The Diabetes
Consultation
Consultation infrastructure
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| Make available for consultations the following : |
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diabetes team members |
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time and space |
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printed information for the individual with diabetes |
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records and means of communication to other health professionals |
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Consultation
process
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| Include the following : |
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Welcome |
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- Friendly greeting and early establishment of rapport
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Problems review |
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| Identification of: |
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recent life-events / new symptoms |
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new difficulties in self-management of diabetes |
| Review of: |
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self-monitored results; discussion of their meaning |
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dietary behaviours, physical activity, smoking |
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diabetes education, skills, and foot care |
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blood glucose, lipid and blood pressure therapy and results |
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other medical conditions and therapy affecting diabetes |
| Management of: |
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arterial / foot risk factors identified at Annual Review |
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complications and other problems identified at Annual Review |
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Analysis and planning |
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| Agreement on: |
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main points covered |
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targets for coming months |
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changes in therapy |
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interval to next consultation |
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Recording |
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Completion of:
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structured record / patient-held record |
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Annual
review
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| Include additionally, at Annual Review, surveillance of
the following: |
| Symptoms |
ischaemic heart disease, peripheral vascular disease
neuropathy, erectile dysfunction ( see also : Nerve
Damage ) |
| Feet |
footwear, deformity / joint rigidity, poor skin condition, ischaemia, ulceration, absent pulses, sensory impairment ( see
also : Foot Problems ) |
| Eyes |
visual acuity and retinal review ( see
also : Eye Damage ) |
| Kidney damage |
albumin excretion and serum creatinine ( see
also : Kidney Damage ) |
| Arterial risk |
blood glucose, blood pressure, blood lipids, and smoking ( see
also : Assessing Blood Glucose, Blood
Lipids, and Blood Pressure Control ) |
| Attendance |
podiatry / ophthalmology / other, as indicated |
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