses some of key issues that need to be considered when caring for older people with diabetes living in care homes. It refers to but does not reproduce diabetes management information available in diabetes clinical guidelines such as Sinclair et al. [Diabetes mellitus in older people position statement on behalf of the International Association of Gerontology and Geriatrics (IAGG) and the European Diabetes Working Party for Older People (EDWOP) and the International Task force Experts in Diabetes. J Am Med Dir Assoc. 2012;13:497–502], International Diabetes Federation (IDF) [Global guideline for managing older people with type 2 diabetes. 2013. Available from www.idf.org] and Dunning et al. [2013. Available from http://www.adma.org.au/clearinghouse/doc_details/133-the-mckellar-guidelines-for-managing-older-people-with-diabetes-in-residential-and-other-care-settings_9dec2013.html] guidelines. It does address care issues such as sexual health and wellbeing and companion animals that are rarely, if ever, described in clinical guidelines, yet they are essential to the quality of life and psychological wellbeing of many older people with and those without diabetes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131272769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biosimilar insulins: What do you need to know? 生物类似胰岛素:你需要知道什么?
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1340246
J. James, Robyn K. Pollom, I. Hadjiyianni, Gabriele Buchholz, Beverly L Reed
{"title":"Biosimilar insulins: What do you need to know?","authors":"J. James, Robyn K. Pollom, I. Hadjiyianni, Gabriele Buchholz, Beverly L Reed","doi":"10.1080/20573316.2017.1340246","DOIUrl":"https://doi.org/10.1080/20573316.2017.1340246","url":null,"abstract":"Biologics are large, complex molecules derived from living organisms and include hormones, such as insulin. Biologics possessing an identical amino acid structure, and similar efficacy and safety to an approved reference product are called biosimilars. The first biosimilar insulin was approved in the European Union in 2014 and more are expected to come to market. Patient education for biosimilar insulins is the same as for other insulins, but additional factors for patients changing their insulin should be considered. This article is a resource for healthcare professionals who treat patients with diabetes and support them in making important treatment decisions.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129898753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Setting the scene 场景设置
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1352135
T. Dunning
{"title":"Setting the scene","authors":"T. Dunning","doi":"10.1080/20573316.2017.1352135","DOIUrl":"https://doi.org/10.1080/20573316.2017.1352135","url":null,"abstract":"The papers in this edition of International Diabetes Nursing raise some important issues that arise when developing care with and providing care for older people with diabetes. The population is ageing and older age is associated with physiological changes that increase the risk of diabetes. Older age generally refers to people aged 65 and older; but chronological age is not a good basis for planning care for individuals. General and diabetes care and education must be personalised with the individual and sometimes their families. Older people have significantly different health care needs from their younger counterparts. Most older people are self-caring and live independently in the community, with and without some support. A smaller proportion is vulnerable and require a great deal of support and live in care homes. Most have T2DM; but people with type 1 are surviving to older age and have long duration of diabetes. Type 1 can be diagnosed in older age. The type of older age the individual will experience depends on their genetic makeup and lifestyle. A healthy lifestyle can mitigate some of their adverse genetic inheritance. Long duration of diabetes plays a significant role in health status, along with genetics and metabolic control. Risk of complications and polypharmacy increase with increasing age and diabetes duration and are key risks for admission to a care home and mortality. Twenty to 25% of care home residents have diagnosed diabetes and a further ∼20% are undiagnosed but at risk. Some 20% of hospital beds are occupied by people >70 years and many of these have diabetes. Continuing to focus on tight blood glucose control may be unsafe for older people and put them at risk of hypoglycaemia and related risks. However, hyperglycaemia also has adverse consequences. The challenge is to balance benefits of care options within the individual’s likely life expectancy with the risks, and to preserve autonomy and social connections for as long as possible. It is also important to consider the benefits of including a palliative approach to managing pain and discomfort with usual diabetes care. Early initiation of palliative care improves comfort, quality of life and life expectancy. Older people are entitled to appropriate diabetes education. However, the teaching strategies must suit the individual’s learning style and be offered when the blood glucose is in an appropriate range given both high and low blood glucose affect short-term cognition. In addition, written and electronic information must meet health literacy and design standards. Several guidelines and position statements concerning care of older people were published in the past few years, for example The McKellar Guidelines, The International Diabetes Federation (IDF) and National Institute of Clinical Excellence (NICE) Guidelines and the American Diabetes Association Position Statements and Standards of care. These are all important guidelines; however, most do not include key iss","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129283813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Security is the opposite of fear: Our family story with diabetes 安全是恐惧的对立面:我们的糖尿病家族史
