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. 2009 Apr;13(2):205-10.
doi: 10.1188/09.CJON.205-210.

Diabetes management and self-care education for hospitalized patients with cancer

Ashley Leak  1 , Ellen D Davis, Laura B Houchin, Melanie Mabrey
Affiliations

Diabetes management and self-care education for hospitalized patients with cancer

Ashley Leak et al. Clin J Oncol Nurs. 2009 Apr.

Abstract

Managing diabetes can be a daunting task for patients with cancer. Empowerment-based diabetes education and motivational interviewing are complementary approaches. Oncology nurses may feel unprepared to teach patients and their families about self-care for diabetes, but they provide individualized information on symptom management of cancer throughout hospitalization and at discharge. The essential self-care issues include food, exercise, medication, blood glucose monitoring, prevention, recognition and treatment of hypoglycemia and hyperglycemia, and when and how to get additional medical and educational support. This patient-centered model of diabetes education differs from the older "compliance" model that covers many universal rules for all patients, which are predetermined by the nurse. Informing nurses about their role in care of patients with cancer and diabetes is critical.

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Figures

Figure 1
Figure 1. Predischarge Instructions
Note. Based on information from Clement et al., 2004; Joint Commission, 2009; Mensing et al., 2004; Nettles, 2005.
Figure 2
Figure 2. AADE7™ Self-Care Behaviors
Note. Based on information from American Association of Diabetes Educators, 2007; Boren, 2007.
Figure 3
Figure 3. Guiding Principles of Motivational Interviewing
Note. Based on information from Rollnick et al., 2008; Welch et al., 2006.
See this image and copyright information in PMC

References

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