Innovative care
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Summary:
A specialist practitioner has been appointed to establish a whole system approach to improve patient outcomes in areas of high social deprivation. A diabetes specialist nurse was appointed to work jointly with primary care, secondary care, public health, local authorities and people within the local communities. A flexible approach to appointments, home visits and clinics in local pharmacies was employed which enabled people to make use of healthcare services.
Submitted: 26/11/09
Summary:
The new packages look at diabetes care relevant to residents needs including: what is diabetes , hypoglycaemia; signs, symptoms, possible causes and treatment; footcare; dealing with illness and diabetes; dietary issues and concerns such as poor appetites, weight loss.
Submitted: 19/05/08
Summary:
The Polyneuropathy Pain Clinic was established to correctly diagnose and treat pain improving the mobility and wellbeing for people with diabetic neuropathies. The clinic operates in conjunction with the Diabetes Foot Clinic in order to prevent ulcerations and amputations.
Submitted: 29/02/08
Summary:
The diabetes team were aware that frequently hypoglycaemia was not treated quickly or appropriately. They designed a poster for clinical areas, conducted a knowledge survey, and introduced Hypoboxes for all clinical areas. The project was launched on 20/2/07
Submitted: 22/02/07
Summary:
Audits conducted in 1999 revealed that the experience of people with diabetes coming into the hospital as inpatients could be improved. At this time, Care Pathways were gaining ground as a useful tool for co-ordinating a person's journey through their care, and the team decided to develop a Care Pathway for inpatients with diabetes, and to monitor the impact of the pathway. The results of the evaluation have led to significant modification of the original pathway as well as changes to the way the Diabetes Specialist Nurses (DSNs) manage their in-patient workload.
Submitted: 21/12/06
Summary: The project provided training on understanding diabetes and diet for staff of elderly care homes and psychiatric residential homes.
The project provided resource files to each of the homes participating in the training and a blood glucose meter to those participating in the blood glucose monitoring training.
In line with project aims, the project evaluation showed increased awareness of the following:significance of medication; blood glucose monitoring; hypoglycaemia and how to manage it; diet and food choices.
Submitted: 21/03/06
Summary: Three training sessions were delivered to each of the nursing homes in the project. These covered: Understanding Diabetes; Diet and Diabetes; Specific issues for each home. Link nurses were arranged to provide on going support. New blood glucose monitors were provided.
Evaluation criteria were devised with the support of the inspector of nursing homes.
Understanding Diabetes and Diet and Diabetes information files were distributed to the participating nursing homes.
Evaluation demonstrated that the quality assurance of meters was ongoing and additional training and updates were requested. The two information files remain visible in homes and are still used, 10 of the 14 diabetes link nurses are still in post.
Submitted: 01/11/05
Summary: The project addresses awareness of CHD risk and risk factors in diabetes. It encourages more informed decision-making about lifestyle changes and drug treatments to reduce risk.
This initiative is very simple and can be implemented at minimal cost. There are national objectives to reduce CHD events in patients with diabetes. Evaluation of this pilot study showed a favourable change in risk factors in patients given personalised risk information.
Submitted: 01/11/05