An Individualized Telemedicine Intervention for Management of Type 2 Diabetes among Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/148686
Type:
Presentation
Title:
An Individualized Telemedicine Intervention for Management of Type 2 Diabetes among Older Adults
Abstract:
An Individualized Telemedicine Intervention for Management of Type 2 Diabetes among Older Adults
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Huffstutler-Hawkins, Shelley, DSN, APRN-BC, FNP, GNP
P.I. Institution Name:University of Alabama at Birmingham
Title:Associate Professor
[Evidence-based presentation] Throughout the past century, medical and technological advances have dramatically altered the quality of healthcare delivery and improved longevity. At the same time, the prevalence of chronic diseases has increased due to the aging of the population. Today, chronic illnesses such as diabetes are among the most prevalent and costly. More than 2 million Americans die annually from chronic disease. The elderly are particularly at risk. An innovative service delivery alternative, telemedicine, holds considerable promise for the care of people with chronic illness. In recent years, telemedicine has been demonstrating its growing potential in advanced nursing practice (APN) given the APNs role in health promotion and disease prevention. By helping older adults to manage their chronic illnesses and maximize their function, quality of life for older adults is enhanced. The purpose of this study was to implement a videophone-based intervention for diabetic older adults who have poor metabolic control as demonstrated by their glycated hemoglobin A1C. The specific aim was to reduce the glycated hemoglobin A1C with ongoing maintenance of an acceptable level through weekly interactions with family nurse practitioners. A second aim was to educate older adults and their families about diet, exercise, and medications so that they are enabled to address their problems with adherence. An individualized treatment plan was developed, and subsequently updated, using the American Diabetes Association guidelines.   Contacts were made once a week and advanced to biweekly or monthly based on the patient's progress. Patients maintained their relationships with the endocrinologist during the telemedicine interventions. Nurse practitioners had ongoing communication with the endocrinologist.  At the end of the 6 month intervention, patients demonstrated significant improvement in their glycated hemoglobin A1C levels. The outcomes from the study yielded data that supported patients were much more knowledgeable and better able to manage their diabetes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Individualized Telemedicine Intervention for Management of Type 2 Diabetes among Older Adultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148686-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Individualized Telemedicine Intervention for Management of Type 2 Diabetes among Older Adults</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Huffstutler-Hawkins, Shelley, DSN, APRN-BC, FNP, GNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Alabama at Birmingham</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">huffstut@uab.edu</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based presentation] Throughout the past century, medical and technological advances have dramatically altered the quality of healthcare delivery and improved longevity. At the same time, the prevalence of chronic diseases has increased due to the aging of the population.&nbsp;Today, chronic illnesses such as diabetes are among the most prevalent and costly.&nbsp;More than 2 million Americans die annually from chronic disease.&nbsp;The elderly are particularly at risk.&nbsp;An innovative service delivery alternative, telemedicine, holds considerable promise for the care of people with chronic illness. In recent years, telemedicine has been demonstrating its growing potential in advanced nursing practice (APN) given the APNs role in health promotion and disease prevention.&nbsp;By helping older adults to manage their chronic illnesses and maximize their function, quality of life for older adults is enhanced. The purpose of this study was to implement a videophone-based intervention for diabetic older adults who have poor metabolic control as demonstrated by their glycated hemoglobin A1C.&nbsp;The specific aim was to reduce the glycated hemoglobin A1C with ongoing maintenance of an acceptable level through weekly interactions with family nurse practitioners.&nbsp;A second aim was to educate older adults and their families about diet, exercise, and medications so that they are enabled to address their problems with adherence.&nbsp;An individualized treatment plan was developed, and subsequently updated, using the American Diabetes Association guidelines.&nbsp;&nbsp; Contacts were made once a week and advanced to biweekly or monthly based on the patient's progress. Patients maintained their relationships with the endocrinologist during the telemedicine interventions. Nurse practitioners had ongoing communication with the endocrinologist.&nbsp; At the end of the 6 month intervention, patients demonstrated significant improvement in their glycated hemoglobin A1C levels. The outcomes from the study yielded data that supported patients were much more knowledgeable and better able to manage their diabetes.</td></tr></table>en_GB
dc.date.available2011-10-26T09:48:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:48:59Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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