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Diabetes Patient Teaching Strategies

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Diabetes Patient Teaching Strategies

  1. 1. Tools and Strategies for SuccessMarjorie ReillySenior PracticumSUNY DelhiNURS 403, 11070Cheryle Levitt
  2. 2. In the United States Thereare over 25 million people with diabetes (diagnosed) Thereare over 79 presently undiagnosed people with diabetes Diabetes and its costs over 218 billion dollars annually
  3. 3.  Over40 percent of newly-diagnosed diabetics are over 65 years old. Onein five Americans read below the fifth grade level. Manyilliterate individuals have either normal, or above normal intelligence. Theseare among the many challenges one may face in patient teaching,
  4. 4.  Anxiety with initial diagnosis May have misconceptions influencing anxiety Assess what your patient already knows Begin teaching immediately
  5. 5.  Askyour patient about their learning preferences Use teach-back methods in order to assess understanding
  6. 6. Watch for verbal and non-verbal clues Visual learners: - phrases like “ I see what you’re saying” - May look up and away when listening or considering something new.
  7. 7. Watch for verbal and non-verbal clues Auditory learners: - phrases like “ Doesn’t sound right to me, or I hear what you’re saying” - May look off to the side when listening or considering something new.
  8. 8. Watch for verbal and non-verbal clues Kinesthetic learners - Phrases like “Just doesn’t feel right” - Used hand gestures when speaking - May look down when listening or considering something new.
  9. 9.  Use pictures, graphs, videos and other visual aids Flash cards Encourage patient to take notes Conversation Map
  10. 10. Use visualtools likethisgraphicwhenteachinginjectionsites
  11. 11.  Teach the patient with a verbal narrative. Audio/Visual presentations. Read printed materials aloud. Group(family) instruction with discussion and brainstorming. Question and answer format.
  12. 12.  National Diabetes Education Program: Healthy Eating with Diabetes:http://ndep.nih.gov/resources/ResourceDetai l.aspx?ResId=380
  13. 13.  Format with both video and transcript. Graphic representations Good for all learners, especially visual and auditory. How Diabetes Affects Your Blood Sugar:http://www.mayoclinic.com/health/blood- sugar/MM00641
  14. 14.  Quiet, uncluttered environment.http://www.youtube.com/watch?v=xrAIGLkS Mls Well-rested, snack if needed for energy. Take frequent breaks (every 20 minutes) http://www.youtube.com/watch?v=xrAIGLkS Mls
  15. 15.  Demonstration with models that can be touched. Allowpatient to manipulate supplies, especially with insulin administration . Usea multi-sensory approach (seeing, touching, doing).
  16. 16. Encourage use of these tools:Facebook: http://www.facebook.com/home.php#!/Am ericanDiabetesAssociation
  17. 17. Encourage use of these tools: American Diabetes Association Message Boards: http://community.diabetes.org/
  18. 18. The American Diabetes AssociationResources and community tailored to specific target groups: African American Latino Asian/Pacific Islander Native American http://www.diabetes.org/in-my- community/programs/
  19. 19. Problems Time Constraints Limited Resources Health Literacy Limitations Solutions Start Patient Teaching Early Be Creative Enlist Family Members Use “Teach Back” method to ensure understanding
  20. 20. ReferencesAmerican Diabetes Association. (2012a). Diabetes statistics. Retrieved from http://www.diabetes.org/diabetes-basics/diabetes- statistics/Curry, A. (2011). Visual aids for diabetes education: Can teaching tools help people retain their lessons? Retrieved from http://forecast. diabetes.org/magazine/your-ada/visual-aids-diabetes-educationDille, B. (2007). Learning style Inventory. Retrieved from http://www.odessa.edu/dept/govt/dille/brian/courses/ 1100Orientation/LearningStyleInventory_survey.pdfHuizinga, M., Elasy, T., Wallston, K., Cavanaugh, K., Davis, D., Gregory, R., Fuchs, L., … Rothman, R. (2008). DNT sample questions. Retrieved from http://www.biomedcentral.com/1472- 6963/8/96/figure/F2?highres=yMayo Clinic. (2011). Video: How diabetes affects your blood sugar. Retrieved from http://www.mayoclinic.com/health/blood- sugar/MM00641
  21. 21. ReferencesNational Diabetes Education Program. (n.d.). Healthy eating with diabetes. Retrieved from http://ndep.nih.gov/resources/ ResourceDetail.aspx?ResId=380Redman, B. (2007). The practice of patient education: A case study approach (10th ed.). St. Louis, MI: Mosby-Elsevier.Smart Nurse. (2011). Locating subcutaneous injection sites. Retrieved fromhttp://smart-nurse.blogspot.com/2011/05/locating- Subcutaneous-injection-sites.htmlSmeltzer, S., Bare, B., Hinkle, J., & Cheever, K. (2008). Brunner & suddarth’s textbook of medical-surgical nursing (11th ed.). Philadelphia, PA: LippincottWilliams & Wilkins.

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