00:01
Now we got this list here.
Right?
We've got risk for
stroke, eye damage,
cardiovascular disease
and mind hypertensions,
macrovascular,
kidney damage, bladder.
00:10
Can you see how this is
not motivating to study?
This isn't motivating for what you
want to learn in nursing school.
00:19
But keeping your
eye on the prize,
knowing that what we do
is work with patients,
see we're on the same team.
00:27
But remember this is a big deal,
this is a lot to digest.
00:32
You think it's a lot
learning about diabetes
try being the person who's
living with diabetes.
00:38
There's an actual
diagnosis for it.
00:40
It's called diabetes distress.
00:43
So a patient's inability to cope with
the demands of life with diabetes.
00:48
They enhance our self-perception,
their coping skills,
the discomfort,
all these things are rolling together.
00:54
So, how do we do it?
How do we help a
patient with this?
Well, first of all
recognize that it exists.
01:01
There's diabetes distress.
01:04
It's difficult for the patient to
cope with this and all the demands.
01:07
So, how can I help as
a health care provider?
Well, I can help enhance
their self-perception,
I can talk about it calmly,
thoroughly and in with examples
like we just walk through.
01:21
I can help them identify
and develop coping skills.
01:25
I want to help them
minimize any discomfort
that they're feeling
both physically
and psychologically
with all this change.
01:32
I want to identify their
external support systems
and help them tap into them.
01:36
Referrals, referrals, referrals.
01:39
They may have support
systems in their family.
01:41
That's amazing.
01:42
But we also have lots of other
inter-professional relationships
that we can utilize,
therapists,
social workers, case managers,
these are all people with really
strong resources and references
that we can bring to the table
to help Mr. Sanchez address
his diabetes distress.
02:01
Now we're getting
real personal right,
now we're talking about
some personal habits
and know that smoking accelerates
the effects of high glucose.
02:09
We know there's known
risks of diabetes
but smoking makes every
one of these worse.
02:15
High risk for stroke
with diabetes,
high risk for
stroke with smoking,
high risk for heart attack and
heart disease with diabetes,
high risk for heart attack
and heart disease was smoking.
02:25
Now I know you don't
need me to go through all
the rest of these
five bullet points.
02:30
But know that if you weren't
diabetic and you smoke
you have these risk factors.
02:37
If you're diabetic and you smoke
it just makes everything
that much worse.
02:41
So what you should do is make your
patient feel guilty for their behaviors.
02:44
You need to explain to them
that smoking is ridiculous.
02:48
Why are you spending
that kind of money on it?
Why are you doing it?
It's disgusting.
02:53
Yeah, real effective strategy,
but you would be surprised how
many people actually try that,
no,
help and think about how
can you take some steps.
03:02
What can I do?
If I've smoked since
I was 15 years of age
and then all of a sudden
you tell me to quit
I'm likely not going
to be able to do that.
03:12
Remember every step
toward health is progress.
03:16
Every step no matter how small
towards health is progress.
03:23
So when you're meeting with
patients like Mr. Sanchez
or any of your other patients,
you want to have a
big game plan in mind,
you want them to understand
high glucose equals a higher
risk of complications.
03:37
And you want to spin it so
they know any small step
they can do anything they can do
to move towards a
healthier level and
better control of
their blood sugar
will decrease their risk
for all of the complications
we've just discussed.