Diabetes Management in the Primary Care Setting



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APNA Online Learning www.apna.asn.au/onlinelearning Diabetes Management in the Primary Care Setting Course Summary Diabetes Management in the Primary Care Setting is an online learning program aimed at nurses providing diabetes care and management in the primary care setting. The course consists of two units; Unit 1 Introduction to Diabetes and Unit 2 Supporting People Living with Diabetes. Unit 1 consists of seven modules and Unit 2 consists of 6 modules. Each Unit may be undertaken separately, however Unit 1 must be completed before commencing Unit 2. Target Audience Registered Nurses and Enrolled Nurses practising in the primary care sector e.g. community health, general practice etc. Learning Objectives The overall goal of the course is to assist nurses in the primary care sector to become active and confident members of the diabetes care team. The course aims to achieve this through enabling nurses to: identify those at risk of developing diabetes and appropriate primary care prevention strategies provide information and basic introductory to diabetes self management education to people with diabetes in their care provide assistance with diabetes survival skills advise people with diabetes about available support and clinical services assist health and allied health peers with information on appropriate diabetes networks, support and services identify basic problems with diabetes care and manage appropriate referral pathways support people with diabetes rights to make informed decisions about their management and care Time Commitment Unit 1 Each of the 7 Modules is estimated to take approximately 2 hours to complete. There are also pre and post learning surveys and 1 offline assessment task which should take approximately 1 2 hours to complete. Total Hours for Unit 1 is approximately 14 hours online plus 1 2 hours offline. Unit 2 Each of the 6 Modules is estimated to take approximately 2 hours to complete. There are also pre and post learning surveys and 2 offline assessment tasks required for completion. Total Hours for Unit 2 is approximately 12 hours online plus offline assessment tasks.

Development Diabetes Management in the Primary Setting was developed by the Australian Practice Nurses Association (APNA) and the Australian Diabetes Educators Association (ADEA). The content has been reviewed by APNA to ensure it is grounded in the practice context experienced by nurses in the primary care sector. This project was funded by an educational grant from Merck Sharp and Dohme (MSD) to support improved health outcomes for people with diabetes.

Unit 1 Introduction to Diabetes Summary Unit 1 Introduction to Diabetes has been designed for those who have identified a need to update or increase their basic diabetes and diabetes management knowledge. This unit will provide nurses with a basic understanding of the disease and its impact on the individual and the broader community. This unit will provide the minimum diabetes specific knowledge needed to support provision of quality care to the person with diabetes and their families and carers. Learning Objectives identify those at risk of developing diabetes and appropriate primary care prevention strategies provide information and basic introductory diabetes self management education to people with diabetes in their care provide assistance with diabetes survival skills recognise the diagnostic criteria for diabetes, indentify common presentation of different types of diabetes and management options identify signs, symptoms and recommended treatment of acute diabetes complications identify the common chronic diabetes complications, recommended screening processes and strategies to reduce or delay the development manage appropriate referral pathways for persons with complex diabetes care requirements. Content Modules Unit 1 Introduction to Diabetes consists of seven (7) modules: Module 1. Diabetes Pathophysiology, Prevention and Detection Module one aims to provide nurses with an understanding of the pathophysiology, prevention and detection of type 1 diabetes, type 2 diabetes and gestational diabetes. Module 2. Diabetes and Lifestyle Module two aims to provide nurses with an understanding of the role of nutrition, physical activity and exercise in diabetes management and care. Module 3. Diabetes Medications Module three aims to provide an overview of the role of diabetes medications in the management of type 1 diabetes, type 2 diabetes and gestational diabetes. Module 4. Acute Diabetes Complications Module four aims to provide nurses with knowledge about the impact, recognition, treatment and prevention of acute diabetes complications. Module 5. Chronic Diabetes Complications Module five aims to provide the knowledge, skills and understanding necessary to contribute in the prevention, early detection and screening of chronic diabetes complications.

Module 6. Self Monitoring in Diabetes Module six aims to provide an understanding of the role of self monitoring blood glucose and ketones, and interpreting and applying the results in daily diabetes management decisions. Module 7. The Diabetes Care Team Module seven provides an overview of the role and scope of practice of the members of the diabetes care team. This module also outlines the current Australian Commonwealth Government incentives funded through Medicare that support the annual cycle of care, best practice recommendations for complication screening, self management education and multidisciplinary care in general practice.

Unit 2 Supporting People Living with Diabetes Summary Unit 2 Supporting People Living with Diabetes has been designed for those with a need for more detailed knowledge about specific situations and individual circumstance that influence diabetes care and management goals for different population groups. This unit will provide nurses with knowledge and understanding about how to individualise and coordinate basic diabetes care and management requirements. Content Modules Unit 2 Supporting People Living with Diabetes consists of six (6) modules: Module 1. Diabetes in Children and Adolescents Module one aims to provide nurses with an understanding of the unique diabetes selfmanagement education and management needs and requirement for specialist care of children and adolescents living with type 1 diabetes and type 2 diabetes, and their families and carers. Module 2. Diabetes and Pregnancy Module two aims to equip nurses with knowledge of the management and care of women with gestational diabetes mellitus. The module also aims to provide an understanding of the need for referral to specialist care for pregnancy planning, management during and after pregnancy for women with pre existing type 1 diabetes and type 2 diabetes. Module 3. Diabetes in Older Australians Module three aims to provide nurses with an overview of the special needs that must be taken into considerations when determining management goals and care planning for older Australians. Module 4. Diabetes and Indigenous Australians Module four aims to provide nurses with an understanding of the circumstances and individual needs that must be taken into considerations to support culturally appropriate diabetes care planning and management for Indigenous Australians. Module 5. Diabetes in Culturally and Linguistically Diverse Populations Module five aims to provide nurses with an understanding of the challenges experienced by Australia s culturally and linguistically diverse population groups. The module will also cover factors that must be taken into considerations to support culturally appropriate diabetes care planning and management. Module 6. Supporting Diabetes Self Management Module six aims to provide nurses with an overview of diabetes education as an integral component of patient care. This module also addresses the importance of supporting the patient to gain confidence and self determination in their daily diabetes self management.