Diabetes: Nursing Management
- : Canberra ACT 2600
2 Day Course for All Nurses: Type 1 and Type 2 Diabetes Mellitus, Blood Glucose Monitoring, Insulin Administration, Prevention of Complications, Patient Education, Lifestyle ModificationOverview
Attend this seminar to learn about modern nursing care and management of people affected by diabetes mellitus. Update your knowledge of:
- Current protocols relating to the administration of insulin
- Measurement and management of blood glucose levels
- Lifestyle factors relating to diabetes mellitus
- Patient education strategies
- Prevention of complications
Attend this consistently highly evaluated program if you have not had a formal diabetes update in the past 18 months.Need for Program
Diabetes is becoming more prevalent worldwide and the associated nursing care is becoming more complex. Nurses are at the forefront of both the prevention and management of diabetes, and are critical to patient education and the minimisation of complications.
Nurses across a wide range of healthcare settings have a key role in managing diabetes. Therefore, all nurses need ongoing access to quality education in order to be well informed about the latest evidence and best practice in the management of this complex chronic illness.Purpose of Program
The purpose of this seminar is to provide nurses with a general update of modern adult diabetes management that translates into improved outcomes for patients with diabetes.Your Learning Outcomes
Schedule Day One
8:30am - Registration and Refreshments
9:00amAdult Diabetes: The Silent but Devastating Epidemic
As the population of those affected with diabetes continues to increase, the demand on nurses to care for people with this complex chronic illness grows. This introductory session both sets the scene and contextualises the issues that nurses need to understand in order to care for those with this pervasive disease.
- What is diabetes and what are the common signs and symptoms?
- Why the cause for concern?
- Is its incidence increasing within the Australian adult population and why?
- Why are members of indigenous communities so prone to developing this disease, and what other groups are at increased risk?
- What are the different types of this condition and the diagnostic criteria?
- How often should the general population be screened for diabetes? Are you at risk?
9:45amLifestyle and Health Literacy: Impacts on Diabetes Risk – Prevention is the Key
This session includes the risk factors associated with diabetes, including both modifiable and non-modifiable problems.
- What are the current factors and lifestyle choices that may be causing the incidence of diabetes to increase?
- Why are nutrition, weight management, physical activity, blood pressure control, blood lipids and stress management so important?
- Practical information and primary care tips to enable you to help people to make the necessary changes to improve their lifestyle choices
- What is health literacy, how can you promote it and how can it improve diabetes management?
10:30am - Morning Tea and Coffee
11:00amNutrition, Healthy Eating and Diabetes – It's All About Balance
Eating well, being active and reducing weight is a balancing act – find out about the latest evidence and strategies for your patients with diabetes and pre-diabetes.
- What are the latest nutritional guidelines for all Australians?
- What are the latest nutritional guidelines for patients diagnosed with diabetes?
- Are there any practical, workable strategies for educating patients with diabetes, and promoting their need to lose weight? Does knowledge lead to behavioural change?
- Weight control – pills, shakes, diets, medication and surgery – does anything work?
- Practical examples and case studies will highlight more difficult and challenging situations.
12:00pmAssessment: The Key to Person-centred Management
An interactive exploration of ongoing and comprehensive nursing assessment, as a foundation to the planning and design of appropriate care, and the implementation of management strategies for people with diabetes.
- Explore how nursing assessments create the foundations for providing appropriate care and management interventions, explaining the dynamic nature of assessment and evaluation
- Consider what is involved in the initial nursing assessment for patients with diabetes
- Review which investigations need to be undertaken and why they need to be routinely kept within their ideal ranges
- Person-centred assessment – the fundamentals and how it applies to the patient with diabetes
12:30pm - Lunch Break and Networking
1:30pmBlood Glucose Monitoring
Blood glucose monitoring is used by both health professionals and people with diabetes. This session will review how both groups can make the most of their monitoring to ensure it is accurate, safe and useful. Information will be presented to help you ensure your meters are recording BGLs accurately.
- An overview of the evidence supporting the best times to test blood glucose levels
- How frequently do I test and why?
- How to record and interpret results
- How to ensure accuracy of results, and maintain and calibrate equipment
- How to keep up to date with new developments: what does the future hold?
- NDSS and access to strips, including the restrictions to access for those with type 2 diabetes not on insulin
2:30pm - Afternoon Tea and Coffee
3:00pmDiabetes Care Emergencies: Hypoglycaemic and Hyperglycaemic Episodes
Diabetes emergencies can occur for a range of reasons; they can cause a great deal of anxiety and may be life-threatening. Experiencing an emergency in relation to diabetes can be very traumatic for a person and prevention is paramount. In this session you will learn about current best practice nursing care for common diabetes-related emergencies.
- How to manage diabetes emergencies effectively
- Early identification and prevention of diabetes emergencies
- When to be concerned about hypoglycaemia or hyperglycaemia: what nursing actions are required for each?
