Overview of Diabetes

Transcription

1 Overview of Diabetes CLN0310SP September Continuing Education Nursing Contact hours will be awarded for this activity from September 10, 2011 September 10, 2015.

2 Overview of Diabetes 1 Requirements for Successful Completion of this Continuing Education (CE) Activity In order to receive full contact hour credit (s) for this CE activity, you must: Register for the activity by entering your unique ID number and password then starting the education materials on Gentiva University (GU) Complete the self-paced workbook Complete and submit online comprehension check and receive a mastered score of 80% or greater Complete and submit the online evaluation form Once the comprehension check is mastered and evaluation is completed, you will be able to go into your education plan and print your certificate. Your certificate will reflect the final completion date Requirements for successful completion may also include participation in individual or group activities, such as discussion, exercises, practice questions, pre-/post-testing, etc. Conflicts of Interest and Disclosures of Relevant Financial Relationships A conflict of interest exists if an entity that is in a position to benefit financially from the success of a CE activity is ALSO in a position to influence the content, design, or implementation of the CE activity. The planners and presenters (nor spouse/domestic partner) of this educational activity have disclosed no healthcare related conflicts of interest, commercial interests, or has received any related financial relationships/support. Sponsorship/Commercial Support Commercial support is defined as financial, or in-kind, contributions given by a commercial interest, which is used to pay all or part of the costs of a continuing education activity. There is no commercial support for this continuing educational activity. Non-Endorsement of Products/Sponsorship Brand names and/or commercial products, services, or companies are not endorsed by Gentiva Health Services, Inc. and are not referred to in this activity. Accredited status does not imply endorsement by Gentiva Health Services, Inc. or the American Nurses Credentialing Center (ANCC) of any commercial products displayed in conjunction with this activity. Off-Label Use This continuing education activity does not relate to any product used for a purpose other than that for which it was approved by the Food and Drug Administration (FDA). Education Statement This in-service is intended for educational purposes only. This program does not constitute medical or professional advice. Information presented is not a substitute for judgment of the health professional. Expiration Date for Awarding Contact Hours Contact hours will be awarded for this activity from September 10, 2011 September 10, 2015.

3 Overview of Diabetes 2 Overview The purpose of this educational activity is to present an overview of diabetes including incidence and prevalence of diabetes, associated pathophysiology, clinical presentation, and disease state management. Subsequent courses will cover nutritional aspects of care, medications, physical activity and exercise and complications. It is recommended that you complete this educational activity first followed by Diabetes and Nutrition, or Diabetes and Medications, or Diabetes and Principles of Exercise and Physical Activity but conclude the series with Diabetes and Complications Target Audience All Clinical Associates Registered nurses, licensed vocational nurses, physical therapists, social workers, occupational therapists Educational Level Basic Introductory information for the clinician to promote a baseline foundation of core knowledge. Classification Code Category 2: Process: Intervention Completion Time See Educational Activity Form Pre-requisites You should have completed the following before working on this self-paced workbook: None Authors Susan Guthrie, RN, MSN Celia Griffith, PT, DPT Billie Papasifakis, RN, MSN, BC Shaun Cricks, BA Steven Smith, OTRL/MBA Kathy Hammond, MS, RN, BSN, BSHE, RD, LD Kay Jordan, MSN, RN, CDE

