Diabetes education art science and evidence 1st Edition
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Diabetes education art science and evidence 1st Edition
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Diabetes education art science and evidence 1st Edition
Trisha Dunning (Editor) Digital Instant Download
Author(s): Trisha Dunning (editor)
ISBN(s): 9781118702666, 1118702662
Edition: 1
File Details: PDF, 3.20 MB
Year: 2012
Language: english
Diabetes Education
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Education is not the filling of a pail but the lighting of a fire.
(W.B. Yeats 1865–1939)
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Diabetes Education
Art, Science and Evidence
Edited by
Professor Trisha Dunning AM
RN, MEd, PhD, CDE, FRCNA
Chair in Nursing and Director Centre for Nursing and Allied Health Research
Deakin University and Barwon Health
Geelong, Victoria, Australia
A John Wiley & Sons, Ltd., Publication
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This edition first published 2013
© 2013 by John Wiley & Sons, Ltd.
Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley’s
global Scientific, Technical and Medical business with Blackwell Publishing.
Registered Office
John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19
8SQ, UK
Editorial Offices
9600 Garsington Road, Oxford, OX4 2DQ, UK
The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
2121 State Avenue, Ames, Iowa 50014-8300, USA
For details of our global editorial offices, for customer services and for information
about how to apply for permission to reuse the copyright material in this book please
see our website at www.wiley.com/wiley-blackwell.
The right of the author to be identified as the author of this work has been asserted in
accordance with the UK Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted, in any form or by any means, electronic, mechanical,
photocopying, recording or otherwise, except as permitted by the UK Copyright,
Designs and Patents Act 1988, without the prior permission of the publisher.
Designations used by companies to distinguish their products are often claimed as
trademarks. All brand names and product names used in this book are trade names,
service marks, trademarks or registered trademarks of their respective owners. The
publisher is not associated with any product or vendor mentioned in this book. This
publication is designed to provide accurate and authoritative information in regard
to the subject matter covered. It is sold on the understanding that the publisher is not
engaged in rendering professional services. If professional advice or other expert
assistance is required, the services of a competent professional should be sought.
Library of Congress Cataloging-in-Publication Data
Diabetes education : art, science, and evidence / edited by Trisha Dunning.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-470-65605-1 (pbk. : alk. paper)
I. Dunning, Trisha.
[DNLM: 1. Diabetes Mellitus–therapy. 2. Diabetes Complications–
prevention & control. 3. Patient Compliance. 4. Patient Education as
Topic–methods. 5. Self Care. WK 815]
616.4′62–dc23
2012022778
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that
appears in print may not be available in electronic books.
Cover image: iLexx/iStockphoto
Cover design by Garth Stewart
Set in 9.5/12.5 pt Palatino by SPi Publisher Services, Pondicherry, India
1 2013
Dunning_ffirs.indd iv 8/11/2012 8:41:24 AM
Contents
List of Contributorsxi
Forewordxiii
Prefacexvii
Acknowledgementsxxi
List of Tables, Figures and Boxesxxiii
List of Abbreviationsxxvii
1 Brief Overview of Diabetes, the Disease 1
Trisha Dunning AM
Introduction1
Overview of diabetes 1
Prevalence of diabetes 2
Overview of normal glucose homeostasis 2
Signs and symptoms of diabetes 3
Diabetes management and management aims 7
Long-term diabetes complications 8
Summary9
References9
2 The Journey of the Person with Diabetes 12
Jane Speight and Harsimran Singh
Introduction12
Psychological factors: the role of beliefs
and attitudes 14
Psychological factors: emotional reactions
to diabetes 19
Social factors: influence of personal situation 21
Factors that affect illness/wellness behaviours 22
Summary23
References24
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vi Contents
3 Teaching and Learning: The Art and Science of Making
Connections28
Trisha Dunning AM
Introduction28
Purpose of diabetes education 29
Principles of learning and teaching 29
Learning theory 31
Laws of learning 32
Knowledge32
Nudging34
Learning and the brain 35
Memory36
Keeping the brain fit: brain training 37
Brain training: mind-body fitness 38
Sleep: vital for learning and memory 39
His brain, her brain 39
Technology40
Helping people learn: proactive strategies are
more effective 41
Summary46
References46
4 Making Choices, Setting Goals 49
Timothy Skinner
Introduction49
Why don’t people do what is best for them? 50
Self-regulation, goals and values 52
Behaviour-serving goals 53
Limited resources 56
SMARTER58
Sleep59
Summary60
References61
5 The Teacher: Moving from Good to Exceptional 62
Trisha Dunning AM
Introduction62
Healing63
Who is a teacher? 64
Attributes of a ‘good’ teacher 65
Moving from good to exceptional 67
Philosophy of diabetes care and education 67
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Contents vii
Factors that influence philosophy 69
Therapeutic relationship 70
Listening72
Know yourself 72
Wounded healer 74
Reflection74
