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Health Promotion Diabetes

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Julie Hatch

on 17 December 2014

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Transcript of Health Promotion Diabetes

Health Promotion -
DIABETES

Resource
Evaluation
Summary

Diabetes
Target group
Rationale
Health & health inequalities
Health promotion model
Resource
Reflection
Evaluation
Summary


Objectives of health promotion presentation
DIABETES - what is it?
TARGET GROUP

The diabetic patient who is independant enough to promote good footcare

Male or female
Predominantly over the age of 65
Any race or religion and socioeconomic status

AIM

To reduce the prevalence of diabetic foot ulcers and diabetic amputations
www.ehealth.gov.mt
Diabetic foot care
Diabetes.org.uk
Diabetes.org.uk
DIABETES
TYPE 1 & TYPE 2
Hyperglycaemia increases risk of:

Diabetic retinopathy
Diabetic nephropathy
Diabetic neuropathy


http://www.kingsfund.org.uk/time-to-think-differently/trends/demography/ageing-population
Ageing population
SID 0926346

Health Promotion
DIABETES


Downie, Fyfe and Tannerhill (1990)
HEALTH
EDUCATION
HEALTH
PROTECTION
HEALTH
PREVENTION
1. How quickly should a suspected ulcer or infection be seen by a professional?

2. What % diabetic amputations are preventable?

3. What % of diabetic patients are at risk of developing foot problems?
References
THANK YOU
Diabetic Neuropathy


Foot complications for diabetics i.e. peripheral vascular disease or neuropathy causes damage to large blood vessels in lower limbs.
(NICE, 2004)
Prevalence of Diabetes
Ageing population
Care home statistics
Diabetic foot
The supporting evidence
"Public health focuses on a population to prevent health problems"



“Health promotion is a process which gives people control of their health, improving it as a result”



HEALTH
PROMOTION
HEALTH INEQUALITIES
Overweight
Physically inactive
Increasing risk with age (1in20 over 65years, 1in5 over 85years)
Deprivation (morbidity 3x higher in poorer people)
Ethnicity
Learning disabilities
Mental health
Socially excluded communities
Age break down of England population - projections from 2012 to 2032

From 2012 to 2032 the populations of the over 85s are set to increase by 106% respectively

Prevalence of diabetes
Care home statistics
Diabetic foot
Reflection
Barriers
Strengths
Rationale
PLAY CLIP
FOOT CARE PACK includes:

1. Leaflet
2. 'SEE IT DO IT' mirror guide
3. Audiovisual guide


www.pancreatic.org
Highly vulnerable
At risk
1 in 4 have diabetes
(Diabetes UK, 2010)
Quality of life
Foot ulcer before amputation
Amputations preventable
NHS cost
(Diabetes UK, 2013 )(NICE, 2011)
2012
2035

(UK)
3.2
5.0

(Global)
382
592
2013
2025
(International Diabetes Federation, 2013)
Million people
(Diabetes UK, 2014c)
175 million people globally undiagnosed Type 2
1 in 17 people in UK diagnosed and undiagnosed diabetes
Understanding of diabetes
Empowerment
Assumptions
Ownership
Quick & easy to use resource
Includes audiovisual
Preventative, action, signpost
Evidence based & credible sources
Alignment to policies
Was the aim achieved?
Were objectives SMART?
Audit?
Evaluation is only valuable if it informs decisions. The results should therefore be fed back to the funders, policy holders and shapers of the wider health economy. (Thorogood & Coombes, 2010)
AIM

To reduce the prevalence
of diabetic foot ulcers and diabetic amputations

Ageing population
Increased prevalence type 2 diabetes
Early detection & action
MDT
Diabetes is every nurses business

QUIZ
Health
Belief
Model
(WHO, 2005)
(Thornbury, 2013)
HEALTH
"Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease" (WHO, 1948)
Diabetes Type 2
THE DIABETIC FOOT
(Diabetes UK, 2014a)
Daily foot hygiene should be observed on all diabetic patients particularly patients in high dependency community settings since this forms part of the health promotion and prevention strategy
(Foster & Bentley, 2008)
(Marieb & Hoehn, 2007)
Diabetic footcare
Nurses Role
Diabetes develops when glucose can’t enter the body’s cells to be used as fuel. This happens when either:
•(Type 1) There is no insulin to unlock the cells
•(Type 2) There is not enough insulin or the insulin is here but not working properly

(Diabetes UK, 2014b)
Empower
Engage
Collaborative working

Effects of Diabetes
www.ehow.com
The Kings Fund, 2011
(NHS England, 2014)
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With special thanks to:

Christine Bradford and James Hatch in the making of the 2 Minute Foot Checker

Jean Duffle
NHS Diabetic Nurse Specialist

Mark Spraggins
Full transcript