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Diabetes Educational Needs Survey (PA/NP's)

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The purpose of this survey for PA's & NP's was to identify perceived needs regarding education for managing patients with type 2 diabetes. 145 PA/NP's participated in the survey.

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Diabetes Educational Needs Survey (PA/NP's)

  1. 1. Diabetes Educational Needs Survey The purpose of this PA/NP survey was to identify perceived needs regarding education for managing patients with type 2 diabetes.
  2. 2. Demographics Total Respondents N = 145
  3. 3. Demographics Total Respondents N = 145
  4. 4. Demographics Total Respondents N = 145
  5. 5. Demographics Approximate number of patients with chronic pain you manage per week. Number of Respondents N = 145
  6. 6. How confident are you with the following abilities when managing patients with type 2 diabetes? Mean Response (Not at all confident, 1; Extremely confident, 5) N = 145
  7. 7. What is your preferred format for continuing education? (Check all that apply) N = 145 Number of Respondents
  8. 8. On average, how long do you prefer to spend on the Internet or a mobile device to participate in a CE activity? N = 145 Number of Respondents
  9. 9. How helpful… … is case-based education to you for managing patients with type 2 diabetes? Mean Response (Not at all helpful, 1; Very Helpful, 5) N = 145
  10. 10. Please list the main challenge you face when managing patients with type 2 diabetes <ul><li>changes in protocol because of the ACCORD trial </li></ul><ul><li>Changing pt regiment </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>Compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>Compliance </li></ul><ul><li>Compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>Compliance </li></ul><ul><li>Compliance </li></ul><ul><li>Compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance </li></ul><ul><li>compliance and education. Not up to date on all the new DM meds </li></ul><ul><li>compliance and lack of education </li></ul><ul><li>compliance and lifestyle modification. </li></ul><ul><li>Compliance and resistance of patients to adding insulin to their therapy regimen. </li></ul><ul><li>Compliance and specialist run endocrine service manages primarily </li></ul><ul><li>compliance on a long-term basis </li></ul><ul><li>compliance to meds </li></ul><ul><li>compliance with diet </li></ul><ul><li>compliance with lifestyle change recommendations </li></ul><ul><li>compliance with medications/diet/exercise </li></ul><ul><li>compliance with meds </li></ul><ul><li>compliance with recommendations for lifestyle modification in addition to medical management </li></ul><ul><li>Compliance, access to medications, education resources and access to educators who can spend time talking to patients. </li></ul><ul><li>Compliance, Financial barriers (and/or lack of Health Insurance) </li></ul><ul><li>compliance, lack of time to do proper educations regarding nutrition </li></ul><ul><li>Compliance, motivation for self care </li></ul><ul><li>compliance, patients willing to make lifestyle changes. </li></ul><ul><li>compliance. lack of coverage of newer drugs. </li></ul><ul><li>compliance-apathy </li></ul>
  11. 11. (-cont-) Please list the main challenge you face when managing patients with type 2 diabetes <ul><li>Continuity of Care </li></ul><ul><li>Converting to insulin therapy </li></ul><ul><li>Convincing patients of the importance of lifestyle changes. </li></ul><ul><li>Correctional setting </li></ul><ul><li>Cost and availability on patients insurance/medicare d/medicaid medicine coverage </li></ul><ul><li>cost of meds </li></ul><ul><li>Cultural barriers </li></ul><ul><li>diet and lifestyle changes </li></ul><ul><li>Difficulty for patients to get all available medictions through their coverage </li></ul><ul><li>education time/materials for patients </li></ul><ul><li>Engaging patients and improving compliance </li></ul><ul><li>following advice given and making lifestyle changes </li></ul><ul><li>getting pt to agree with plan </li></ul><ul><li>Having follow direction </li></ul><ul><li>high cost of newer medications </li></ul><ul><li>HIV induced mitochondrial toxicity </li></ul><ul><li>How to better motivate patients to make lifestyle (diet, exercise, etc.) improvements to better control glucose. Also how to improve medication/insulin compliance. </li></ul><ul><li>I am new graduate. Not comfortable yet with dosing insulins and deciding which insulin to use. </li></ul><ul><li>I do not manage diabetes, I see them for ulcers, osteomyelitis, amputations, foot care-so for me the biggest challenge is getting the patients to understand that long term non-control leads to the problems they present us with, then they need to make changes which is not always what the patient wants to do. I do not see many