SOADI Frontline Training - CAMH - Nicotine Dependence Clinic

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SOADI FRONTLINE TRAINING 8 Diabetes Management Objectives By the end of this training session, participants will: • Understand the stages individuals go through when they are first diagnosed with diabetes. • Be aware of the steps individuals must take in order to effectively manage their diabetes. Adapting to Life with Diabetes A blood glucose test will determine if an individual has diabetes. Being diagnosed with diabetes is not the end of the world but it is an emotional experience and it may be difficult to accept. There are five stages an individual will likely undergo on the path to acceptance. These stages are commonly referred to as the five stages of grief: 1. Shock or denial. 2. Anger and resentment. 3. Withdrawal and/or depression. 4. Bargaining. 5. Acceptance or adaption. During this period, the newly diagnosed individual needs a supportive environment. On the way to acceptance of the diagnosis, he or she may start to consider making healthier lifestyle changes. There are five different stages that bring about a lasting change in behaviour: 1. Precontemplation—considering making a change at some point in the future. 2. Contemplation—thinking about making a change in the next six months. 3. Preparation—getting ready for a change in the immediate future. 4. Action—making the change. 5. Maintenance—working to prevent undoing the change that he or she has made. Being diagnosed with diabetes can be an opportunity to make positive changes, live a healthy life, and become an example to others. Precontemplation Contemplation Preparation Action Maintenance Figure 5 Transtheoretical model
SOADI FRONTLINE TRAINING 9 Practically speaking, there are a number of steps that one must take in order to make change. These must happen as part of the stages involved in making the positive change: 1. Learn more about diabetes. 2. Express feelings. 3. Assess unhealthy behaviour and its effects. 4. Commit to change. 5. Control and remove. 6. Find community/organization support. Cultural Context The Aboriginal people’s traditional ways of living and strength are effective tools to manage diabetes. Spiritually, we understand that we are responsible for taking care of our physical bodies first. Positive lifestyle choices can help our families, our communities, and us. The Medicine Wheel is a sacred circle of life’s healing journey. It is a symbol of all creation: • Four races. • Four colours. • Four seasons. • Four directions. • Four elements (earth, sky, water, and fire). • Four medicines (cedar, sage, tobacco, and sweetgrass). The Medicine Wheel becomes more real and visible when used to help create change and healing. It brings life balance physically, emotionally, mentally, and spiritually. Figure 6 Diabetes Medicine Wheel to Healing and Wellness (Peggy Monague, SOADI) Being diagnosed with diabetes can be very emotional for people. Using the Diabetes Medicine Wheel to Healing and Wellness, individuals can relate to and comply with management and control of their diabetes, as well as visualize a path to healthy choices and lifestyle changes. Awareness • Share a story and name the loss. • Grieving cycle—shock, anger, depression, bargaining, and acceptance through talking and listening.
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SOADI Frontline Training - CAMH - Nicotine Dependence Clinic

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