Documentation of diabetes care in home nursing service in a Swedish municipality: a cross‐sectional study on nurses’ documentation

Abstract

The Registered Nurses are responsible for a vulnerable patient group suffering from multi-organ disease unable to maintain their own diabetes self-care. Insufficient documentation may lead to impaired quality of care. We suggest that improved documentation routines include a structure of planning, performing and evaluation of metabolic control (blood glucose measurements, Hba1c, weight and nutrition status), complications (regular blood pressure measurements, protective foot care) and education of health care assistants in assisted diabetes self-care.

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

“…Proper management of DFU focuses on reducing, delaying and preventing complications such as gangrene, infection, LEA and obtaining ulcer closure as expeditiously as possible. Several attributes have been well identified in relation to DFU intervention as follows: wound cleansing ; offloading, infection management, debridement procedure, wound moisture balance, biological agents and self‐care ; using the appropriate wound dressing ; incorporating foot care education ; sleep management ; integrating rehabilitation care and engaging individuals’ families in interventions ; performing continuity of care ; applying advanced and novel technologies ; empowering an interprofessional team ; and implementing the appropriate nursing documentation .…”

Challenges in managing elderly people with diabetes in primary care settings in Norway

“…Elderly people living at home or in nursing homes in the United States receive inadequate medical care, and the care of elderly people with diabetes in extended-care facilities does not meet American Diabetes Association (ADA) guidelines [7,8]. In addition, care of elderly people is inadequate in the Nordic countries [9,10]. For example, less than 20% of the people with type 2 diabetes in Norway achieve the recommended treatment goals in primary care [9], and diabetes care in Sweden's home nursing services is inadequately documented [10].…”

“…In addition, care of elderly people is inadequate in the Nordic countries [9,10]. For example, less than 20% of the people with type 2 diabetes in Norway achieve the recommended treatment goals in primary care [9], and diabetes care in Sweden's home nursing services is inadequately documented [10]. …”

Random blood glucose testing in dental practice

“…10 While a nursing service for patients with diabetes has been implemented in some Swedish cities, results of this program have lead to renewed calls for increased testing and education in this vulnerable population. 11 …”