THE ROLE OF NURSES INDIABETES CARE AND EDUCATION By Prof. Morsi Arab IDF Chair EMME Region University of Alexandria integration .complementation .no contradictions .The Diabetes Care Team The Nurse is a member of the Diabetes Health Care Team which requires: .strict job description ( without overdoing) . value Female nurses understand and . 1 can replace the doctor’s ‘orders’ by .2 ’: ‘instructions and guidance ?a psychol. or mother of a diab. child ( ……Sympathy and Care is a feminine specialty .3 communicate better with ) a female pt.A special Member The nurse is a privileged member of the team. ? Why Has more time ( to listen and to educate). ** nurses .4 ) ** Alexandria early 1960 ( First recognition & a parallel international .3 Arab hospitals X Establishment of Higher schools of Nursing.5 ** course (Alexandria 1991) .Positive and Negative Aspects of Historical Significance in the ME 1. Islamic history supported the role of woman . Cultural factors delayed women’s development. 2 In the region X Poor reputation about the standard of nursing in . Cont. Nurse Training. 7 **educators with a nursing background . 6 **Programs A generation of high-standard specialized.(Historical …) Developing National Diab. The Diabetes Nurse gets international recognition . Notional Programme for Nurses Training . Nurse Training Workshops . etc . Special talents (Attitude) interest. examination .clinical : history taking . and changing attitudes of pts :III.Requirements to Perfect The General Requirements for a nurse to perfect :her role in diabetes care and education I. team working. respecting limitations.etc educational :skills of teaching knowledge . Skills . Knowledge . and skills .in diabetes and related sciences in basic principles in education II. Educational Skills e.Specific Considerations ”Specific role in “ Acute complications Knowledge of causes. exam. symptoms and signs. instructing prevention.1 diagnosis. 4 .g.diagnosing and immediate management Taking appropriate decisions. 3 . etc ………….follow-up observations . history. bld sugar.g. 2 )urine test. . management . prevention and principles of .Clinical Skills :e. acetone breath. (P & BP. thermal and chemical injuries. types of injuries (mechanical. dressings. stockings. thermal. etc Level II : e.. shoes . colour changes. ulcer debridement . ). nail cut.etc Clinical examination Skills : pulses.Level I : e. vulnerability.The Diabetes Nurse in Foot Care Knowledge : foot anatomy.) weight bearing . dryness. etc Education Skills for patients on : self inspection..Management skills according to her training . preventing mech. walking dynamics . etc .g.g. points of stress . sensation. etc . chem. In the Absence of the Physician :The Diabetes Nurse At SchoolAs Health Visitor to Homes At Far Rural Centres - . g. hypoglycemia :-educates school staff to consider the needs of the diab child manage emergencies avoid discrimination - .The Diabetes Nurse at School Keeps records of children with diabeteschecks times for insulin intake and snacks manages acute episodes e. etc Monitors early develop. e.c.g. Control periodic checks e.the Isolated . . compliance toregular check of glycem. and the .ophthalmoscopy. . of complications Guidance (Education) about special needs of : the Elderly .g.The Diabetes Nurse at Homes :Encourages pt. Handicapped diabetic - . in due time) to physicians and specialists ( Manages immediate care in emergencies Checks sufficient stores of medications .The Diabetes Nurse at Far Rural Centres Keeps sound balance between active management of diab care or referral . and equipment for emergencies Checks readiness of fast means for transportation in emergencies .