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"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978
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Diabetes
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Coping
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**VNAA IS IN THE PROCESS OF UPDATING THE ENTIRE DIABETES SECTION. We appreciate your patience during this time. Thank you. - VNAA Staff (August 2010)**
Best Practice: Home care patients with diabetes should receive screening for depression and psychosocial concerns.
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The screening should include: attitudes about the illness, expectations for medical management and outcomes, affect/mood, general and diabetes related quality of life, resources (financial, social, and emotional) and psychiatric history. A repeat of the depression screening may be needed in the presence of unexplained decline in clinical status or when adherence to the medical regimen is poor.
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| Assess
(6 documents) |
| Question patient’s and/or caregivers’ attitudes, expectations, adherence to medical regime and what resources they might have available to them to assist in coping. |
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| Plan
(3 documents) |
| The plan of care should include measurable specific patient goals that are realistic. It needs to include buy-in and understanding on the part of the patient and caregiver taking into consideration culture, ethnicity, tradition, individual preferences and economic circumstances. |
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| Implement
(7 documents) |
| Ongoing communication with patient and/or caregivers is essential to assist with coping strategies and building trust. |
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| Evaluate
(6 documents) |
| Minimizing risk factors and maintaining or improving diabetes control can assist in the evaluation of coping mechanisms. |
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Coping
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