Special Considerations for Older Adults With Diabetes Residing in Skilled Nursing Facilities

Haas, Linda B.

doi:10.2337/diaspect.27.1.37

Cited by 9 publications

(7 citation statements)

References 39 publications

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“…People with diabetes need to receive special attention to foot and oral care, because they are at higher risk of poor oral health [19] or problems with lower extremities, which sometimes complicate their comorbidities [15]. The results show that oral problems are perceived as more difficult than foot problems.…”

Section: Discussionmentioning

confidence: 96%

“…The questionnaire was developed based on the literature [11,14,15] with nine items, which focused on understanding of the condition of diabetes, the signs/symptoms of hypoglycemia and hyperglycemia, foot/oral problems, collaborating with physicians and care workers, and respecting resident need, as described in Table 3. We assessed the level of difficulty using a Likert scale from 1(not difficult at all) to 4 (very difficult).…”

Section: Measurementsmentioning

confidence: 99%

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Nurses' perception of diabetes care needs in long-term facilities in Japan: A cross-sectional survey

Sato¹,

Yuki²,

Okubo³

2019

Preprint

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Background: Diabetes is one of the common aging-related diseases, and older people with diabetes are likely to have significant health issues. In long-term care facilities, nurses often face challenges in providing appropriate diabetes care for residents. This study aimed to describe the experience and perception of nurses in diabetes care at long-term care facilities.Methods: A nationwide cross-sectional survey was administered to 1371 nurses representing different facilities. A self-report questionnaire was used to collect data regarding demographic characteristics of participants, variables related to diabetes management, difficulties in diabetes care, and the recognition of educational opportunity needs in diabetes care as well as needs for diabetes care guidelines. Descriptive statistics and bivariate analyses were performed to examine the associations among variables.Results: Among participants, 88.7% owned registered nurse license and had an average experience of 10.4 years in long-term care facilities. Approximately 61% perceived difficulties in recognizing signs/symptoms of acute metabolic failure due to hyperglycemia, while about 37% of participants did in being aware of the signs/symptoms of hypoglycemia. About 59% of participants perceived difficulties in managing blood glucose with respect to residents’ needs and preferences. Approximately 62% recognized educational opportunity needs and about 75% recognized the need for diabetes care guidelines suitable for long-term care facilities. These needs were related to the perception of difficulties, but not to variables related to diabetes management. Conclusion: This study identified the specific areas in which nurses experienced difficulties in diabetes care for residents and revealed the areas in which an approach for improving confidence of nurses in diabetes care is needed as a priority. Moreover, educational opportunities and diabetes care guidelines are required to improve the quality of care for long-term care residents.

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Section: Discussionmentioning

confidence: 96%

Section: Measurementsmentioning

confidence: 99%

Nurses' perception of diabetes care needs in long-term facilities in Japan: A cross-sectional survey

Sato¹,

Yuki²,

Okubo³

2019

Preprint

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“…The difference in this study can be explained that the majority of the participants in our study (98.21%) came from urban areas whereas most of the study population in the above study came from rural areas the living conditions in urban areas were likely to be generally better than those in rural areas, consequently leading to a better nutrition situation and overnutrition or obesity being more prevalent across adult population (72.62%) and in this specific study in patients with diabetes mellitus.Adults and especially elderly diabetes mellitus patients with substantial suboptimal nutritional status may increase the risk of hospitalization, nursing home admissions, physical disability 26 .…”

Section: Discussionmentioning

confidence: 99%

“…Varma / IP Journal of Nutrition, Metabolism and Health Science 2021;4(1):[24][25][26][27][28][29][30][31][32][33] …”

mentioning

confidence: 99%

To evaluate the nutritional status of patients with diabetes mellitus type 2 in out-patient department of a mutli-specialty hospital in Mumbai using malnutrition universal screening tool assessment score

Varma¹

2021

IJNMHS

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To screen for the nutritional status of patients with Diabetes Mellitus in out-patient department of a Multi Speciality Hospital during treatment using validated Malnutrition Universal Screening Tool. Nutritional status is an important element for quality of life and wellness among patients with Diabetes Mellitus Type 2. This study aimed to assess the nutritional status of adult diabetic outpatients using MUST-Malnutrition Universal Screening Tool and evaluate relative factors in these patients. Patients and Method: A total of 168 adult patients with Diabetes Mellitus Type 2 seen at the out-patient department of a Multi Speciality hospital in a suburb of Mumbai were included in this study. A crosssectional study was carried out from February 2019 to June 2019 in the out-patient department. Patients were evaluated for their nutritional status using Malnutrition Universal Screening Tool (MUST). Sociodemographic, current pharmaceutical treatment information, BMI, MUST score was recorded. As a part of ongoing research, 3-day dietary recall and physical activity information were collected. Multivariate regression was used to ascertain the aspects associated with nutritional status. Results: The aggregate age of the study subjects was 56 years. A total of 12 participants had MUST score of 2 or more points by MUST screening and 5 patients had a score of 1 and rest had a MUST score of 0 but 72.62% were overweight or obese. Conclusion: Early screening of nutritional status using simple screening tools like MUST might help to identify and thereby improve the nutritional status of patients with Diabetes Mellitus type 2 in out-patient department of any healthcare setting.

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“…Diabetes is associated with the progression of both physical and cognitive decline in the older age (Roman de Mettelinge et al., 2013). Moreover, individuals with diabetes in older age have a higher incidence of cardiovascular disease, kidney failure, visual impairment (Corriere et al., 2013; Haas, 2014; World Health Organization, 2016), depression, falls (Corriere et al., 2013; Haas, 2014), dementia, functional impairment and dependency on external assistance (immobility) (Gadsby et al., 2011). Diabetes increases the demand for nursing home admission (Luppa et al., 2010; Rodríguez‐Sánchez et al., 2017), which is expensive in terms of public and private finances.…”

Section: Introductionmentioning

confidence: 99%

Diabetes management of older adults in nursing homes: A retrospective study

et al. 2021

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Diabetes is a significant public health problem worldwide (Corriere et al., 2013;Munshi et al., 2016) and one of the leading causes of morbidity and mortality due to heart disease and chronic kidney disease (American Diabetes Association, 2017). Worldwide, the prevalence of diabetes is increasing at an alarming rate (World Health Organization, 2020), which represents a significant health consequence for the ageing population (Kalyani et al., 2017). Approximately one-quarter of people older than 65 years have diabetes (American

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Special Considerations for Older Adults With Diabetes Residing in Skilled Nursing Facilities

Cited by 9 publications

References 39 publications

Nurses' perception of diabetes care needs in long-term facilities in Japan: A cross-sectional survey

Nurses' perception of diabetes care needs in long-term facilities in Japan: A cross-sectional survey

To evaluate the nutritional status of patients with diabetes mellitus type 2 in out-patient department of a mutli-specialty hospital in Mumbai using malnutrition universal screening tool assessment score

Diabetes management of older adults in nursing homes: A retrospective study

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