IDEA21(국제 당뇨병 교육 협회) : 교육자의 장

Evaluation
Plannin
Recording

[ Patient Evaluation, Planning, Recording ]

Patients with Diabetes typically fall into 3 categories:

The first category consists of noncompliant patients. This group of patients gives the most opposition to learning about diabetes.
They give no cooperation and say to themselves they already know everything. Persistent drinking and smoking may indicate that there is no hope for the patient; however, the educator must not give up or threaten the patient. The educator needs to have an open mind and develop a close relationship with this kind of patient to enable communication.

The educator begins by checking the patient's urine. The educator then explains that a changed urine color can be compared to gasoline leaking from the automobile. When this happens, the patient loses nutrients just as the automobile loses gas, which leads to car shut down. The educator gives the patient this analogy to help him/her understand that the body will shut down in a similar manner.
For patients who especially need insulin therapy but deny insulin injection are also included in this category. The urine test and blood test are good indicators that can change a patient's stubbornness and unwillingness to comply.

This category of patients believe most people in their old age have symptoms of diabetes, like sugar leakage. But the educator shows a healthy person's urine test and compares the difference.
The educator urges patients to get an injection today, reassuring them that they do not need to continue tomorrow if they do not want to. The educator then shows the improvement in urine color in one day.
The educator informs patients of his/her persistent concern for them, and in time, patients will begin to open up to the educator.

The second category consists of patients who are neither against or willing to inform themselves of diabetes education. It is by chance that this group of patients has an opportunity to attend the seminar.
Many patients who have been newly diagnosed are included in this category, and it's a smoother start for them than it is for those in the first category.
The educator is careful not to give threats or frighten these patients away.
The educator may say to the patient, "You are lucky to receive education in your beginning stage of diabetes."

The educator should be selective in choosing his/her words for his/her education seminar. If the educator says, "Nonsaturated fat is better than saturated fat" or something to that extent, then the patient will not understand.
The educator could say to the patient, "If your glucose level is low, then your life is in jeopardy and your muscles will decrease and turn into glucose. As a result, your sugar level will go up and if this continues repeatedly, you will eventually experience weight loss." Rather than using medical terminology, the educator should use vocabulary that is clear and understandable to the patient. This group comes in with little prior knowledge; hence, without any interference, we can educate these patients with several topics in a short span of time.

The third category consists of the most compliant patients. They know all the general information in diabetic care, and they have already experienced and been deceived by false diabetic advertisements.
The educator carefully listens to these patients, then guides them to obtain the proper information. For example, the educator may ask patients if they know what a Keton test is, or Glucagon injection is. The educator may also ask what reason explains why blood sugar level goes up after patients experience fear.
The answer is that the adrenalin hormone secretion will increase and raise sugar levels taken from stored muscles or the liver.

This group is the most easiest to educate and they become spokesmen for other diabetic patients. Diabetic educators must be patient, studious, and must have a deep concern for diabetic education.
This is not easy for busy lifestyles, but it is beneficial for businesses and for patients in the long run.

Group Type of Group Education Style Action

group 1 Negative Attitude emphasize complication and control of glucose level stop smoking, stop drinking

It is necessary to educate with patients to help them understand the dangers of complications of Diabetes and to give them hope that it is not too late to act.
Set up a follow-up with patients once a week, four times, to clarify any questions, provide answers, and make sure patients are maintaining their health.

Group 2 Regular emphasize diet and medication use recommend urine and blood test

It is helpful to educate with a family member and have a follow-up once every two weeks three times. During the later meetings, ask questions to make sure problems are resolved.

Group 3 Positive Attitude emphasize a lifestyle change (exercise and diet) recommend a balanced life

This is a very easy group to educate, and they can complete the class within a short period of time using audio or visual teaching material. Have a follow-up once every three weeks two times. During the later meetings, check to see if the patient completely understands how to control Diabetes.