Being present in the moment 75
Self-care75
Summary76
References76
6 People Do Not Always Speak the Same Language Even
When They Speak the Same Language 78
Trisha Dunning AM
Introduction78
What is language? 78
Components of language 80
Learning a language 81
The power of language 82
Body language 84
Culture86
Exchanging information: a complex process 89
Language and attitude change 90
‘Voices’90
Narrative medicine 91
The value of reading fiction 91
Using writing in diabetes care 92
Education materials 94
Winnie the Pooh has the last word 94
References95
7 Role and Use of Creative Arts in Diabetes Care 98
Jean-Philippe Assal and Tisiana Assal
Introduction98
Medical identity 98
The four cardinal axes of healthcare delivery 99
Listening to patients and modes of self-expression 101
Promoting creativity 101
Painting as a process of transformation 101
The theatre of lived experience 106
Artistic expression favours communication 106
Two examples 107
Key learning 111
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viii Contents
Art and therapeutic education 112
Summary114
Recommended reading 115
8 Turning Points and Transitions: Crises and Opportunities 117
Trisha Dunning AM
Introduction117
The seven ages of man 118
Common major life transitions 120
Neutral zone 122
A new beginning 122
Major life transitions 123
Signs a person may be entering or is in a life transition 125
Strategies to help people manage life transitions 125
Building resilience 127
References131
9 Sharing Stories of the Journey: Peer Education 133
Gretchen A. Piatt, Rhonda Lee, Helen Thomasic,
Norma Ryan and Millie Glinsky
Introduction133
Empathy and sympathy 142
Empathy and social support 142
Empathy and patient relationships 143
References147
10 Diabetes: A Lifetime of Learning 151
Michelle Robins
Introduction151
The clinical experience 152
Learning styles 156
Be honest 159
Consistent and correct terminology 159
Simplifying complex concepts into easier to
understand concepts 160
Using the individual’s knowledge and experience 161
‘Catchy’ phrases 161
Visual aids 162
Asking the right questions 163
Health literacy 164
Group education 166
Educating people with disabilities 169
Being flexible about where diabetes education is delivered 170
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Contents ix
Cultural sensitivity and diabetes education 170
Be aware of language 172
Where to start 172
Chapter summary and key points 173
References174
11 Medicine Self-Management: More than Just Taking Pills 177
Trisha Dunning AM
Introduction177
Medicine self-management 178
Complementary and alternative medicines and therapies 181
‘Compliance’: to use or not to use, that is the question 183
People with diabetes’ perspective 184
HPs, especially prescribers and educators perspectives 186
Carers, particularly family members 186
Extent of non-compliance 187
Is there a relationship between medicine compliance and
optimal health outcomes? 188
Factors that influence medicine compliance 190
How is compliance assessed/measured? 190
Quality use of medicines 194
QUM, diabetes educators and medicine management 194
Summary196
References197
12 The Advance of Health Information Technology:
Travelling the Internet Superhighway 200
Kari Harno
Introduction200
Internet and networks 200
Diabetes education 202
Diabetes management tools 205
Personal health tools and self-care 207
Summary211
References212
13 Leadership—Know Yourself: Influence Others 215
Trisha Dunning AM
Introduction215
Leadership: a brief historical perspective 216
What is leadership and what/who is a leader? 218
Leader functions 220
Leadership philosophies, theories and models 220
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x Contents
Leadership styles 221
Leadership competencies and attributes 221
Leadership education and care of people with diabetes 224
Leadership in diabetes clinical care 225
Leadership in diabetes education 225
Leadership in diabetes research 225
What do diabetes educators think about leadership? 227
How can we grow diabetes education leaders? 228
Summary229
Acknowledgements230
References230
Appendix232
Index235
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Nursing - Summary Sheet
Spring 2023 - School
Prepared by: Dr. Miller
Date: August 12, 2025
Unit 1: Experimental procedures and results
Learning Objective 1: Practical applications and examples
• Assessment criteria and rubrics
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Learning Objective 2: Experimental procedures and results
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 2: Diagram/Chart/Graph]
Learning Objective 3: Statistical analysis and interpretation
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Learning Objective 4: Best practices and recommendations
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 4: Diagram/Chart/Graph]
Learning Objective 5: Current trends and future directions
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 5: Diagram/Chart/Graph]
Key Concept: Case studies and real-world applications
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Problem-solving strategies and techniques
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Study tips and learning strategies
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Historical development and evolution
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Practice Problem 9: Critical analysis and evaluation
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Background 2: Learning outcomes and objectives