4 Reviewers Ben Peirce, BA, RN, CWOCN Kathy Hammond, MS, RN, RD, LD Debbie Suit, MHM, RN, BSN Continuing Education Nursing ANCC Overview of Diabetes 3 Gentiva Health Services, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. This educational activity has been awarded 1.7 ANCC contact hour(s). CA Gentiva Health Services, Inc. approved by the California Board of Registered Nursing, Provider Number CEP for 2.0 contact hours. FL Gentiva Health Services, Inc. is also approved by the Board Florida (provider# ). This course has been awarded 1.7 Florida contact hours. Physical Therapy This course has been approved for 0.17 CEUs by the California Physical Therapy Association. This course has been approved for 2.0 continuing education hours by the Florida Physical Therapy Association. Accreditation of this course does not necessarily imply the Florida Physical Therapy Association supports the views of the presenter or the sponsors. This course has been approved by the Nevada State Board of Physical Therapy Examiners for 0.20 units of continuing education. This course has been approved by the Ohio Physical Therapy Association for 1.75 contact hours. This course has been approved for 1.5 credit hours by the Pennsylvania State Board of Physical Therapy. This course has been approved by the Texas Board of Physical Therapy Examiners as meeting continuing education requirements for PTs and PTAs and granted 1.7 continuing competency units (CCUs). This course has been approved for 1.7 contact hours by the West Virginia Board of Physical Therapy. Approval of this course does not necessarily imply that the West Virginia Board of Physical Therapy supports the views of the presenter or sponsor. This course has only been awarded continuing education credits for physical therapy in the state(s) indicated. If you reside in a state other than the one(s) listed, you may need to submit your certificate to your physical therapy state board to determine if the board accepts the course for continuing education credits.

5 Continuing Education (continued) Occupational Therapy Overview of Diabetes AOTA CEU (1.7 contact hours). Gentiva Health Services, Inc. Corporate Education and Development is an AOTA Approved Provider of continuing education (Provider Number 6237). The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

6 Educational Activity Outline Form ANCC contact hours awarded: 1.7 Overview of Diabetes 5 Additional contact hours awarded: 2.0 CA Nursing, 1.7 FL Nursing, 0.17 CA PT, 2.0 FL PT, 0.20 NV PT, 1.75 OH PT, 1.5 PA PT, 1.7 TX PT, 1.7 WV PT 0.17 AOTA CEU (1.7 contact hours)/the assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Educational Level: Basic- Introductory information for the clinician to promote a baseline foundation of core knowledge. AOTA Classification Code: Category 2: Process: Intervention Purpose: The purpose of this educational activity is to present an overview of diabetes including incidence and prevalence of diabetes, associated pathophysiology, clinical presentation, and disease state management. Subsequent courses will cover nutritional aspects of care, medications, physical activity and exercise and complications. It is recommended that you complete this educational activity first followed by Diabetes and Nutrition, or Diabetes and Medications, or Diabetes and Principles of Exercise and Physical Activity but conclude the series with Diabetes and Complications Objectives Content (Topics) Teaching Strategy/Delivery Method/Resources Evaluation Tool and Category List the educational objectives Upon completion of this activity, the learner will be able to: (Be sure to use only 1 VERB per objective) Provide an outline of the content/topic presented and indicate to which objective the content/topic is related. Example: I. Nutrition Assessment Criteria A. History B. Dietary recall data C. Nutrition Focused Clinical Exam List the teaching strategies by each presenter for each topic or content area. List powerpoint, self-study booklet, e-learning. BE SURE TO INCLUDE ACTIVITIES. List tool for evaluation and Classify the category of evaluation that reflects objective, content, and teaching method: a. Learner satisfaction b. Knowledge c. Skill and attitude 1. Discuss the prevalence of diabetes in the U.S. and groups at risk for chronic complications. I. Prevalence A. Increase B. Statistics C. Diagnosed/ D. Undiagnosed Leading Cause 2. Explain the pathogenesis of diabetes. II. Pathogenesis A. Insulin Secretion B. Insulin Action C. Insulin Secretion and Insulin Action 3. Review normal III. Normal Glucose

