Download or read book Educational Methods Increasing Self efficacy for the Management of Foot Care in Adults with Diabetes and Implementation of Foot Care Behaviors written by Bonnie Elliott Quarles and published by . This book was released on 2005 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

Download or read book Examining the Feasibility Acceptability and Effects of a Foot Self care Educational Intervention in Adult Patients with Diabetes at Low Risk for Foot Ulceration written by Lifeng Fan and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Diabetic Foot Ulcer an Educational Approach to Improve Patient s Knowledge of Foot Self care written by Eziaku Jennifer Oliver and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Background. Diabetic foot ulcer (DFU) remain an issue of epidemiological and public health concern in the United States. The incidence and prevalence of DFU in North America are particularly high. DFU has profound clinical, physical, financial, and emotional ramifications for patients and the healthcare system. Patients with diabetes receive little or no education on foot self-care in a clinical setting. Methods. The project was implemented as pretest-posttest educational intervention targeting patients with diabetes who presented to a primary care clinic. The sample included patients with diabetes aged 18-65 years without any foot ulcer. The Nottingham Assessment of Functional Footcare (NAFF) was the primary data collection instrument. Respondents' foot self-care knowledge and skills were measured before and after the intervention. Respondents had an opportunity to teach back their skills. Teach back scores were measured before and after the intervention. Results. The sample included 46 patients. All participants completed the educational intervention which lasted 10 weeks. The mean NAFF score before the intervention was 52.7. The mean NAFF score after the intervention was 69.5. Respondents' foot self-care skills and knowledge increased 31.8 percent. Teach back scores increased from 65% before the intervention to 80% after the intervention. Conclusion. Patient education can be an effective strategy for promoting better foot self-care knowledge and skills in patients with diabetes. Patients develop a better understanding of foot self-care and can teach back the skills and knowledge gained during the intervention to promote foot self-care awareness to other individuals with diabetes. The project was too brief to measure the effects of patient education on the incidence of DFU. More research is needed to evaluate the role of foot self-care education in preventing DFU. Key words. Diabetes, foot ulcer, foot self-care education, foot self-care behavior. " -- Abstract

Download or read book Cooking Matters for Diabetes written by Jessica Nan Clarke Radabaugh and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite both pharmacological and lifestyle-based treatment options, almost half of U.S. adults diagnosed with diabetes fall short of recommended glycemic targets. Evidence shows diabetes self-management education and support (DSMES) increases adherence to DSM behaviors resulting in improved glycemic control and increased quality of life. One of the core content areas in DSMES curriculum is healthy eating. Home meal preparation, associated with higher diet quality, has been steadily declining in the U.S. over the past 30 years. Incorporating evidence-based cooking interventions into DSMES may be a feasible and efficacious approach for promotion of positive behavior change, however current research in this area is limited. The objective of this study was to determine whether a cooking course augmented with a DSMES component (Cooking Matters® for Diabetes) improves glycemic control (primary outcome), adherence to DSM behaviors, health-related QOL (HRQOL), diet quality, and food security (secondary outcomes) compared to standard of care (SOC). Twenty-eight adult participants diagnosed with type 1 or type 2 diabetes were randomized to a 6-week Cooking Matters® for Diabetes (CMFD) intervention or SOC at an urban outpatient clinic. Hemoglobin A1c (A1c), validated measurements of DSM behaviors (Summary of Diabetes Self-Care Activities, Diabetes Self-Management Questionnaire, Diabetes Empowerment Scale Short Form, Stanford Diabetes Self-Efficacy scale), HRQOL (SF-12), diet quality (HEI-2015), and food security (U.S. Adult Food Security Module) were evaluated at baseline, post-intervention, and 3-months post-intervention. Between group differences in mean measurements adjusted for sex and baseline measures were compared via linear regression modeling. A1c trended lower (-0.45%) in CMFD participants compared to control at 3-months post-intervention (p=0.098). Glucose testing (+1.68, 0-7 scale), general diet (+1.98, 0-7 scale), foot care (+1.63, 0-7 scale), glucose management (+2.89, 0-10 scale), overall DSM (+1.42, 0-10 scale), and mental HRQOL (+8.28, 0-100 scale) were significantly higher (all p≤0.05) in the CMFD arm post-intervention. Participants in CMFD also showed positive trends in self-efficacy, empowerment, diet quality, and food security. However, most differences declined at 3-months post-intervention. The positive impacts of CMFD observed in this study support the incorporation of evidence-based cooking interventions as part of DSMES, while the declining impact of the intervention over time suggests the need for extended programming to maintain effects and future research to improve long-term efficacy.

