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SymptomFocused Diabetes Care for Older, Rural African American Women: A New Approach to Improving He

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Patients often do not recognize the relationship between their symptoms and diabetes. ... of Symptoms. 7.5% Uninsured. 14.9 (10.9) Duration of Diabetes. 37.9 ... – PowerPoint PPT presentation

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Title: SymptomFocused Diabetes Care for Older, Rural African American Women: A New Approach to Improving He


1
Symptom-Focused Diabetes Care for Older, Rural
African American Women A New Approach to
Improving Health Outcomes
  • Acknowledgements
  • Funded through grant R01 NR008582 from the
    National Institute of Nursing Research to the
    School of Nursing, University of North Carolina
    at Chapel Hill.

2
Study Team
  • Principal Investigator
  • Anne H. Skelly, PhD, RN, FAANP-BC
  • Co-Investigators
  • John Carlson, MS
  • Jennifer Leeman, MDiv, DrPH
  • Dorothy Burns, PhD, RN
  • Project Manager
  • April Soward, BA

3
Background
  • Symptoms provide a way to understand illness
  • Awareness by individuals that they are
    experiencing a symptom related to diabetes can
    become a guide or signal to implement self-care.
  • Patients often do not recognize the relationship
    between their symptoms and diabetes.

4
SYMPTOM-FOCUSED DIABETES CARE
Symptom Experience
Health Outcomes
Symptom Management
AH Skelly, Symptom Focused Diabetes Care for
Older African American Women 2007.
Adopted from University of California San
Francisco, Nursing Symptom Management Faculty
Group. (1994). A model for symptom management.
Image Journal of Nursing Scholarship, 26,
272-276. Dodd, M., Janson, S., Facione, N.,
Faucett, J., Froelicher, E. S., Humphreys, J., et
al. (2001). Advancing the science of symptom
management. J Adv Nurs, 33(5), 668-676.
5
SYMPTOM-FOCUSED DIABETES CARE
  • Symptom
  • Experience
  • Identification
  • Interpretation
  • Management
  • Knowledge
  • Cultural influences
  • Family role
  • Health Outcomes
  • Metabolic Control
  • Symptom Distress
  • Quality of Life related
  • to diabetes
  • Symptom
  • Management
  • Physiological strategies
  • (medical)
  • Behavioral strategies
  • (self-care practices)
  • Socio-psychological
  • strategies (coping,
  • stress, community
  • resources)

AH Skelly, Symptom Focused Diabetes Care for
Older African American Women 2007.
Adopted from University of California San
Francisco, Nursing Symptom Management Faculty
Group. (1994). A model for symptom management.
Image Journal of Nursing Scholarship, 26,
272-276. Dodd, M., Janson, S., Facione, N.,
Faucett, J., Froelicher, E. S., Humphreys, J., et
al. (2001). Advancing the science of symptom
management. J Adv Nurs, 33(5), 668-676.
6
Symptom-Focused Intervention
  • Symptoms of Hyperglycemia
  • Symptoms of Hypoglycemia
  • Numbness and Tingling in the feet foot pain
  • Prevention of Cardiovascular symptoms

7
Findings Demographics
8
Findings Symptoms Reported by gt50 of
Participants
9
Findings Top 10 Symptoms Ranked by Severity,
Distress, and Difficulty Managing
10
Summary Conclusions
  • Next Steps
  • Strengthen the skills training component
  • Retain the telephone booster
  • Test the intervention home, point of care,
    usual care
  • In-depth interviewing to elicit input on critical
    elements
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