7 Overview of Diabetes 6 Objectives Content (Topics) Teaching Strategy/Delivery Method/Resources List the educational objectives Upon completion of this activity, the learner will be able to: (Be sure to use only 1 VERB per objective) glucose metabolism and associated metabolic changes in diabetes. 4. List the criteria for the diagnosis of diabetes. 5. Discuss the standards for management of Type 2 diabetes including survival skills, follow-up, and education. Provide an outline of the content/topic presented and indicate to which objective the content/topic is related. Example: I. Nutrition Assessment Criteria A. History B. Dietary recall data C. Nutrition Focused Clinical Exam Metabolism/Changes in Diabetes A. Normal Glucose Metabolism 1. sources 2. processes 3. pancreas 4. fat cells B. Metabolic Changes with Diabetes 1. glucose 2. fat 3. protein IV. Criteria C. Classes 1. type 1 2. type 2 3. other 4. gestational D. Diagnosis E. Prediabetes F. Asymptomatic G. Signs and Symptoms H. Older Adults I. Goals J. ABCs V. Management A. Schedule B. Treatment Goals C. ABCs D. Components 1. medical nutrition therapy List the teaching strategies by each presenter for each topic or content area. List powerpoint, self-study booklet, e-learning. BE SURE TO INCLUDE ACTIVITIES. Activity: Matching definitions (3 min) Activity: True/False (3 min) Activity: ABC Chart (3 min) Evaluation Tool and Category List tool for evaluation and Classify the category of evaluation that reflects objective, content, and teaching method: a. Learner satisfaction b. Knowledge c. Skill and attitude

8 Overview of Diabetes 7 Objectives Content (Topics) Teaching Strategy/Delivery Method/Resources List the educational objectives Upon completion of this activity, the learner will be able to: (Be sure to use only 1 VERB per objective) 6. List three techniques for glycemic monitoring along with rationale, frequency, and monitoring. 7. Explain the principles of selfmanagement and how they apply to the patient with diabetes including validation of skills, knowledge, behavior change 8. Review the seven self-care behaviors. 9. Review the importance of foot care for the patient with Provide an outline of the content/topic presented and indicate to which objective the content/topic is related. Example: I. Nutrition Assessment Criteria A. History B. Dietary recall data C. Nutrition Focused Clinical Exam VI. VII. VIII. IX. 2. exercise 3. medication E. Initial Evaluation Glycemic Monitoring A. Patient Self- Monitoring of Blood Glucose (SMBG) B. A1C C. Urine Testing D. Hypoglyemia Self-Care Behaviors A. Components 1. medical 2. role 3. emotional B. Self-management Skills C. Plan of action D. Confidence Level E. Behavior Changes Self-Care Behaviors A. Healthy Eating B. Being Active C. Monitoring D. Medication E. Problem Solving F. Reducing Risks G. Healthy Coping Foot Care A. Risk Factors B. Standards of Care C. OASIS List the teaching strategies by each presenter for each topic or content area. List powerpoint, self-study booklet, e-learning. BE SURE TO INCLUDE ACTIVITIES. Activity: Case Scenario (5 min) Evaluation Tool and Category List tool for evaluation and Classify the category of evaluation that reflects objective, content, and teaching method: a. Learner satisfaction b. Knowledge c. Skill and attitude and Skill

9 Overview of Diabetes 8 Objectives Content (Topics) Teaching Strategy/Delivery Method/Resources List the educational objectives Upon completion of this activity, the learner will be able to: (Be sure to use only 1 VERB per objective) diabetes. Evaluate learner s understanding of course Provide an outline of the content/topic presented and indicate to which objective the content/topic is related. Example: I. Nutrition Assessment Criteria A. History B. Dietary recall data C. Nutrition Focused Clinical Exam D. Patient Education List the teaching strategies by each presenter for each topic or content area. List powerpoint, self-study booklet, e-learning. BE SURE TO INCLUDE ACTIVITIES. Comprehension Check Evaluation Tool and Category List tool for evaluation and Classify the category of evaluation that reflects objective, content, and teaching method: a. Learner satisfaction b. Knowledge c. Skill and attitude Evaluate effectiveness of course Evaluation A: Learner Satisfaction Word count (10,586/150 min) = 70 min + 14 min activities + 10 min comp check + 10 min evaluation = 104 minutes total. 104 min/60 min = 1.7 contact hours 104 min/50 min = 2.0 contact hours