patients that care for their feet properly and have poor shoe choices and do not protect their feet from cold weather. </li></ul><ul><li>I have a hard time finding ways to motivate people to incorporate physical activity in their life and getting people to try new foods. </li></ul><ul><li>in patients typically are in a higher stress situation than outpatients ie. sick </li></ul><ul><li>initiating insulin </li></ul><ul><li>initiating insulin therapy </li></ul><ul><li>Initiating SubQ insulin coverage in ICU patients on IV insulin drip in order to transition them off the drip </li></ul><ul><li>Insufficient time to spend with patients, incomplete knowlege/experience on my part </li></ul><ul><li>Insulin and when to start </li></ul><ul><li>Insulin management </li></ul><ul><li>insulin management and compliance </li></ul><ul><li>insurance or no-insurance issues </li></ul><ul><li>intensify therapy when pt already on insulin </li></ul><ul><li>keeping patients motivated to stay compliant </li></ul><ul><li>keeping up with new drugs and dosages etc </li></ul><ul><li>lack of compliance w/ lifestyle changes </li></ul><ul><li>lack of financial resources on the part of the patient </li></ul><ul><li>life style modification compliance </li></ul><ul><li>lifestyle </li></ul><ul><li>Lifestyle changes </li></ul><ul><li>lifestyle modification and monitoring blood glucose levels at home </li></ul><ul><li>Lifestyle modifications, compliance with testing, hesitancy with anything injectable </li></ul><ul><li>long term compliance </li></ul>
  12. 12. (-cont-) Please list the main challenge you face when managing patients with type 2 diabetes <ul><li>maintaining insurance cost coverage despite high deductible with individuals on multiple medications </li></ul><ul><li>Motivating the patients to make live style changes </li></ul><ul><li>motivating the pt </li></ul><ul><li>motivation to keep diet on task </li></ul><ul><li>My patients are severly non compliant and is it a challenge trying to educate them and help them when they are non compliant with taking their medications </li></ul><ul><li>neuropathy </li></ul><ul><li>new onset in adolescents </li></ul><ul><li>no insurance </li></ul><ul><li>Noncompliance </li></ul><ul><li>Noncompliance by patients </li></ul><ul><li>Oral anti-diabetic agents and use inpatient setting </li></ul><ul><li>Our office doesn't deal with the management frequently. </li></ul><ul><li>overcoming their apathy and denial of their disease </li></ul><ul><li>patient compliance </li></ul><ul><li>patient compliance </li></ul><ul><li>Patient compliance </li></ul><ul><li>patient compliance </li></ul><ul><li>patient compliance </li></ul><ul><li>patient compliance diet and exercise </li></ul><ul><li>patient compliance in taking medications and following diet </li></ul><ul><li>patient compliance with diet </li></ul><ul><li>Patient compliance with lifestyle changes </li></ul><ul><li>Patient compliance with lifestyle changes </li></ul><ul><li>Patient compliance with lifestyle modification </li></ul><ul><li>Patient denial about the high risk of early disability due to persistantly, poorly-controlled blood glucose levels; the misguided belief that too many patients seem to hold: &quot;I don't feel bad when my blood sugars are high, so they can't be damaging me&quot;. </li></ul><ul><li>patient lifestyle and patient resistance in regards to consideration of insulin therapy </li></ul><ul><li>people who also have mental health issues and have difficulities with life in general and then add DM to the mix </li></ul><ul><li>pt financial status </li></ul><ul><li>Pts not able or wishing to pay for newer, better therapeutic options--wanting instead riskier meds such as sulfonoureas or metformin when renal functions have declined to a level with contraindications to some meds use. </li></ul><ul><li>Selecting the appropriate second-line medication if the first line medication fails to adequately control blood sugar </li></ul><ul><li>simplifying </li></ul><ul><li>sliding scale coverage when to use it </li></ul><ul><li>So many medications and keeping straight how each one works; also insurance issues with patients </li></ul><ul><li>Starting insulin </li></ul><ul><li>starting insulin after failure of oral meds </li></ul><ul><li>Starting new mess with patients limited ability to afford drugs needed </li></ul><ul><li>switching therapies </li></ul><ul><li>their failure to commit to diet and exercise </li></ul><ul><li>their financial status in relationship to eating and exercising </li></ul><ul><li>TIME NEEDED FOR EDUCATION DURING A BUSY WORK DAY. </li></ul><ul><li>Unfamiliar with current guidelines </li></ul><ul><li>Using the new anti-diabetic agents </li></ul><ul><li>When to institute mealtime insulin </li></ul><ul><li>When to swith to insulin </li></ul><ul><li>Willingness of the patient to monitor BG at home. </li></ul>

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