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1355507
Elisabet Norin
{"title":"Security is the opposite of fear: Our family story with diabetes","authors":"Elisabet Norin","doi":"10.1080/20573316.2017.1355507","DOIUrl":"https://doi.org/10.1080/20573316.2017.1355507","url":null,"abstract":"Mrs Elisabet Norin is a Swedish mother of a son with Type 1 diabetes. Her son was diagnosed in the early 1990s, aged of six, and here she tells the story of the family's meeting with the paediatric medical system in her country. Focus is around trials and treatment, especially the supportive work made by the diabetic nurse and the paediatric staff. Their work made it possible for the family of a divorced mom and four kids to learn how to successfully handle the new situation in several aspects.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132701820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous glucose monitoring: A training programme for all age groups 连续血糖监测:一项针对所有年龄组的培训计划
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1335970
U. Thurm, B. Gehr, M. Holder, B. Kulzer, K. Lange, A. Liebl, Claudia R. Sahm, S. von Sengbusch, Sandra Schlüter, T. Siegmund, R. Ziegler, G. Freckmann, L. Heinemann
{"title":"Continuous glucose monitoring: A training programme for all age groups","authors":"U. Thurm, B. Gehr, M. Holder, B. Kulzer, K. Lange, A. Liebl, Claudia R. Sahm, S. von Sengbusch, Sandra Schlüter, T. Siegmund, R. Ziegler, G. Freckmann, L. Heinemann","doi":"10.1080/20573316.2017.1335970","DOIUrl":"https://doi.org/10.1080/20573316.2017.1335970","url":null,"abstract":"Optimal usage of continuous glucose monitoring (CGM) requires adequate preparation and training. Patients using a CGM system without special training often do not achieve their intended improvement of metabolic control. Some stop using the system due to disappointing results. For this reason a structured training programme called ‘SPECTRUM’ was developed in Germany to ensure a high-quality standard for the initiation of CGM systems. This programme is suitable for patients of all age groups and is applicable to all CGM systems and all forms of insulin therapy. Structured curricula (adults, parents of young children, adolescents) were developed enabling diabetes centres with less experience to offer comprehensive CGM training. Key requirements of SPECTRUM were (1) independent from manufactures and (2) product-neutrality enabling certification for reimbursement after formal evaluation within the framework of a large clinical trial. SPECTRUM was published in January 2016 in German and translations into other languages are planned.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129232942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Introduction to the IDN edition on older people with diabetes 关于老年糖尿病患者的IDN版简介
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1352136
T. Dunning
{"title":"Introduction to the IDN edition on older people with diabetes","authors":"T. Dunning","doi":"10.1080/20573316.2017.1352136","DOIUrl":"https://doi.org/10.1080/20573316.2017.1352136","url":null,"abstract":"Introduction This edition of International Diabetes Nursing focuses on older people with diabetes. It addresses some key care issues from the perspectives of experts who manage older people with diabetes. We hope the papers stimulate thought and some debate, including through letters to the editor. Most guidelines for the care of older people with diabetes are based on the best available evidence, but they are essentially expert consensus opinion, because there is very little randomised control trial evidence to support recommendations. Evidence for best practice care in aged care homes is especially lacking. One reason for the lack of evidence is that many older people with diabetes do not meet the ‘exclusionary’ inclusion criteria. While clinical guidelines must be based on the ‘best available evidence’: it is also imperative that they make clinical sense and that the content, language and design meet the needs of clinicians. That is, the content must be relevant to specific situations in which older people with diabetes receive care.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114529527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mortality in older people with diabetes: A review of current research 老年糖尿病患者的死亡率:当前研究综述
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1352144
A. Forbes
