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Tool for the Assessment of Patient Education in Diabetes in Scotland ...

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Appendix<br />

<strong>Diabetes</strong> Care: Mapp<strong>in</strong>g <strong>the</strong> patient/pr<strong>of</strong>essional journey with <strong>the</strong> differ<strong>in</strong>g roles <strong>of</strong> patients and pr<strong>of</strong>essionals throughout <strong>the</strong> journey<br />

Time l<strong>in</strong>e Pr<strong>of</strong>essionals <strong>Education</strong>al <strong>the</strong>ory Skills required Pr<strong>of</strong>essional Knowledge and Understand<strong>in</strong>g <strong>Patient</strong> support<br />

Diagnosis<br />

GP/Consultant<br />

DSN/PN<br />

Andragogy/<br />

Dictate<br />

Clear communicator<br />

Facilitator<br />

Listen<strong>in</strong>g skills<br />

Empathy<br />

Expert diabetes cl<strong>in</strong>ical knowledge<br />

Knowledge <strong>of</strong> how to teach <strong>in</strong><strong>for</strong>mation<br />

Knowledge <strong>of</strong> how to teach a skill<br />

Behavioural change<br />

Level 1<br />

Core Skills<br />

GP/Consultant<br />

DSN/PN<br />

Dietitian<br />

Podiatrist<br />

Andragogy/<br />

Dictate<br />

Ability to:<br />

impart knowledge;<br />

pace <strong>the</strong> giv<strong>in</strong>g <strong>of</strong> <strong>in</strong><strong>for</strong>mation;<br />

teach a skill;<br />

reassure.<br />

Discuss changes to lifestyle e.g. food, physical activity, smok<strong>in</strong>g<br />

Expert diabetes cl<strong>in</strong>ical knowledge<br />

Knowledge <strong>of</strong> how to teach <strong>in</strong><strong>for</strong>mation<br />

Knowledge <strong>of</strong> how to teach a skill<br />

Behavioural change<br />

Peer support<br />

Level 2<br />

Liv<strong>in</strong>g with diabetes<br />

Cont<strong>in</strong>ual Contact<br />

GP/Consultant<br />

DSN/PN<br />

Dietitian<br />

Podiatrist<br />

Psychologist,<br />

Schools<br />

Andragogy/<br />

Facilitate<br />

Availability<br />

Discernment<br />

Listen<strong>in</strong>g<br />

Ability to:<br />

Empower;<br />

Motivate;<br />

Encourage;<br />

Psychological impact (HADS, PIDPAD)<br />

CHO count<strong>in</strong>g<br />

Weight management programmes<br />

Smok<strong>in</strong>g cessation cl<strong>in</strong>ics<br />

Facilitation skills<br />

Behaviour change<br />

Care plann<strong>in</strong>g around person’s goals and problem solv<strong>in</strong>g<br />

Peer support<br />

Praise where <strong>the</strong>re is evidence <strong>of</strong> self-management<br />

Motivational <strong>in</strong>terview<strong>in</strong>g<br />

Psychological assessment<br />

Level 3<br />

Manag<strong>in</strong>g diabetes<br />

Structured <strong>Patient</strong><br />

education<br />

Team<br />

Self-management<br />

resource/<br />

Facilitator<br />

Philosophy <strong>of</strong> care<br />

Aims and learn<strong>in</strong>g outcomes<br />

NICE criteria<br />

Structured patient education<br />

Peer learn<strong>in</strong>g<br />

and emotional<br />

support<br />

Level 3<br />

Manag<strong>in</strong>g diabetes<br />

Ongo<strong>in</strong>g structured<br />

education<br />

Team<br />

Self-Management/<br />

Facilitator<br />

Availability<br />

Discernment<br />

Listen<strong>in</strong>g<br />

Ability to:<br />

Empower;<br />

Motivate;<br />

Encourage;<br />

Praise where <strong>the</strong>re is evidence <strong>of</strong> self-management<br />

Motivational <strong>in</strong>terview<strong>in</strong>g<br />

Psychological assessment<br />

Structured patient education<br />

Intensive <strong>in</strong>sul<strong>in</strong> <strong>the</strong>rapy<br />

Motivational <strong>in</strong>terview<strong>in</strong>g<br />

Promot<strong>in</strong>g behavioural change<br />

Counsell<strong>in</strong>g<br />

Empower<strong>in</strong>g<br />

Self-management<br />

Long term conditions<br />

Peer review <strong>for</strong> o<strong>the</strong>rs<br />

Quality assurance<br />

CHO and <strong>in</strong>sul<strong>in</strong> dose adjustment<br />

Peer support<br />

11 ASSESSMENT OF PATIENT EDUCATION IN DIABETES IN SCOTLAND

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