NURSING 3V03 Chapter Notes - Chapter 1: Patient Education, Glycogenolysis, Primary Care Physician
Document Summary
Register develop registry for all patients with diabetes. Resource self-management through interprofessional support team (ie. primary care provider, diabetes educator, dietitian, nurse, pharmacist. Relay information between patient and team for coordinated and timely care. Recall develop system to remind patients and caregivers of timely review and reassessment. Gap between clinical goals in evidence-based guidelines and clinical practice. Use of registry-based information systems: 6 elements of ccm. Health systems: results in improved quality of care and disease outcomes in patients with chronic illnesses. See table 1 (p. 308 of courseware) for definitions. Resulted in: improved behaviours of patients and caregivers, reductions in a1c, reductions in ldl-c, increased use of statins and anti-platelet therapy. 1: improved cv risk factors, reduced overall mortality, reduced drug and hospital costs. Interprofessional team with specific training in diabetes within primary care setting: rns, nps, dietitians, pharmacists, provider of psychological supports, should collaborate with primary care provider + diabetes specialist.