DAFNE Session Learning Outcome (SLO) Form: Session content
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1 DAFNE Session Learning Outcome (SLO) Form: Session content Session No: 7 Session Title: Insulin action and injection technique Expected minimum timing for session: 75 minutes Insulin Regimen Day: Time Started: Time Finished: Personalised lesson plan provided? Yes / No Essential Content (needed to meet Learning Outcomes): The profile of physiological insulin production in the non-diabetic (1). The names of insulins they are aware of (1). The categories which each of these insulins fit in to (1). How the insulins are manufactured to have differing actions (1). The terms used in DAFNE to describe short acting and intermediate / long acting insulins: Quick Acting (QA) and Background Insulin (BI) (1) The function of background insulin is to keep the blood glucose stable when no carbohydrate is eaten (2). How to evaluate and establish their doses of background insulin (2). The factors which may influence an individual s insulin requirement (2). Carbohydrate causes the blood glucose to rise (2). The main function of quick acting insulin is to cover any carbohydrate eaten (2). The amount of quick-acting insulin required to counteract the carbohydrate may be variable depending on the time of day (2). The ratios of quick-acting insulin to CPs used in DAFNE (2). How to evaluate and establish their quick-acting: CP ratios (2). Quick acting insulin is also used to correct blood glucose, above DAFNE targets (2). How long they should wait before their meal when quick-acting insulin has been injected (2). The action profile of the insulins that they are using (onset, peak and duration) (3). The duration of action is dose dependent (3). DAFNE F03.006, Version 7 April 2015 (session 7.0) 1 of 5
2 DAFNE Session Learning Outcome (SLO) Form: Session content Session No: 7 Session Title: Insulin action and injection technique Expected minimum timing for session: 75 minutes Insulin Regimen Essential Content (needed to meet Learning Outcomes) continued: The action of insulin is variable according to site of injection (3). The advantages and disadvantages of the different insulin regimens (3). The DAFNE regimen of BI is twice daily: first thing in the morning and last thing at night (on rising and on retiring) (3). Expected Content (needed to make participants aware): The range of insulins available and their actions DAFNE Targets Benefits of keeping a DAFNE diary Essential Content (needed to meet Learning Outcomes): The steps required to ensure safe and effective injection of insulin (4). How to identify which is their quick-acting and which is their background insulin (4). Understand that isophane insulin must be re-suspended before being drawn into the syringe or injected from a pen (4). Insulin is injected into the subcutaneous tissue (4). The effects of injecting insulin into muscle (4). Heat affects the action of insulin (4). Swabbing of the skin is unnecessary (4). The effects of repeatedly injecting into the same area (4). Importance of regularly checking injection sites (4). How insulin absorption is affected when injecting into lumpy areas (4). The range of insulin injection devices available (4) DAFNE F03.006, Version 7 April 2015 (session 7.0) 2 of 5
3 DAFNE Session Learning Outcome (SLO) Form: Educator strategies Educator Strategies Evidence / Examples Introduction Open questioning Clarification / explanations / information / illustrations Practical activities / visual tools Feedback and reflection Summary DAFNE F03.006, Version 7 April 2015 (session 7.0) 3 of 5
4 Yes Partial No Educator self-aware? DAFNE Session Learning Outcome (SLO) Form: Learning outcomes Learning Outcome Achieved Not Fully Achieved By the end of the session(s), participants should be able to: Evidence (refer to essential session content) Strategy identified to achieve this 1 of 4 Recall the purpose of physiological insulin and how insulin is manufactured with a range of actions to suit varying individual requirements. 2 of 4 Explain how doses of insulin are calculated, adjusted and evaluated applying DAFNE principles. 3 of 4 Compare the actions of different insulins and identify those that can be used for flexible insulin therapy within the DAFNE regimen. DAFNE F03.006, Version 7 April 2015 (session 7.0) 4 of 5
5 DAFNE Session Learning Outcome (SLO) Form: Learning outcomes 4 of 4 Describe the elements that contribute to safe, accurate and reliable insulin injection. Comments: DAFNE F03.006, Version 7 April 2015 (session 7.0) 5 of 5
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