Cawangan Dasar & Amalan

Bahagian Kejururawatan

KUALA LUMPUR: Some 3.6 million Malaysians are suffering from diabetes, the highest rate of incidence in Asia and one of the highest in the world, said Health Minister Datuk Seri Dr Dzulkefly Ahmad. (pic) Seven million Malaysian adults are likely to have diabetes by 2025, a worrying trend that will see diabetes prevalence of 31.3% for adults aged 18 years and above, he added.

This exponential increase is significantly within type two diabetes, which is largely the result of excess body weight and physical inactivity,” he said when officiating the 3rd Cambridge-Oxford Sunway Biomedical Symposium titled “Diabetes: Disarming the Silent Killer” here, yesterday.

Introduction

Responsibilities of DNE

Continuity Of Care For Diabetic Patients

Statistic Of DNE (KKM)

Strategic Planning

Scope Of Practice

Clinical Pathway

Diabetes is a disease that occurs when your blood glucose,

is too high.

Insulin, helps glucose from food get into your cells to be used for energy. Sometimes your body doesn’t make enough—or any—insulin or doesn’t use insulin well. Glucose then stays in your blood and doesn’t reach your cells.

Too much glucose in your blood can causes diebetes.

Diabetes has no cure.

1. Type 1

2. Type 2 diabetes

3. Gestational diabetes

The incidence of DM in Malaysia has increased tremendously with 20% of population above 18 years age suffering from this disease

25% of diabetics will get some form of diabetic foot complication during their lifetime

Mostly from lower socioeconomic and lower education group.

3rd NHMS survey 2006 increase 6.3% from 1986

Highest cause of morbidity and premature death

5-10% will end up with leg ulcer

4.3% out of 100,000 people ends up with amputation

Source: Diebetic Foot: The Asian Perspective

Research suggest that early and aggressive intervention to control hyperglycemia in hospitalized patients could significantly reduce morbidity, mortality, LOS and medical cost.

Finfer S et al 2009

949 DNE

JURURAWAT DNE MENGIKUT NEGERI JUN 2019

Sebagai satu usaha mencegah peningkatan penyakit tidak berjangkit (NCD) di negara ini.

Projek tersebut untuk mengukuhkan lagi sistem kesihatan di peringkat kebangsaan dengan pendekatan dan langkah pencegahan penyakit terutamanya NCD dengan lebih proaktif.

Salah satu tujuan program ini adalah untuk memantapkan perkhidmatan pengendalian pesakit Diebetis oleh anggota jururawat yang mempunyai kelayakan (pengkhususan)

.

To enhance the diebetic care services among nurses with post basic

PELAN STRATEGIK DNE

1.MESYUARAT PELAN STRATEGIK DNE

-Membincangkan mengenai halatuju untuk memperkasakan DNE di hospital dan KA

- Merancang dan menyusun penjawatan DNE

- Menyediakan Format Untuk Kordinator mengumpul pencapaian aktiviti DNE di fasiliti

2. BENGKEL DAN LATIHAN

- Merangka tugas- tugas DNE khususnya tugas Penyelaras di hospital dan KA

3. LAWATAN PENYELIAAN

- Memantau aktiviti DNE di lapangan untuk menilai kesinambunagan aktiviti di hospital dan KA

4. MAJLIS PELANCARAN PENJAGAAN KAKI PERINGKAT KEBANGSAAN( Kerjasama dengan Bah. Kawalan penyakit) - meningkatkan kesedaran masyarakat

mengenai kepentingan penjagaan kaki

Bengkel Memperkukuhkan Pengendalian Penjagaan Kaki di Kalangan Pesakit Diebetis pada 9-10 Mac 2017 melibatkan wakil Diebetes Nusre dari setiap negeri dan kesihatan awam dan hospital

What is the important Role Of A Diabetic Nurse Educator?

Diabetes education and patient support is an integral component of diabetes management.

The Diabetes Resource Centre was set up and launched in September 2002 in line with MOH initiatives to strengthen diabetes education within MOH health facilities.

DRC was set up in mostly in the state hospital , Major and Minor Specialist Hospital

Education and programs are not just for diabetics, but for anyone desiring a healthy lifestyle.

DNE work in a variety of practice settings and roles and across the intervention and care continum. Nurse practice is underpinned by a core body of knowledge, skills and activity in the following domains:

1. Clinical Practice

2. Research

3.Education

4. Counselling

5.Leadership and Management

clinical competence through education/training, latest clinical practice guidelines

use specific approach to assess an individual’s ,mental, physical, functional and cognitive status in order to inform the clinical care planning(effective self care behavior)

DNE can apply research knowledge and skills to critically evaluate the relevant research findings in their practice, including clinical care, education, counseling

Continued quality improvement to improve service provision

Application of health behavior and educational theory to motivate and adopt healthy lifestyle

Empowerment approach to help clients develop self responsibility

Use patients psychological state

Reflective and empathetic listening to clarify

patients beliefs, issues and concern

Systematic approach to plan the care including assesing the needs of the patient

CNE act as role models and mentors for their peers

As experts in diabetic education and care, develop training and provide training and continue professional development for young nurses

Diabetes care has been described as consisting 3 components:

1. Clinical care

2. Patient self management

3. Diabetes self management education

Multidisciplinary team approach

medical, dieticians, podiatrist, physiotherapist, psychologist etc

This are perhaps greater than for all other chronic diseases requiring a range of lifestyle and treatment decisions.

Patients may require information and education to support them.

Improved Health

Status

Clinical

Improvement

Bahaviour Change

Laerning

/knowledge about

the disease

Being physically active

Healthy eating, making appropriate food choice

Taking medications for therapeutic effectiveness

Monitoring blood glucose

Reducing risk and complications

Adapting to living with diabetes or healthy coping

Improve care delivery with the Nurse- Led activity from hospital to patient home (Outreach home care programme) - wound care programme -home care programme -Diabetic Nurse Educator

TNA on

DNE

Sponsored

scholarship

(HLP) to specialize

(master, PH.d) in

DNE)

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We hope this effort will help us strengthen our diabetic nurse educators in providing better quality care for our patients.

The focus on providing ongoing education and training for nurses ensures a high level of diabetic care management

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