Untitled presentation

Hi. My name is Katie.

I'm a nurse here in Las Vegas, and I would

like to talk to you a little bit.

About are diabetic population density and how we kicked him

in the hospital in, uh what?

We could maybe be doing a little bit better.

I was noticing that diverts were being readmitted more on

our unit.

I was seeing them more often.

And so I did a little research on it and

realised that diabetic patients do you have a high rate

of remission into the hospitals?

And so it was trying to figure out Why's that?

Are we not educating in us on maintenance and health

promotion activities?

And, uh, so I asked myself the question in hospital

with diabetic patients.

How does a greater emphasis on diabetic education compared to

emphasis on symptom and complication management, affect reanimation rates after

the patients is charged?

So does education effect, uh, read missionary and it does

it. Research shows that it really does.

So I'm gonna talk a little bit about that research

as well as with some changes that we could be

implementing in the hospital.

So, first off, why is diabetic patient care problem so

the educational need exists.

Target audience is, of course, I'll help care workers and

policymakers. Anyone was involved in the care of diabetic patients.

All of us are the target are people who need

to see why this is important.

Diabetes is the seventh leading cause of death in a

vast, so it's up there.

9.2% of adults in Carr County are diagnosed with diabetes.

Uh, readmission rates of non diabetics is eight point pipes

to 13.5% and four diabetics.

It's 14.4 20 points of it, and thats they that's

almost double.

That's almost twice as much free admission for a diabetic

patients, and I'm diabetic.

That is very worth looking into.

Our research tells a source that shows that the main

risk factors for diabetic patient readmission, low socioeconomic classes, racial

ethnic minorities and insurance issues.

So the health, literacy and resource resource is kind of

like, um, sound, too.

And then, finally, diabetes targeted education in case management, while

impatient, has a profound effect on re missionary.

Some length of stay being reduced.

Multiple studies have shown us that, so it really does.

It really does work toe about an education while they're

impatient the first time.

So here's a little literature of you little reviewable the

studies I was talking about earlier.

Uh, so one hospital has tried this.

They put in a resource ners and in case manager

specifically for diabetics.

Iris. That's what the specialist in that city care for

and in this hospital did see great reduction and readmission

rates. Another hospital, same thing.

But they put in diabetic management teams so little team

of people browned on all the diabetic patients.

They've really focused on education.

And they saw an 11% decrease in and missionaries and

20% decrease in length of stay in the house, which

is pretty basic.

Those were very good results.

So here's some references.

Want to see the study's blocks of amount there?

Next diagnosis and the community is so knowledge deficit of

disease process.

That's a big one resource deficit, another huge one and

then finally inadequate made It is pretty much really diverse,

too. Now, if you don't know how to care for

it, don't have the means to, since it's not gonna

be good.

So, uh, community strength.

So the pneumatic Department of Health and Human Service is

conducted. A report on the burden of diabetes in Nevada

is was in 2017 s o.

They put a lot of work into this report on

the statistics who have it who have complications.

They realized there was a problem for our city.

The following year.

There were 2018.

Um, the legislation was passed that limited the costs of

insulin. And, uh, that was that was a good thing

because a lot of people couldn't afford it.

And they realized, uh, amount of diabetes association, that that's

out there.

That's ah, really good resource for people.

Couldn't get in information support groups.

Education is in multiple languages, those nice and inclusive.

So that's good.

Um, And then here's the weaknesses.

We rank 48th and education.

We're the last kiss endings.

We spend the least of anyone on health a purpose

per person way Spend the least all the amount of

all 50 states.

We're just kind of sad.

And then again, seventh leading cause of death.

So Nevada's Qatar we wake up, we got some room

for improvement.

So, planning for a change, how are we gonna What

are we gonna do about this Here's some goals.

Here's some basic rules that we can implement in the

hospital. Help you patients on and implement education.

Milestones like this patient will be able to check from

blood sugar.

They will be able to give her an insulin.

They know how to inspect their feet.

Simple stuff.

Incorporated Diabetic resource.

Nissen Case management.

I think this is a great idea.

It's been shown to work in other hospitals.

Uh, it just makes sense.

It makes sense.

So it's one.

It's a nurse like we should do it.

We should definitely implement that Mobilize resource is, uh, for

patients to pro independence and care off course.

I have a list of places they can go out

patient, um, affordable access to medications and blood sugar checks.

Things like that.

We gotta have.

We gotta have that information available to be able to

help. And the Eagle last school reduced re missionary.

Of course.

Course it's the last.

That's the end game.

What's the final goal?

So hopefully that works out.

Here's some teaching methods.

Um, of course, the presentation about a presentation here.

This is a good start.

Hand out their excellent because you have, like you can

see statistics.

You can see, then inventions.

Everything is right there in front of you.

Intangible. Which is invaluable to get people on board.

Um, cultural considerations.

Very important.

Uh, that's probably that's probably kind of what diabetes is

a problem sometimes in the first place.

Um, because we don't always We don't know what's teacher

according to the person's culture.

And we've seen from the research earlier.

Uh, ethnic and racial minorities are risk factor for complications.

So we should be definitely addressing those things.

Uh, have definitely used the use of phone numbers for

translations and understand different diets.

And, yeah, go from their evaluation methods.

We gotta We gotta make sure we know howto howto

effectively evaluate.

Make sure things were working.

So implementation, putting it into practice.

We've gotta change team here.

Got a nurse champion.

Case management.

Very important.

Nurse educators like a point of contact.

You can train all the nurses.

Diabetic resource nurse.

They're gonna have to be trained up on and provided

really like a key service for this whole change idea

in the first place.

They are going to be a key player.

Hospital administration.

Gotta got definitely gonna be involved with them.

It's in order to procure the statistics and get the

funding. Well, the fun stuff.

His example of some milestones for implementation.

So first conduct compile a changed here.

I don't like the milestones.

That was kind of from the previous one.

But this is all streaming into practice.

Train and nurse.

Ah, resource manager.

And he's a resource.

Nice in case.

Manager, actually do the training.

That's gonna take some time, maybe pick a unit to

pilot the change.

Weaken um, start slow and monitor progress.

This and then a survey would be very school surveyor.

Diabetic patients See how they're doing in beginning, Um, how

they're currently feeling that they're doing taking care of your

diabetes. Here's an example.

Checklist. Patient is able to fully inspect treat for rooms

like patient.

They will don't shoot a bunch of your simple, simple

checklist. Make sure that they can do these things before

they leave.

Finally, we gotta evaluator change.

So read missionaries, statistics and patients there was on those

are the two best ways how patients perception and the

cold, hard facts.

Best thing we can do.

And then, of course, the agency.

How is the hospital.

Gonna government decided that that it was successful.

And is there tangible difference and re missionaries H cap

scores. If that changes, however the finances doing cause that's

important to hospitals.

So that's a few of the methods.

So we can use, uh, thank you for your time.

Thank you for listening.

Does anybody have any questions?

Okay, I'll pass out a few surveys on my presentation.

Please fill them out on dhe, turn them back in,

and I really appreciate it.

Untitled presentation

Audio TranscriptAuto-generated