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Analyzing district nursing in relation to the diabetic patient

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  1. Introduction
  2. NHS Plan (2004b): Program to improve care for patients with long term conditions
  3. Diabetes mellitus
    1. The National Service Framework (NSF) for Diabetes
    2. Gaining access to appropriate diabetes services: Forbes and Morris
  4. The guide to procedures and standards for patients
  5. Tight blood pressure and blood glucose control in people with diabetic nephropathy
  6. The role of the district nurse
  7. Conclusion
  8. Bibliogrpahy

In today's National Health Service (NHS) developments in technology, changing patterns of disease and reduced length in hospital stays are putting district nurses at the heart of Government policy. Liberating the Talents, the governments framework for nursing in primary care (Department of Health 2002), challenges our traditional way of seeing nursing roles determined by titles rather than by the needs of patients and communities. It describes three core functions for all nurses, regardless of their employer or job title: first contact care, public health and management of chronic and long term conditions. District nurses will have a major role to play in each area. However, with regard to long term conditions, patients have a special need for the skills and knowledge that district nurses have, enabling them to make a unique contribution to the care of this vulnerable group (Turner 1998).

[...] Perhaps a solution to this situation would be to spend time with, for example, the diabetic nurse specialists in order to receive knowledge from her regarding what services are out there for the patient with diabetes. Tight blood pressure and blood glucose control in people with diabetic nephropathy has been shown to reduce the rate of deterioration of renal function, as well as risk of cardiovascular disease (BDA 2005). The management of tight blood glucose levels help to prevent hyperglycemia and regular blood pressure monitoring to ensure effective blood pressure control are required. [...]

[...] Larson Apelqvist CD, Stenstrom A (1995) Decreasing Incidence of Major Amputation in Diabetic Patients; a Consequence of a Multidisciplinary foot care team approach. Diabetic Medicine 12 770-776. Mayers M (2000) Management of the Older Person with Diabetes in the Community. British Journal of Community Nursing 448-453. Nursing And Midwifery Council (2002) Guidelines for Records and Record Keeping. NMC, London. Patel (1993) Empowerment of diabetics, a challenge for community nursing. Journal of Community Nursing 405-409. Rogers Wood J (2001) Standards for professional monitoring of capillary blood glucose. [...]

[...] Indeed the DOH (2001) as set out in their Expert Patient document, stress that by setting up a formalized education program in diabetes, that are based on developing the confidence and motivation of the patient to use their own skills, patients take effective control of their life with a long term condition. By having a formalized patient education program district nurses could in turn empower the patient to take a more active and knowledgeable role in their own health care (DOH 2001). [...]

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