10 Overview of Diabetes 9 Bibliography American Association of Diabetes Educators (AADE). (2011). Self-Care Behaviors. American Diabetes Association. (2010). Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2010;33 (Suppl. 1): S62-S69. American Diabetes Association, (2008). Nutrition Recommendations and Interventions for Diabetes: A position statement of the American Diabetes Association Diabetes Care 31 (1):S61. American Diabetes Association, (2008). Your Guide To Eating Out. Retrieved 1/16/09 from HYPERLINK American Diabetes Association. Standards of medical care in diabetes Diabetes Care 34 (1), January Anderson SL. (2009). Diabetes Mellitus. In Essentials of Nutrition and Diet Therapy. Sue Williams (Ed). St. Louis: Elsevier. Aschenrenner DS. (2011). Drug watch. American Journal of Nursing 111(9), Beacham, T, Williams R, Askew-R, Walker, J, Schenk L, and May, M. (2008). Diabetes. Home Healthcare Nurse, 26 (7), Boucher J. (2009). Integrating food and medications as a way of life. Clinical Diabetes 27(4), Carey, R. (2009). Wanted: the best diabetes diet for optimal outcomes. Today s Dietitian 11(8), Center for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, (2011). CDC s Diabetes Program - National Diabetes Fact Sheet - National Estimates on Diabetes. Centers for Disease Control. (2011) Diabetes. Colberg, S. R. and Grieco, C. R. (2009). Exercise in the treatment and prevention of diabetes. Current Sports Medicine Reports, (8), Retrieved November 11, 2009, from the SPORTDiscus database. Cypress M and Gleeson J. (2009). Diagnosis and Classification. In Complete Nurse s Guide to Diabetes Care. Second Edition. American Diabetes Association. Daly A. Healthy Life Style Changes: (2009) Food and Physical Activity. In Complete Nurse s Guide to Diabetes Care. Second Edition. American Diabetes Association. Franz M. (2012). Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin. In Krause s Food and the Nutrition Care Process. Mahan K, Escott-Stump S. and Raymond J. (Eds) 13 th Edition. Elsevier: St. Louis. Franz M. (2008). Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin. In Krause s Food and the Nutrition Care Process. Mahan K, Escott-Stump S. (Eds)12 th Edition. Elsevier: St. Louis.

11 Overview of Diabetes 10 Hirsch IB. (2009). Acute Complications of Diabetes. In Complete Nurse s Guide to Diabetes Care. Second Edition. American Diabetes Association. Longo R. (2010). Understanding oral antidiabetic agents. American Journal of Nursing, 110(2), MassPro. (2009) Planned Care: Self-Management Support in Home Healthcare. Praet, S.F.E, Jonkers, R.A.M, Schep, G., Stehouwer, C.D.A., Kuipers, H., Keizer, H.A., van Loon, L.J. (2008). Long-standing, insulin-treated type 2 diabetes patients with complications respond well to short-term resistance and interval exercise training. European Journal of Endocrinology, 158, Rhee M. Pathophysiology and Diagnosis of Diabetes. Emory Diabetes Course at Grady. Emory University School of Medicine, Division of Endocrinology, Metabolism, and Lipids. Atlanta, GA Ripsin, C. M., Kang, H., & Urban, R. J. (2009). Management of blood glucose in type 2 diabetes mellitus. American Family Physician, 79(1), Retrieved November 10, 2009, from the MEDLINE database. Sanchez I. (2010). The use of continuous glucose monitoring system in the home health setting. Home Healthcare Nurse 28(5), Tobin C. (2004). 7 basic principles of diabetes care. Home Healthcare Nurse, 22 (7), Turcotte, L.P., Fisher, J.S. (2008). Skeletal Muscle Insulin Resistance: Roles of Fatty Acid Metabolism and Exercise. Physical Therapy, 88(11), U.S. Department of Health and Human Resources. National Diabetes Clearinghouse. (2011). Diabetes Quick Facts.