Care of people with diabetes [[electronic resource] ] : a manual of nursing practice / / Trisha Dunning

• Record Nr.: UNISA996211198303316
• Autore: Dunning Trisha
• Pubbl/distr/stampa: Oxford, OX ; ; Malden, MA, : Blackwell, c2003
• ISBN: 0-470-77464-9; 1-4051-5186-2
• Edizione: [2nd ed.]
• Descrizione fisica: 1 online resource (322 p.)
• Disciplina: 610.73/69; 616.462
• Soggetti: Diabetes - Nursing
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Description based upon print version of record.
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Contents; List of Figures; List of Tables; Example Forms and Instruction Sheets; Foreword; Preface; Acknowledgements; List of Abbreviations and Symbols; 1 Diagnosis and Classification of Diabetes; 1.1 Key points; 1.2 What is diabetes mellitus?; 1.3 Classification of diabetes; 1.4 Type land Type 2 diabetes; 1.5 Diagnosis of diabetes; 1.6 Oral glucose tolerance test (OGTT); Example Instruction Sheet 1: Preparation for an oral glucose tolerance test; 1.7 Screening for diabetes; 1.8 Management of diabetes mellitus; 1.9 Diabetes education; 1.10 Complications of diabetes; 1.11 Cost of diabetes; 1.12 Aim and objectives of nursing care of people with diabetesReferences; 2 Assessment and Nursing Diagnosis; 2.1 Key points; Rationale; 2.2 Characteristics of the nursing history; 2.3 Nursing history ; Example of an assessment chart; 3 Documenting and Charting Patient Care; 3.1 Documenting in the medical record; 3.2 Nursing responsibilities; 3.3 Documentation by people with diabetes ; References; 4 Monitoring Diabetes Mellitus; Rationale; 4.1 Introduction ; Monitoring 1: blood glucose; 4.2 Key points; 4.3 The role of blood glucose monitoring in the care of diabetes; 4.4 Guidelines for the frequency of blood glucose monitoring4.5 Blood glucose meters; 4.6 Reasons for inaccurate blood glucose results; 4.7 Non-invasive/minimally invasive blood glucose testing; 4.8 Monitoring blood ketones ; Blood glucose testing checklist; Monitoring 2: urine ; glucose/ketones and blood ketones; 4.9 Key points; 4.10 Introduction; 4.11 Limitations of urine glucose testing; 4.12 Indications for urine glucose tests; 4.13 Monitoring ketones; 4.14 Urine tests of kidney function; 4.15 Micral-test; Monitoring 3: additional assessment; 4.16 Nursing responsibilities; 4.17 Blood glucose4.18 Glycosylated haemoglobin (HbAlc); 4.19 Fructosamines; 4.20 Serum lipids; 4.21 C-peptide; 4.22 Islet cell antibodies; 4.23 Creatinine clearance and urea; 4.24 Oral glucose tolerance test (OGTT) ; References; 5 Nutritional Aspects of Caring for People with Diabetes; 5.1 Key points ; Rationale; 5.2 Role of the nurse; 5.3 Obesity; 5.4 Method of screening for dietary characteristics and problems; 5.5 Principles of dietary management for people with diabetes; 5.6 'Sugar-free'foods; 5.7 Non-nutritive sweeteners; 5.8 Carbohydrate modified foods; 5.9 Dietetic foods; 5.10 Alcohol; 5.11 'Exchanges'and portions'5.12 Glycaemic index; 5.13 Exercise/activity; 5.14 Example questions to ask when taking a diet history ; References; 6 Oral Hypoglycaemia and Lipid Lowering Agents; 6.1 Key points ; Rationale; 6.2 Introduction; 6.3 Sulphonylureas; 6.4 Biguanides; 6.5 Glitinides; 6.6 Thiazolidinediones; 6.7 Alpha-glucosidase inhibitors; 6.8 Drug interactions; 6.9 Combining OHAs; 6.10 Combining OHAs and insulin; 6.11 Lipid lowering agents ; References; 7 Insulin Therapy; 7.1 Key points ; Rationale; 7.2 Basic insulin action; 7.3 Objectives of insulin therapy; 7.4 Types of insulin available
• Sommario/riassunto: Diabetes Mellitus is a chronic disease affecting a large percentage of the population world-wide. In the UK alone there are over 1.4 million people diagnosed with diabetes, a new diagnosis of type 2 diabetes is made every five minutes, and as many as a million people are suspected to have the condition without knowing it. As many as one in ten patients in hospital have diabetes and diabetes accounts for almost a tenth of NHS spending, largely due to the high costs of complications such as heart disease, blindness, kidney disease, stroke, and amputation which all require specialist nursing care