Medicine Management – Care of the resident with diabetes

 

Residents in residential aged care often have a variety of medical conditions that require specific care planning, monitoring and observation. Diabetes, either type 1 or type 2, is one such condition and often the treatment of this health condition requires related medication treatment including oral hypoglycaemic drugs and / or insulin administration via subcutaneous injection. Nurses must be competent in these related medicine administration practices as well as understand the specific care practices required for this medicine administration including ongoing assessment and evaluation of medicine outcomes, care practices and related management plans.
A medicine validation activity is included in this workshop and used to explore specifically the administration of oral hypoglycaemic medicine, common prescribed medicine types and their actions as well as subcutaneous injection practices related to the administration insulin and use of an insulin pen. The activity consists of reviewing current medication administration practices to best practice recommendations for each of these medicine groups and administration routes. This provides nurses with insight in relation to the correct administration practices and also clinical points regarding ongoing monitoring and evaluation of care for the residents with diabetes and requiring these medications. Other clinical area that are included in these discussions are BGL assessment and monitoring, related urine testing assessment practices and care of the sick resident with diabetes.

Key topics include:
– The Registered Nurse and Enrolled Nurses role and responsibilities related to medicines
– Medication legislation, regulatory requirements and professional guidelines, including exploring recent changes.
– Understanding of medication management, supervision and delegation.
– Care of the resident with diabetes
– Management of hypoglycaemia and hyperglycaemia
A focus on hypoglycaemic medicines, in particular:
– Different types of hypoglycaemic medicines – insulin/ subcutaneous injection and oral hypoglycaemic drugs
– PRN medications – insulin sliding scales used in the management of diabetes and hypoglycaemia
– Monitoring and evaluation of hypoglycaemic medicine outcomes.
– Medicine administration practices for different related medicine forms.
– Specific needs of the resident with diabetes.
– Management of issues and contingencies that arise during medication administration.
Competency Assessment:
– Completion of a written learning review workbook.
– Practical competency assessment of specific medicine administration practices, including subcutaneous medicine administration and the use of insulin pens.
– Completion of related case studies and related scenarios.
– Medicine calculations related insulin and sliding scale medicines