Download or read book Implementing Foot Care Program in a Rural Clinic written by Maliheh Bakhshi and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract The prevalence of type 2 diabetes mellitus and its complications have increased in the United States (U.S.) in recent years. Patients with diabetes have a higher risk of foot ulcers due to diabetic peripheral arterial disease accelerated by the direct damage to the nerve and blood vessels in lower extremities by high blood sugar. Foot amputations, and frequent hospital admissions due to these and other diabetes complications are also increasing. Healthcare providers' have a unique opportunity to prevent these complications and hospital admissions, and to promote patient wellness and physical well-being through the provision of timely education and direct screening of patients' feet. Salud Para La Gente (SPLG) Clinic is one of the main clinics in the Watsonville area that provides care to 27,000 patients with chronic diseases annually. The SPLG Clinic education for patients with diabetes focuses on diet and pharmacotherapy but lacks foot screening and foot care education to patients. The literature review (Woodbury et al., Sibbald, Ostrow, Persaud, & Lowe, 2015; McCulloch, 2018; Singh, 2015) clarifies that foot screening is an inexpensive preventative measurement and educating providers on the importance and use of the Simplified 60-Second Foot Screening Tool (shown in appendix 8) during a patient's visit reduces the rate of foot ulcers, re-ulcerations, and foot amputations. The evidence shows that when clinicians take a short period of time to assess patients' feet and educate patients on foot care during a visit, foot ulcers can be treated early or prevented entirely, and patients' motivations to engage in their self-care increases (Sharoni, Rahman, Minhat, Ghazali, & Ong, 2017). This DNP student-led quality improvement project involved an educational intervention for primary care providers. A pre-survey was done before giving the education on foot screening and care to measure the clinicians' level of knowledge. The survey also assessed the clinicians' performance of foot screening according to guidelines, strategies for helping diabetic patients on self-foot care, and barriers to foot screening. An educational presentation was given, and a post-survey was obtained. Increased level for knowledge, the difficulty of the education for providers and patients, likelihood of educating patients and passing on the brochure to a patient, the appropriateness of length, presentation quality, content level, and overall workshop quality were assessed in the post-survey. The result showed providers were eager to use the evidence-based screening tool, and clinicians' knowledge of foot care increased dramatically. They were excited to educate patients on foot care and foot log which is a diabetes self-management log and help patients to keep track of their foot care daily. Appropriate educational approaches for patients with type 2 diabetes on foot care and providers on the Simplified 60-Second Diabetic Foot Screening Tool improve patients' outcomes, promote patients' quality of life in mental and physical aspects, and increase patients' diabetes-management ability. Keywords: Diabetic foot, screening tool, foot care, ulcer, primary care, patient education

Download or read book Learning to Manage written by Ifunanya Hilda Ejebe and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of type 2 diabetes in the United States is a population health priority. Approximately 1 in 10 adults in the United States have diabetes and a significant majority have inadequately controlled blood glucose, blood pressure, and cholesterol. Previous research shows that many adults with diabetes lack the knowledge, skills, behaviors, and support to properly manage their condition. Diabetes self-management education has become an important part of diabetes care guidelines as a way to improve the self-management of adults with diabetes in order to lead to improve patient health and reduce inappropriate health care use and medical costs. Despite this, it is unclear who is actually receiving diabetes self-management education in the US, overall and by mode of delivery and diabetes educator type, and whether education is associated with improved population health. Therefore, the objective of this dissertation research is to investigate the distribution of diabetes self-management education, patient sociodemographic factors that influence the receipt of that education, and its contribution toward diabetes outcomes, medical expenditures, and healthcare use in US adults. We achieved this research objective by completing three specific research aims. We used nationally representative data from the Medical Expenditure Panel Survey and the National Health and Nutrition Examination Survey. We found that although a substantial majority of individuals received some form of diabetes self-management education, receiving diabetes education was associated with race/ethnicity and income (Aim 1), and varied by mode of education delivery. Individuals who received diabetes self-management education were less likely to have glycemic control but were more likely to receive antiglycemic treatment (Aim 2). Receiving diabetes self-management education was associated with greater diabetes-related ambulatory and prescription use, depending on the mode of education delivery (Aim 3). Our findings highlight some strengths of the current state of diabetes management occurring in usual care, including the widespread delivery of some form of diabetes education and its association with greater ambulatory and prescription use. However, we also found evidence of the need for more effective diabetes education delivery systems in usual care in order to improve patient self-care behaviors and reduce inpatient and emergency room use.