{"title":"Mortality in older people with diabetes: A review of current research","authors":"A. Forbes","doi":"10.1080/20573316.2017.1352144","DOIUrl":"https://doi.org/10.1080/20573316.2017.1352144","url":null,"abstract":"Older people with diabetes have reduced life expectancy compared to those without diabetes. They also have increased mortality risk. This paper looks at some of the factors that may explain the increased mortality risk in older people. Consideration is given to: comorbidities; polypharmacy and diabetes therapies; glycaemic control and targets; and frailty. The paper considers how we might be able to reduce the mortality hazard for older people, considering the heterogeneous nature of the population.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121775522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Medicines and older people: Polypharmacy, adherence and safety 药物和老年人:综合用药、依从性和安全性
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1352142
T. Dunning
{"title":"Medicines and older people: Polypharmacy, adherence and safety","authors":"T. Dunning","doi":"10.1080/20573316.2017.1352142","DOIUrl":"https://doi.org/10.1080/20573316.2017.1352142","url":null,"abstract":"Managing medicines is particularly complex for older people with diabetes as well as for family and health professional (HP) carers. Polypharmacy is common and often necessary because of pathophysiological changes associated with diabetes and older age. These changes affect prescribing decisions as well as methods used to administer medicines and to monitor medicine use. Beliefs and attitudes of people with diabetes and HPs about medicines influence their medicine preferences, behaviours and safety. Medicine errors and adverse events (AEs) are common reasons for admission to hospital and also occur in hospital. Insulin is the second most common medicine responsible for most errors and AEs after warfarin. Many older people with diabetes are on both these medicines. The purpose of this paper is to provide an overview of medicines error and AEs, discuss compliance/adherence and suggest some strategies to improve medicine safety in older people with diabetes.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122122925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Caring for older people with diabetes in primary care 在初级保健中照顾老年糖尿病患者
International Diabetes Nursing Pub Date : 2017-01-02 DOI: 10.1080/20573316.2017.1352143
M. Kennedy
{"title":"Caring for older people with diabetes in primary care","authors":"M. Kennedy","doi":"10.1080/20573316.2017.1352143","DOIUrl":"https://doi.org/10.1080/20573316.2017.1352143","url":null,"abstract":"This paper considers some of the issues related to the management of older people with diabetes in the context of primary care. The majority of older people with diabetes will receive their care in primary care settings. This paper outlines some of the key considerations in delivering diabetes care in this population to prevent complications and promote quality of life, safely. It also considers special risk factors, such as falls, frailty, polypharmacy and common comorbidities.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115211917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Type 1 diabetes women's views about preconception care: A qualitative study† 1型糖尿病女性对孕前护理的看法:一项定性研究
International Diabetes Nursing Pub Date : 2016-09-01 DOI: 10.1080/20573316.2016.1272891
A. C. Paiva, J. Raposo, A. Forbes
{"title":"Type 1 diabetes women's views about preconception care: A qualitative study†","authors":"A. C. Paiva, J. Raposo, A. Forbes","doi":"10.1080/20573316.2016.1272891","DOIUrl":"https://doi.org/10.1080/20573316.2016.1272891","url":null,"abstract":"Background: Pregnancy in women with Type 1 diabetes mellitus (T1DM) is associated with increased complications for both baby and mother; such complications can be reduced with careful pregnancy planning. Preconception care (PCC) enhances pregnancy outcomes by helping women to optimize their glycaemic control, through supportive intervention. However, despite these benefits, the uptake and adherence to PCC is low. This qualitative study aimed to generate a better understanding as to why women may not utilize PCC, by eliciting the views and experiences of women with T1DM in relation to PCC. Methods/sample: A sample of six women of reproductive age with T1DM undertook semi-structured interviews exploring their views on PCC. These interviews were tape-recorded, transcribed (verbatim) and analysed using interpretative phenomenological analysis to elicit themes that explicated the women's orientation and behaviour in relation to PCC. Results: The analysis identified five key themes: the fear of complications (both for the mother and the baby); the style of communication from health care professionals (HCPs); the support of significant others; personal autonomy; and women's beliefs about PCC. Conclusion: Overall, the findings suggest that women's uptake of, and engagement with, PCC is enhanced when HCPs adopt a supportive and positive approach, which addresses their anxieties in pregnancy preparation and encourages the health behaviours necessary for a good outcome for their baby.","PeriodicalId":305627,"journal":{"name":"International Diabetes Nursing","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127408964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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