role nurse in theraphy
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Medical RoleTRANSCRIPT
THE ROLE OF NURSES IN DIABETES CARE AND
EDUCATION
ByProf. Morsi Arab
IDF Chair EMME RegionUniversity of Alexandria
The Diabetes Care Team
The Nurse is a member of the Diabetes Health Care Team which requires: - complementation - integration - no contradictions - strict job description ( without overdoing)
A special Member The nurse is a privileged member of the team.
Why? 1 .Has more time ( to listen and to educate)
2 .can replace the doctor’s ‘orders’ by ‘instructions and guidance: ’
a psychol. value? 3 .Female nurses understand and
communicate better with ) a female pt. or mother of a diab. child (
Sympathy and Care is a feminine specialty……
Positive and Negative Aspects of Historical Significance in the ME 1. Islamic history supported the role of woman
nurses **. 2 .Cultural factors delayed women’s development .
In the region X 3 .Poor reputation about the standard of nursing in
Arab hospitals X 4.Establishment of Higher schools of Nursing
) Alexandria early 1960 ** ( 5 .First recognition & a parallel international
course (Alexandria 1991)**
Cont.(Historical …)
6 .Developing National Diab. Nurse Training Programs**
7 .A generation of high-standard specialized educators with a nursing background**
The Diabetes Nurse gets international recognition
Notional Programme for Nurses Training
Nurse Training Workshops
Requirements to PerfectThe General Requirements for a nurse to perfect
her role in diabetes care and education: I. Knowledge
- in diabetes and related sciences.- in basic principles in education
II. Skills - clinical : history taking , examination ,etc.
- educational :skills of teaching knowledge and skills , and changing attitudes of pts .
III. Special talents (Attitude): interest, team working, respecting limitations,etc
Specific Considerations Specific role in “ Acute complications”
1 .Knowledge of causes, symptoms and signs, diagnosis, prevention and principles of
management . 2 .Clinical Skills :e.g. history, exam. (P & BP,
urine test, bld sugar, acetone breath, etc( follow-up observations.…………
3 .Educational Skills e.g. instructing prevention, diagnosing and immediate management.
4 .Taking appropriate decisions
The Diabetes Nurse in Foot Care Knowledge : foot anatomy, vulnerability, types of
injuries (mechanical, thermal, chem.) weight bearing walking dynamics ,etc .
Clinical examination Skills : pulses, sensation, dryness, colour changes, points of stress , etc ,(
Management skills according to her training. Level I : e.g. dressings, nail cut, etc. Level II : e.g. ulcer debridement , etc
Education Skills for patients on : self inspection, shoes , stockings,, preventing mech., thermal and chemical
injuries, etc
In the Absence of the Physician
The Diabetes Nurse: -At School
- As Health Visitor to Homes - At Far Rural Centres
The Diabetes Nurse at School -Keeps records of children with diabetes
- checks times for insulin intake and snacks - manages acute episodes e.g. hypoglycemia
- educates school staff to-: - consider the needs of the diab child
- manage emergencies - avoid discrimination
The Diabetes Nurse at Homes -Encourages pt. compliance to: - regular check of glycem. Control
- periodic checks e.g. ,ophthalmoscopy, e.c.g. ,etc
- Monitors early develop. of complications - Guidance (Education) about special needs
of : the Elderly ,the Isolated , and the Handicapped diabetic.
The Diabetes Nurse at Far Rural Centres - Keeps sound balance between active
management of diab care or referral ) to physicians and specialists (in due time .
- Manages immediate care in emergencies - Checks sufficient stores of medications
and equipment for emergencies. - Checks readiness of fast means for
transportation in emergencies