- Care of diabetes-related emergencies in the hospital and other settings – key differences
- The emotional response of patients and their psychological support needs in relation to the potential for hypo- or hyperglycaemia
- Practical case study discussions will support this session.
4:15pm - Close of Day One of ProgramDay Two
9:00am - Commencement of Day Two
9:00amDiabetes Medication Update: Oral and Injectable Medications
This session looks at medications used to manage diabetes. We’ll look at when and how they are used, and how they may assist with diet and exercise to help our patients achieve their targets. For many people, additional oral agents aren’t an option in helping them achieve satisfactory glycemic control. In such cases, injectable medicines become essential. This is an important area of nursing care and it is essential that nurses understand injectable medicines used in the management of diabetes, and their delivery systems. This session will review the latest evidence in relation to therapeutic treatment options and include relevant case studies.
- Who benefits most from oral medicines and how do they work?
- Are they suitable for all types of diabetes?
- Recommended dosage ranges and intervals
- Types and actions of oral medicines for use in diabetes management
- What side effects and interactions should nurses be aware of?
- What injectable medicines are available for diabetes and why are they used?
- Which types of diabetes benefit most from injectable medicines?
- Which patients do not benefit from injectable medicines regardless of type?
- What side effects and interactions must nurses be aware of?
- Insulin regimens and devices
- What blood glucose targets should we aim for?
- Measuring insulin levels – when is this appropriate?
10:30am - Morning Tea and Coffee
11:00amDiabetes and Other Related Health Problems
There is a range of cardiovascular, microvascular and macrovascular issues that can result from diabetes. This session explores some of the more common types of complications associated with diabetes, plus diabetes-related complications which may not have previously been apparent, and the nursing role in their identification and prevention.
- What happens to the body at micro, neurological and vascular level and what are the implications?
- Eye conditions relating to diabetes
- Renal-related issues and lesser known complications
- Team approaches to care
12:00pmFoot Care for the Person with Diabetes
People with diabetes are particularly prone to problems with their feet caused by a range of complex physiological changes that occur as a result of the disease. Strategies for promotion of the healing process will be examined. This will include a practical session using a monofilament and interactive case studies.
- Where a patient has diabetes, what pathophysiological changes can be expected in the lower limbs?
- Guidelines for assessing, managing and monitoring a person's diabetic foot
- Why does diabetes trigger intractable problems such as peripheral neuropathy and what are the signs and symptoms?
- Why do wounds such as leg ulcers heal at a different rate to those of people without diabetes?
- Role of the podiatrist and other relevant team members
12:30pm - Lunch Break and Networking
1:30pmMotivational Challenges: Addressing Emotional Needs
Psychosocial issues can impact significantly the ability of people to comply or adhere to their treatment regimens. When a person is diagnosed with diabetes, they are often required to make significant changes to their lifestyle. We will examine the implications for the patient, as well as the nurse, when compliance is an issue, with a focus on moving to wellness.
- Strategies for changing behaviours or managing issues where people may resist treatment, have poor motivation or repeatedly revert to unhelpful routines and habits
- How to work together to identify issues that would benefit from a goal-focused approach with a person with diabetes and how to set realistic and achievable goals
- How to encourage people with diabetes to have their annual comprehensive health review and check-up
- Access to diabetes treatments and resources - who pays?
Techniques included in this session can also be used in your daily life to achieve your own personal health goals!
2:15pmInsulin and Legal Implications
Insulin is one of the most likely drugs to be implicated in a lethal medicine error. This session will focus on the prevention of nursing errors.
- What are the current risks of insulin administration and what are the legal implications for nurses?
- Which laws govern insulin administration?
- What are the implications for health facilities?
- Is your current nursing practice relating to the administration of insulin safe and legal?
2:45pm - Afternoon Tea and Coffee
3:15pmWhat Help is Out There?
This session will help you to facilitate a person with diabetes to access information, services and subsidised resources.
- Types of services, organisations and other resources that are available, and how to access them
- Connecting with acute care, private and community services to ensure people with diabetes are moving through the various systems and to prevent duplication of services
- When to refer your patient and to whom
- Communication between healthcare providers
3:45pmCase Studies and Clinical Reasoning
In this final session, you will be presented with case studies that highlight some of the key points that have been made over the past two days. This will assist you in understanding how complex theoretical care can result in successful outcomes when put into practice.
4:15pm - Close of Seminar and Evaluations
Michelle is a Credentialled Diabetes Educator with 23 years experience in many aspects of diabetes care and education. She is currently employed as a Nurse Practitioner by Northern health. Her past employment, as a Diabetes Educator, has included major tertiary hospital settings - including St Vincent's Hospital Melbourne, Melbourne Division of General Practice, Melbourne Extended Care and Rehabilitation Service and in Queensland, Logan/Beaudesert Health Service. Michelle has served on more than 40 diabetes-related committees, written book chapters and is consistently highly evaluated in her teaching role.