Nursing: Diabetes Essentials for Nurses, 3rd Edition

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About the Course

Diabetes self-management education and support (DSME/S) is the ongoing process of facilitating the knowledge, skills, and abilities necessary for diabetes and prediabetes care.  Effective self-management requires that nurses learn the body of knowledge relevant to the disease state, weigh the benefits and risks of various medication options, understand a range of interventions/treatments that improve diabetes outcomes, and develop skills (both physical and behavioral) to support these choices. With the management of diabetes becoming increasingly involved, keeping up-to-date on new treatment options and standards is critical as nurses play a major role in diabetes prevention, care, and management.  This course provides a comprehensive overview of diabetes to enable nurses in a variety of settings to provide safe and efficient care.  With this knowledge, nurses can assist patients with diabetes in learning successful self-management practices and becoming more aware of resources to help reduce the risk of long-term complications, thus improving their quality of life.

Learning Outcomes:
Upon completion of this course, the learner will be able to:
  • Describe the mechanisms of normal glucose metabolism and the physiologic changes and expected signs and symptoms occuring as a result of diabetes mellitus.
  • Discuss goals and strategies for including healthy meal planning in a comprehensive diabetes management plan.
  • Discuss the role of physical activity and exercise in diabetes and strategies to help patients incorporate them into their daily lives.
  • Discuss current pharmacologic strategies used in managing diabetes and their relevant nursing considerations.
  • Discuss the use of insulin and injectable therapies in managing diabetes and relevant nursing considerations.
  • Discuss surveillance and monitoring techniques for optimal diabetes management and control.
  • Describe the advantages of, the disadvantages of, and candidate selection for insulin pump therapy.
  • Discuss the use of complementary and alternative medicine strategies for patients with diabetes.
  • Describe the prevention, identification, and management of the major acute complications associated with diabetes mellitus.
  • Discuss the major chronic complications of diabetes and strategies for risk reduction.
  • Recognize how illness affects blood glucose control and the strategies used for sick-day management.
  • Discuss the emotional responses faced by patients living with diabetes.
  • Describe teaching considerations to facilitate health behavior change for the adult with diabetes.
  • Discuss the challenges of diabetes management that occur at stages throughout the lifespan.
  • Identify issues related to diabetes management specific to the older adult population.

About the Author:
James A. Fain, PhD, RN, BC-ADM, FAADE, FAAN

James A. Fain, PhD, RN, BC-ADM, FAADE, FAAN, is the Associate Dean for Academic Affairs at the University of Massachusetts Medical School, Graduate School of Nursing in Worcester, MA. Prior to this appointment, Dr. Fain was Dean of the College of Nursing at the University of Massachusetts-Dartmouth from 2004 to 2014.  Dr. Fain is the author of numerous articles and the book Reading, Understanding, and Applying Nursing Research, 5th Edition. He's the recipient of the Allene Van Son Distinguished Service Award from the American Association of Diabetes Educators and a fellow in the American Academy of Nursing. Dr. Fain is board-certified in advanced diabetes management, has worked as a clinical nurse specialist, and is currently editor-in-chief of The Diabetes Educator, the official journal of the American Association of Diabetes Educators.

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