Download or read book Diabetes Self management Education written by Kimberly Wilkins and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many patients with diabetes are not able to manage their disease effectively because they do not have a full understanding of their diagnosis and how their lifestyle choices and medication decisions impact their risk for developing complications (Bodenheimer, Lorig and Holman, et al, 2010). Ineffective self-management leads to the development of complications including neuropathy, nephropathy, hypertension, gastroparesis, and glaucoma, and increases the risk for infection (American Diabetes Association, 2014). Research demonstrates that diabetes self management education is an effective method of improving disease management and leads to better patient outcomes (Kent et al, 2013). Implementing a diabetes self-management education program in the primary-care setting is an effective method of empowering patients to manage their disease effectively. A team-based approach with the patient as the central figure in the decision-making process has been shown to improve patient outcomes. Both knowledge and understanding are key, particularly for newly diagnosed patients. Implementation of the diabetes self-management program at a community health center involves a team-based approach to healthcare. The patient, physicians, nurses and other healthcare professionals work together to develop an individualized plan care to meet the needs of the patient. Patient involvement is key and self-management education is critical for improving patient outcomes. Patient self-efficacy is also an important factor in determining changes in behavior that will impact health (Riverside Community Health Foundation, 2002). Comprehensive and ongoing patient self-management education with a multidisciplinary team will effectively meet the needs of patients and will improve patient self-management of diabetes. Teamwork, collaboration and improving patient self-efficacy are integral aspects of the program.

Download or read book Learning to Manage written by and published by . This book was released on 2015 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of type 2 diabetes in the United States is a population health priority. Approximately 1 in 10 adults in the United States have diabetes and a significant majority have inadequately controlled blood glucose, blood pressure, and cholesterol. Previous research shows that many adults with diabetes lack the knowledge, skills, behaviors, and support to properly manage their condition. Diabetes self-management education has become an important part of diabetes care guidelines as a way to improve the self-management of adults with diabetes in order to lead to improve patient health and reduce inappropriate health care use and medical costs. Despite this, it is unclear who is actually receiving diabetes self-management education in the US, overall and by mode of delivery and diabetes educator type, and whether education is associated with improved population health. Therefore, the objective of this dissertation research is to investigate the distribution of diabetes self-management education, patient sociodemographic factors that influence the receipt of that education, and its contribution toward diabetes outcomes, medical expenditures, and healthcare use in US adults. We achieved this research objective by completing three specific research aims. We used nationally representative data from the Medical Expenditure Panel Survey and the National Health and Nutrition Examination Survey. We found that although a substantial majority of individuals received some form of diabetes self-management education, receiving diabetes education was associated with race/ethnicity and income (Aim 1), and varied by mode of education delivery. Individuals who received diabetes self-management education were less likely to have glycemic control but were more likely to receive antiglycemic treatment (Aim 2). Receiving diabetes self-management education was associated with greater diabetes-related ambulatory and prescription use, depending on the mode of education delivery (Aim 3). Our findings highlight some strengths of the current state of diabetes management occurring in usual care, including the widespread delivery of some form of diabetes education and its association with greater ambulatory and prescription use. However, we also found evidence of the need for more effective diabetes education delivery systems in usual care in order to improve patient self-care behaviors and reduce inpatient and emergency room use.

Download or read book Intervention of Diabetes Foot Care Education in Practices to Increase Healability Rate of Ulcers in Type 2 DM written by KOTRU BHARAT and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BackgroundIn order to diminish the detrimental consequences associated with diabetic foot ulcers, a common sense based treatment approach must be implemented. Thus if intensive education and training provided to the patients with foot complications the progress of ulcer can be prevented and reduce the risk of new ulcer formation which will reduce the cost of treatment by increasing the wound healability rate.AimThe aim of the study was to observe the impact of intensive foot care education in high risk foot ulcer patients.MethodThe two intervention groups were taught with similar content but with different methods. The group A was taught in a one hour lecture and the group B was taught by using the integrated method [lecture + watching Power Point slides + role playing + implementation of self care practices in the presence of the instructor]. The effect of education intervention was observed through rate of wound healability. ResultsThe above study showed that self-care education could significantly affect on healing of diabetic foot ulcer especially in terms of ulcers surface area. The reduction in mean wound size area per week in group A patients is not showing 100% closure within 12 weeks but is prolonged upto 27 or more weeks due to lack of appropriate education which led to non adherence of the patients of group A towards the treatment. The reduction in mean wound size area per week in group B patients is showing 100% closure within 12 weeks due to intense intervention of foot care education which led to adherence of the patients of group B towards the treatment regimen.DiscussionThe comparison between the two curves shows a shifting of healed curve more towards the ideal than that of not healed curve. The results were encouraging as the mean decrease in ulcer surface area was more in the intense education intervention group B (60%) which signifies a 20% higher rate of healing than group A patients (40% ).Conflict of Interest : I have no potential conflict of interest to disclose.

