Disease Management in Rural Populations: Can It Be Done?

Clinical Diabetes, 2006

Handbook of Diabetes Management, 2005

Handbook of Diabetes Management, 2005

2015

INTRODUCTION On the whole, people are healthier, wealthier and live longer than 30 years ago but the nature of health problems is changing. Healthy life years may be not increasing in line with life expectancy: along with demographic change and population ageing, the burden of chronic diseases increases, individuals present with complex symptoms and multiple illnesses, and the substantial progress in health is deeply unequal [1]. Noncommunicable diseases (NCDs) are becoming the leading causes of morbidity and mortality, and the four major NCDs, cardiovascular diseases, cancers, respiratory diseases and diabetes, are responsible for 82% of NCD deaths [2]. Diabetes is often considered as a paradigmatic example of a chronic disease. It is a common and serious disease: diabetes increases the risk for many serious health problems (e.g., hypertension, cardiovascular diseases, eye problems, neuropathy, foot complications, nephropathy), but can be prevented and effectively controlled using ...

AADE in Practice, 2017

The problems are abundant, but so is my determination to help my patients. As the saying goes, "when there is a will, there is a way," so I began looking for solutions. First, I looked for resources to help create a village in our community that would address the core issues that make it di cult or impossible for families to manage their diabetes. I first networked to gather information about what services local community organizations could o er my patients. Then I started to meet with di erent organizations to create partnerships. So, here is a secret: Find out what others can do for you and what you can do for them. Creating an e ective partnership requires both parties to understand the contributions each will give to the other and stipulate the services that are given and those that are received.

Handbook of Diabetes Management, 2005

Journal of Nursing and Healthcare of Chronic Illness, 2011

The future is the present: diabetes complication stories Aim. The aim of this study is to address the core question: what are rural older adults' stories about type 2 diabetes-associated complications? Background. The majority of older adults living with diabetes have type 2 diabetes; a progressive illness characterised by high blood glucose and microvascular and cardiovascular changes. This pathology increases the risk for diabetes-associated complications in the older adult. Some authors contend that the qualitative work to date has not yet captured the complexities of living with and managing a chronic illness such as diabetes. Methods. Fifteen older persons living in a rural community participated in a focused ethnographic research design guided by a narrative perspective. Data were collected in 2008. Findings. The participants, ranging in age from 66-84 years, told 72 stories about diabetes-associated complications. Although many of them did not acknowledge the presence of diabetes-associated morbidities, their stories shared a common structure demonstrating a vicarious interpretation of this experience. Conclusions. Participants' accounts of managing their illness located their future in their present reality-'the chase' from inescapable illness circumstances. Despite their best efforts to control their illness, all participants envisioned that complications would eventually win out. Relevance to clinical practice. The self-perception of older persons with type 2 diabetes vacillates in relation to the presentation of complications. This continuous self-restructuring contributes to the complexity of shared illness management and demands that healthcare providers strive to understand the older persons' psychosocial context of the illness experience.

1992

The intended audience of this book is persons with diabetes, but it is also helpful for educators, family, and support persons who want more insight into how one can learn to live well with diabetes. Educators working in a variety of practice settings who are seeking helpful resources for their patient populations can recommend the book. The book offers advice and tips for patients interested in 2 possible levels of management intensity: a moderate level for those just starting and an additional level for tighter control. Gary Arsham, MD, PhD, is a physician/educator specializing in patient education and health behavior. Ernest Lowe has been a counselor, educator, television series writer, and producer. Both authors have had diabetes for more than 50 years. Catherine Feste, author of the chapter on diabetes and women, is an internationally known motivation specialist and author who has had diabetes for 40 years. First, skim the book in its entirety to become familiar with the content and style and to identify areas for more focused reading. You can bookmark topics most useful for yourself and for future reference or recommendations to patients. Search your chosen sections for concrete suggestions such as how to identify negative self-defeating thought processes and ways to change them. The chapters' titles are descriptive and weave together the authors' personal and professional experience using a variety of approaches to specific lifestyle challenges. The reader then decides which approach may be most useful for a given situation. Many avenues can lead to the same desired outcome.

Eastern Mediterranean Health Journal

Study design and participants This was a qualitative study using a grounded theory approach. Grounded theory is especially suitable for analysing social processes, as it rises above merely describing a topic, and instead facilitates a deeper understanding without losing parts and details (12). Following approval (No. 900603) by the Ethics Committee of the Mashhad

Frontiers in Nutrition