Complete Nurse's Guide to Diabetes Care by Belinda B Childs Marjorie Cypress Geralyn Spollett

Author:Belinda B Childs,Marjorie Cypress,Geralyn Spollett
Language: eng
Format: epub
Tags: ebook
Publisher: Perseus Books, LLC
Published: 2017-04-23T04:00:00+00:00

' A formal assessment needs to include developmental age and life-stage, cultural and religious influences, health beliefs and attitudes, diabetes knowledge, self-management skills and behaviors, psychosocial issues and coping strategies, readiness to learn, language, health literacy and numeracy, cognitive ability, physical limitations, environment, family support, other life stressors and priorities, financial concerns (e.g., medication costs), and relevant medical history.34 It is equally and especially important to find out what areas the patient wishes to learn or cause the greatest concerns or worries.

Assessment is appropriate whether the patient is newly diagnosed or has lived with diabetes for some time. Even newly diagnosed adults or parents of newly diagnosed children have some level of knowledge or experience with diabetes. A personal assessment not only is in keeping with patient-centered care and adult learning principles, but also shows respect for the patient or the caregiver and allows a true partnership to begin. The assessment also provides the opportunity to clarify misconceptions, update old information, and involve patients in the creation of their personal educational objectives and plan. Some patients also may want to include family members or caregivers in the planning process. In addition, reassessment at each follow-up appointment establishes that information has been learned and applied to everyday decisions and identifies areas of concern or areas of struggle (see Additional Resources at the end of this chapter).

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