Download or read book Is There a Relationship Between Self efficacy and Diabetic Foot Self care written by Stacey Wendling and published by . This book was released on 2014 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The World Health Organization estimates the incidence of diabetes as 347 million worldwide, and reseach has shown that the ongoing rate of diabetes-related amputations remains signficiant despite the existence of prevention methods and the known fact that amputations in most cases can be prevented. Research indicates taht deabetics with higher levels of self-efficacy have a higher level of foot self-care, howeveer only weak correlations have been found between self-efficacy and foot care beahviors. A descriptive correlation study was conducted using the theoretical framework of Bandura's social cognitive theory, with the aim to identify if a relationship existed between self-efficacy and deabetic foot self-care. The study consisted of a multimodal distribution of survey instruments using the Foot Care Confidence Scale (FCCS) and the Nottingham Assessment of Foot Selfcare (NAFF) to those over 18 years old with diabetes Type 1 and 2 in rural and urban sites in the lower peninsula of Michigan (N=223). A weak correlation without statistical significance was identified between the level of self-efficacy and performance of foot self-care behaviors. Analyses of variance were performed with a statistical significance found between who cared for a person's feet and FCCS scores, and diabetes education and NAFF scores. Statistical significance was found between foot care behaviors and gender, with males scoring higher than females. This study adds to the body of nursing knowledge regarding self-efficacy and diabetes in relation to foot care behaviors. Further research is needed to explore the relationship of gender and foot care behaviors." --from Author's abstract page.

Download or read book Motivational Interviewing to Improve Diabetic Foot Ulcer Self care Behaviors Among African Americans written by Cloudine Dione Mbong and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes and Diabetic foot ulcer (DFU) remain a major health issue in patients clinically diagnosed as diabetic, both type 1 and type 2. DFU occurs when the skin of a person with diabetes sustains a break that does not promptly heal. This condition is linked to infection, ulceration, and damage to the deeper tissues of the feet, resulting from prolonged and uncontrolled high blood sugar levels. It poses significant health risks, including amputation, reduced quality of life, increased healthcare costs, and disability if left untreated. This proposed project was formed to assess how effective motivational interviewing (MI) affects self-care behavior for DFU among patients of African American descent. Evidence-Based Framework: Kurt Lewin's 3-stage unfreezing and refreezing theory of change will be implemented in this project, and the Johns Hopkins Nursing Evidence-Based Practice Model utilized to facilitate effective behavior change among patients. Method: The main objective for the project is analyzing the effects of motivational interviewing on self-care behavior for DFU among African Americans. The study utilized interventions designed before and after implementation. These interventions involved educating participants using motivational interviewing techniques. Data on self-care behaviors was collected before and after the intervention. Findings/Results: This project measured the participants' self-care behavior before and after using motivational interviewing. The results suggested that the knowledge gained from the pre-contemplation stage on the adverse outcomes of the participants' behaviors and the potential positive implications associated with appropriate DFU self-care promoted the change. Conclusion/Recommendation: Implementing motivational interviewing on self-care behavior for DFU among African American patients increased the patients' awareness. Patients began to make changes to improve their foot ulcer self-management. Therefore, it can be concluded that educating DFU patients on self-care behavior will improve their foot ulcer self-management. The positive changes can include regular feet inspection, moisturizing the feet daily, thoroughly washing and drying, and maintaining clean and short nails.

Download or read book The Diabetic Foot written by Robert Hinchliffe and published by JP Medical Ltd. This book was released on 2014-09-08 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: The incidence of diabetes is increasing both in the western world and in developing countries; type 2 diabetes increase is partly the result of greater obesity. Diabetes can cause two major problems to the foot – diabetic neuropathy resulting in nerve damage and peripheral vascular disease reducing the flow of blood. These can result in ulceration of the foot which needs careful management to avoid the possibility of amputation. This management is best undertaken by multidisciplinary teams using the latest evidence to support their practice. This book presents a comprehensive and authoritative coverage of the latest evidence-based investigations, techniques and management of the diabetic foot. Evidenced-based management of the diabetic foot International, multidisciplinary team of editors and contributors Comprehensive reference for all health professionals involved in the care of diabetic foot problems

