Diabetes Care in the Elderly
Curriculum Development Project
Curriculum Development Project: Diabetes in the Skilled Nursing Home Residents
Curriculum Development Project: Diabetes in the Skilled Nursing Home Residents
The increased prevalence of diabetes in developed nations has been blamed in part on the obesity epidemic, but a portion of that increase is also due to longer life-spans (reviewed by Vischer et al., 2009). While this may be a mixed blessing from the perspective of health policy makers, the increased prevalence of diabetes among the elderly contributes to the emergence of a variety of debilitating comorbid conditions and a significant decline in quality of life.
What makes matters worse is that diabetes sometimes goes untreated or undiagnosed in the elderly (reviewed by Vischer et al., 2009). When 2,307 skilled nursing home residents were assessed for the presence of this disease, 77 were found to be undiagnosed (Dybicz, Thompson, Molotsky, and Stuart, 2011). While this represents a mere 3% of the study population, these patients were under 24-hour care by skilled medical professionals. Even though the prevalence of undiagnosed diabetes among elderly patients is unknown, it is likely vary high, since an estimated 27% of Americans of all ages are estimated to be undiagnosed (CDC, 2011).
Goals and Learner Outcomes
Elderly patients are therefore at risk for experiencing a significant decline in quality of life when diabetes remains undiagnosed or improperly managed, especially as comorbidities develop or worsen. The following lesson plan intends to provide information on how to properly diagnose and manage diabetes in elderly patients for nurses and physicians working in geriactric care settings. By the end of this course, the student should be able to identify patients at risk for diabetes, screen for the disease, and effectively manage the disease to lower the severity or prevalence of comorbid conditions and improve the patient's quality of life.
Learning Objectives
1. Develop an awareness of the prevalence of diabetes among older adults in the U.S.
2. Be able to identify high risk diabetes patients...
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