Note: Problem-solving strategies and techniques
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Ethical considerations and implications
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Learning outcomes and objectives
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Theoretical framework and methodology
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 14: Assessment criteria and rubrics
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Problem-solving strategies and techniques
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Remember: Case studies and real-world applications
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 17: Assessment criteria and rubrics
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 18: Diagram/Chart/Graph]
Practice Problem 18: Theoretical framework and methodology
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Key Concept: Key terms and definitions
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Introduction 3: Literature review and discussion
Important: Learning outcomes and objectives
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Note: Learning outcomes and objectives
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Note: Case studies and real-world applications
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 23: Diagram/Chart/Graph]
Practice Problem 23: Current trends and future directions
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 24: Diagram/Chart/Graph]
Note: Practical applications and examples
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Best practices and recommendations
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Definition: Experimental procedures and results
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Critical analysis and evaluation
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Interdisciplinary approaches
• Interdisciplinary approaches
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 29: Problem-solving strategies and techniques
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Topic 4: Statistical analysis and interpretation
Key Concept: Fundamental concepts and principles
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Key terms and definitions
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 32: Historical development and evolution
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 33: Current trends and future directions
• Practical applications and examples
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Practice Problem 34: Fundamental concepts and principles
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Key terms and definitions
• Learning outcomes and objectives
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Definition: Problem-solving strategies and techniques
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Fundamental concepts and principles
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
[Figure 38: Diagram/Chart/Graph]
Key Concept: Critical analysis and evaluation
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 39: Current trends and future directions
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
References 5: Ethical considerations and implications
Practice Problem 40: Statistical analysis and interpretation
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Case studies and real-world applications
• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 42: Experimental procedures and results
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Important: Critical analysis and evaluation
• Comparative analysis and synthesis
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Important: Comparative analysis and synthesis
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Practice Problem 45: Critical analysis and evaluation
• Problem-solving strategies and techniques
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Definition: Ethical considerations and implications
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 47: Diagram/Chart/Graph]
Key Concept: Case studies and real-world applications
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Comparative analysis and synthesis
• Research findings and conclusions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Historical development and evolution
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Unit 6: Best practices and recommendations
Key Concept: Current trends and future directions
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 51: Current trends and future directions
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Note: Literature review and discussion
• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Historical development and evolution
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Example 54: Theoretical framework and methodology
• Theoretical framework and methodology
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 55: Diagram/Chart/Graph]
Remember: Practical applications and examples
• Ethical considerations and implications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Key Concept: Literature review and discussion
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Key Concept: Problem-solving strategies and techniques
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Fundamental concepts and principles
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
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