Download or read book Foot Self Care Practices Among Patients with Type 2 Diabetes and Diabetic Foot Ulcers written by David Abiodun Oni and published by . This book was released on 2018 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Diabetic foot ulcers (DFUs) are a major cause of morbidity and mortality globally. DFUs are often marked by poor healing, infection, re-ulceration, prolonged hospitalization, impaired quality of life, and death. Approximately 80,000 Americans lose their toes to DFU-related amputations annually, leading to impaired quality of life and financial burden. Research supports prevention of DFUs through foot self-care practices. However, a gap exists between healthcare provider recommendations and actions taken by patients with DFUs. This study explored the lived experiences of patients with type 2 diabetes and DFUs regarding their foot self-care practices. The long-term goal of this research is to support the development and delivery of patient-centered interventions to prevent DFUs and re-ulceration.Method: A descriptive phenomenological research study was conducted with a purposive sample of adults with type 2 diabetes and DFUs. Fifteen participants were recruited and interviewed from outpatient podiatry clinics in Washington State. Data were analyzed using Colaizzi's approach to phenomenology.Findings: Participants reported initially being passive about foot self-care. This was impacted by a lack of awareness between diabetes, foot self-care and DFU development. However, the sudden onset of DFUs was a wake-up call to adapt to a new reality. Adaptation included monitoring their feet, performing foot self-care, and learning about their disease process. However, ongoing challenges with DFUs and foot self-care continue to impair participants' physical, social, and mental well-being. Some participants seek self-management strategies in a quest to make their feet comfortable and continue with their preferred lifestyle.Conclusion: This research provides a rich description of the lived experience of patients with type 2 diabetes and DFUs. Findings provide broad insights into participants' perception of foot self-care practices. Evidence from this study supports that the risk perception of patients with diabetes impacted their health behaviors. Early education to promote health literacy is important to help patients with type 2 diabetes understand their susceptibility to DFUs and the severity of DFUs. Tailored and long-term behavioral reinforcement may support daily foot self-care and ongoing challenges with DFU to reduce DFU development and re-ulceration.

Download or read book Use of Audio visual Patient Education to Enhance Diabetic Foot Care written by Irma Rymers and published by . This book was released on 2010 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 diabetes mellitus (DM II) is known to lead to serious long term complications in patients with poorly controlled blood glucose, poorly managed symptoms, and unchanged life styles. Patient education and subsequent modifications of their behavior are the keys to preventing or at least delaying, these complications and improving the quality of patients' lives. In the past, nurses and other medical professionals have been approaching patient education with different methods, settings, and formats. These have been met with varied degrees of success. This project sought to investigate whether a Digital Video Disc (DVD) from Family Health Media, focused on diabetic foot care, would prove to be more accessible to patients, bringing forth better retention of information regarding foot care and examination skills than written materials or individual teaching in family practice settings. This thesis set out to examine if the use of Audio visual patient education would improve patients' skills regarding self examination of feet (diabetic foot care) to reduce the risks of diabetic foot ulcers. The DVD finding revealed, when combined with written materials, had a more positive impact on retention regarding recognition of the signs of infection and behavioral changes which positively affecting foot care as compared to written materials alone.

Download or read book Evidence Helping people help themselves written by Debra de Silva and published by The Health Foundation. This book was released on 2011 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Diabetic Foot Care written by Alethea V. M. Foster and published by John Wiley & Sons. This book was released on 2011-07-26 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Economics and Financing Diabetic Foot Care: Case Studies in Clinical Management uses an illustrated patient case study format to demonstrate the multidisciplinary care and clinical management of patients with feet and lower limb problems as a result of diabetes. Every case has colour illustrations highlighting both the initial presentation of the foot, right through to treatment and long term follow-up care. Of particular focus are the management problems, barriers to effective care, preventable mistakes, unnecessary delays in presentations, challenging situations, conflicts, dilemmas and solutions that podiatrists and diabetic specialists face. Sections in the book include: Neuropathic and neuroischaemic foot, neuropathic ulcers, ischaemic ulcers, infections, gangrene, traumatic injuries, Charcot’s osteoarthropathy, dermatological problems associated with diabetes, painful neuropathy, diabetic foot emergencies, angiology and foot surgery/amputation. With key points and summaries at the beginning and end of each section, this book is clear and easy to navigate, making it an ideal tool for diabetes specialists, diabetes nurses and podiatrists. Titles of Related Interest Practical Manual of Diabetic Foot Care 2E The Foot in Diabetes 4E Boulton. 978-0-470-01504-9 Handbook of Diabetes 4E Bilous. 978-1-4051-8409-0