THE ROLE OF NURSES IN DIABETES CARE AND EDUCATION By Prof. Morsi Arab IDF Chair EMME Region University of Alexandria

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THE ROLE OF NURSES IN DIABETES CARE AND
EDUCATIONByProf. Morsi ArabIDF Chair EMME
RegionUniversity of Alexandria
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The Diabetes Care TeamThe Nurse is a
member of the Diabetes Health Care Team which
requires - complementation
- integration - no
contradictions - strict job
description ( without
overdoing)

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• A special Member
• The nurse is a privileged member of the team.
  Why ?
• 1. Has more time ( to listen and to educate)
• 2. can replace the doctors orders by
  instructions and guidance
• a psychol. value ?
• 3. Female nurses understand and
  communicate better with
• ( a female pt. or mother of a diab.
  child )
• Sympathy and Care is a feminine specialty
  

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• Positive and Negative Aspects of Historical
  Significance in the ME 1. Islamic history
  supported the role of woman
  nurses.
• 2. Cultural factors delayed womens
  development .
• In the region X
• 3. Poor reputation about the standard of
  nursing in Arab hospitals
  X
• 4.Establishment of Higher schools of Nursing
  
• (Alexandria early 1960 )
• 5. First recognition a parallel
  international
  course (Alexandria 1991)

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• Cont.(Historical )
• 6. Developing National Diab. Nurse Training
• Programs
• 7. A generation of high-standard specialized
• educators with a nursing background
  

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The Diabetes Nurse gets international recognition
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Notional Programme for Nurses Training
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Nurse Training Workshops
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• Requirements to Perfect
• The General Requirements for a nurse to perfect
  her role in diabetes care and education
• I. Knowledge
• -in diabetes and related sciences.
• -in basic principles in education
• II. Skills
• -clinical history taking , examination
  ,etc.
• -educational skills of teaching
  knowledge and skills , and
  changing attitudes of pts.
• III. Special talents (Attitude)
• interest, team working, respecting
  limitations,etc

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• Specific Considerations
• Specific role in Acute complications
• 1. Knowledge of causes, symptoms and signs,
  diagnosis, prevention and principles
  of management .
• 2. Clinical Skills e.g. history, exam. (P
  BP,
• urine test, bld sugar, acetone breath, etc)
• follow-up observations.
• 3. Educational Skills e.g. instructing
  prevention ,
• diagnosing and immediate management.
• 4. Taking appropriate decisions
  
  

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• The Diabetes Nurse in Foot Care Knowledge
  foot anatomy, vulnerability, types of
• injuries (mechanical, thermal, chem.)
  weight bearing
• walking dynamics ,etc.
• Clinical examination Skills pulses,
  sensation, dryness, colour changes,
  points of stress , etc ),
• Management skills according to her training.
  
• Level I e.g. dressings, nail cut, etc.
• Level II e.g. ulcer debridement , etc
• Education Skills for patients on self
  inspection, shoes , stockings,, preventing
  mech., thermal and chemical
• injuries, etc

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• In the Absence of the Physician
• The Diabetes Nurse
• - At School
• - As Health Visitor to Homes
• - At Far Rural Centres

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• The Diabetes Nurse at School
• - Keeps records of children with diabetes
• - checks times for insulin intake and snacks
• - manages acute episodes e.g. hypoglycemia
• - educates school staff to-
• - consider the needs of the diab child
• - manage emergencies
• - avoid discrimination

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• The Diabetes Nurse at Homes
• - Encourages pt. compliance to
• - regular check of glycem. Control
• - periodic checks e.g. ,ophthalmoscopy,
  e.c.g. ,etc
• - Monitors early develop. of complications
  
• - Guidance (Education) about special needs
• of the Elderly ,the Isolated , and
  the Handicapped
  diabetic.

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• The Diabetes Nurse at Far Rural Centres
• - Keeps sound balance between active
  
• management of diab care or referral
• ( to physicians and specialists) in due
  time.
• - Manages immediate care in emergencies
• - Checks sufficient stores of medications
  and equipment for emergencies.
• - Checks readiness of fast means for
  transportation in emergencies

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