Nursing Care Of Older People With Diabetes

There is very little information available on the nursing management of older people with diabetes, many of whom are cared for in care homes. This book aims to provide nurses with the skills and knowledge needed to recognise symptoms of diabetes in older people and to provide skilled and effective evidence-based care.

Trisha Dunning is the editor of Nursing Care of Older People with Diabetes, published by Wiley.

Author profiles

vii

List of Figures

ix

List of Tables

x

Foreword

xiii

Preface

xv

Acknowledgements

xvi

Terms used in the book

xvii

Dedication

xviii

1 Introduction to Diabetes in Older People

1

(21)

Trisha Dunning

1.1 Diabetes mellitus

1

(1)

1.2 Classification of diabetes

2

(3)

1.3 Normal ageing and the development of diabetes

5

(11)

1.4 Diagnosing diabetes in older people

16

(3)

1.5 Nursing responsibilities

19

(3)

2 Managing Diabetes in Older People

22

(69)

Trisha Dunning

2.1 Introduction

22

(2)

2.2 Assessment and nursing diagnosis

24

(3)

2.3 Principles of managing diabetes in older people

27

(4)

2.4 Nutritional aspects of caring for older people with diabetes

31

(14)

2.5 Increasing mobility and exercise

45

(2)

2.6 Pharmacotherapeutic management

47

(27)

2.7 Monitoring the effectiveness of management strategies and complication status

74

(8)

2.8 Mouth and dental care

82

(3)

2.9 Preventive vaccinations

85

(1)

2.10 Role of carers in diabetes management

85

(6)

3 Developing Care Systems for Older People

91

(22)

Angus Forbes

3.1 The challenge of developing effective care systems for older people

91

(3)

3.2 Defining `old' - not a straightforward task

94

(3)

3.3 Models of care

97

(2)

3.4 Assessing diabetes in the older person

99

(9)

3.5 Promoting quality of life and optimal mental health

108

(1)

3.6 Setting targets

109

(1)

3.7 Reducing the costs of diabetes

109

(1)

3.8 Conclusion

110

(3)

4 Short-term Complications of Diabetes

113

(22)

Michelle Robins

4.1 Introduction

113

(1)

4.2 Short-term diabetes-related complications

114

(1)

4.3 Hypoglycaemia

114

(9)

4.4 Hyperglycaemia

123

(8)

4.5 Lactic acidosis

131

(1)

4.6 Diabetes and urinary tract infections

132

(3)

5 Long-term Complications of Diabetes

135

(54)

Trisha Dunning

5.1 Introduction

135

(1)

5.2 Cardiovascular disease

136

(8)

5.3 Hypertension

144

(3)

5.4 Cerebrovascular disease

147

(2)

5.5 Intercurrent illness

149

(1)

5.6 Diabetes and renal disease in older people

150

(10)

5.7 Eye disease and older people with diabetes

160

(3)

5.8 Diabetic neuropathy

163

(9)

5.9 Diabetes and osteoporosis

172

(2)

5.10 Falls

174

(3)

5.11 Diabetes and wound management

177

(12)

6 Educating and Communicating with Older People

189

(10)

Trisha Dunning

6.1 Introduction

189

(1)

6.2 Characteristics of older learners

190

(1)

6.3 Survival skills

191

(3)

6.4 Ongoing education

194

(1)

6.5 Useful teaching strategies for educating older people

194

(1)

6.6 The learning environment

195

(1)

6.7 Empowerment

196

(1)

6.8 The role of the nurse in educating older people

196

(3)

7 Rehabilitation, Respite and Palliative Care

199

(12)

Trisha Dunning

7.1 Rehabilitation

199

(8)

7.2 Residential care

207

(1)

7.3 Respite care - caring for family caregivers

208

(1)

7.4 Palliative care

209

(1)

7.5 Spiritual care for older people with diabetes

209

(2)

8 Mental Health, Depression, Dementia and Diabetes

211

(19)

Trisha Dunning and Michelle Robins

8.1 Mental health and depression

211

(7)

8.2 Dementia and diabetes

218

(12)

9 Effective Medication Management in Older People

230

(20)

Sue Hunt

9.1 Introduction

230

(1)

9.2 Identifying the complexities

231

(1)

9.3 Older people - not a homogeneous group

232

(1)

9.4 Medicines issues and older people

233

(2)

9.5 Quality use of medicines

235

(11)

9.6 Nursing responsibilities

246

(4)

10 Sexuality and Older People with Diabetes

250

(14)

Trisha Dunning

10.1 Introduction

250

(1)

10.2 Sexual health

250

(1)

10.3 Sexual development

251

(4)

10.4 Sexual problems

255

(2)

10.5 Effects of diabetes on sexual functioning

257

(1)

10.6 Sex education

258

(1)

10.7 Complementary therapies

259

(1)

10.8 Sexual counselling

259

(1)

10.9 Role of the nurse

260

(4)

11 Using Complementary Therapies Wisely in Older People

264

(19)

Trisha Dunning

11.1 Introduction

264

(2)

11.2 Complementary therapy philosophy

266

(1)

11.3 Goals of complementary therapy use for older people with diabetes

267

(1)

11.4 Integrating complementary and conventional care

268

(1)

11.5 Complementary therapy guidelines

269

(1)

11.6 Do complementary therapies benefit older people with diabetes?

269

(1)

11.7 Some complementary therapies commonly used by people with diabetes

270

(3)

11.8 Complementary therapies used for specific diabetes comorbidities

273

(2)

11.9 Adverse events associated with complementary therapies

275

(4)

11.10 How can complementary therapies be used safely for older people?

279

(1)

11.11 Nursing responsibilities

280

(3)

12 Resources

283

(4)

Trisha Dunning and Michelle Robins

12.1 Diabetic associations

283

(2)

12.2 Other associations providing services relevant to older people with diabetes

285

(1)

12.3 Pharmaceutical companies

285

(1)

12.4 Government departments concerned with health and ageing

285

(1)

12.5 Recommended reading

286

(1)

Index

287

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Nursing Care Of Older People With Diabetes

Summary

Author Biography

Table of Contents

Supplemental Materials