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It is important to remember the role of weight loss in diabetes health promotion and maintaining a healthy lifestyle. A nurse must stress the need for caloric limitation, as well as merely monitoring blood sugar and consumption of high-sugar foods, as fat-dense, high calorie foods that contribute to obesity can be equally dangerous. (Dyson, 2004, p.1) This can be difficult when patients do not experience complications from their condition, but merely have diabetes as a silent presence in their lives. Nurses must provide support to making lifestyle changes, and accomodating cultural tastes and needs, as well understanding as psychological conflicts over conflicting media advice when ensuring that the secondary health promotion intervention is effective.
Article 3: Tertiary
Jensen, Gordon L. & Janet M. Friedman, Donna Henry K, Annalynn Skipper, et.al. (Jan/Feb 2003). "Noncompliance with body weight measurement in tertiary care teaching hospitals." JPEN: Journal of Parenteral and Enteral Nutrition. Retrieved 11 Dec 2006 at http://findarticles.com/p/articles/mi_qa3762/is_200301/ai_n9171099
Information is key to providing advice for patients. However, weight is often a sensitive issue. A study of 300 patients, aged >=18 years that were admitted to general medicine and surgery services of 3 tertiary care teaching hospitals in Nashville, Chicago, and San Francisco, at 24 to 36 hours after admission, participants were asked if they had been weighed, and if not, they were asked whether they had been questioned by nursing personnel about their weight. It was found, unsurprisingly that patients were often unwilling or innacurate in the weight they volunteered to nurses, as opposed to patients weighed in hosptial gowns.
Overall, the conclusions of the study suggested the importance of understanding the psychological accuracy of weight, and also volunteered information in regards to daily eating and exercise habits, when attempting to mitigate the damage of patients with unhealthy lifestyles admitted to the hospital for health complications...
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