HLTH6092 Management of Adult Diabetes in Primary and Secondary Care
By 2030, 7.8% of the world’s adult population is expected to be living with diabetes, and deaths are predicted to double between 2005 and 2030 (World Health Organisation). In the England and Wales the cost of diabetes care to the NHS is £1.5 million per hour. The cost of treatment for 2010 was £13.75 billion, representing 10% of the total public spend on health care (London School of Economics 2012).This increasing burden of diabetes impacts on a wide range of professional services across primary and secondary care. Health care professionals will be increasingly called upon to support the delivery of high quality multidisciplinary diabetes care across the sector. This module will provide a detailed overview of the management of adult diabetes in primary and secondary care and introduce participants to audit in practice. Sessions will include a comprehensive introduction, management of complications, pharmacology and diabetes management, the role of the dietitian and diabetes specialist nurse and the foot in diabetes (including peripheral vascular disease). The audit assessment will also enable participants to conduct a clinical audit within their workplace.
Aims and Objectives
To equip suitably qualified healthcare professionals with the knowledge and understanding to support and underpin their professional practice in the following area of diabetes care: prevention, early detection, screening, diagnosis, reducing the risk of complications, meeting the needs of specific groups, and disease management.
Having successfully completed this module you will be able to:
- The aim of this module is to equip suitably qualified healthcare professionals with the knowledge and understanding to support and underpin their professional practice in the following area of diabetes care: prevention, early detection, screening, diagnosis, reducing the risk of complications, meeting the needs of specific groups, and disease management.
- Critically analyze and synthesize knowledge of differing beliefs, attitudes and values which may impact on lifestyle and cultural choices, considering the needs of individuals from differing backgrounds
- Critically explore the psychosocial needs of individuals living with diabetes and their carers
- Demonstrate an in depth knowledge of the current pharmacological treatment, management and service provision of diabetes
- Evidence knowledge and synthesize national and local guidelines and systems of care for the management of acute and long term complications of diabetes
- Critically consider and justify the local and multi-agency support available to ensure the provision of integrated partnership in health and social care
- Demonstrate in depth understanding of the normal and altered physiology related to diabetes
Syllabus content was developed in partnership with Medical, Nursing and Allied Health colleagues in primary and secondary care. • Current research, evidence and policy drivers • Pathophysiology of diabetes • Screening, assessment and diagnosis • Management of the full spectrum of diabetes e.g. types 1 and II, pre-diabetes, insulin resistance, metabolic syndrome and the impact of multiple co-morbidities • Diet and lifestyle management options • Living with diabetes –impact on service users, families and carers • Partnership approaches • The use of technology to support management e.g. telehealth/telemedicine options • Measuring patient outcomes • Identifying and managing emergent complications of the disease • Working across professional and organisational boundaries
The clinical audit assessment requires participants to obtain suitable permissions from their employer and identify a mentor. Guidance is given for this. Students who are not currently working in practice will write a 300 word assignment as follows: - Choose a complication of Diabetes you are interested in: - Background - What is the extent of the problem? Incidence? Prevalence? Cost? (300 words) - Pathophysiology - Discuss the pathophysiology of your chosen complication with reference to the relevant literature (700 words) - Literature review – What are the current treatments currently employed in the clinical management of your chosen complication? Include a literature search strategy. With reference to the latest research, what are the potential future novel treatments? How could things be improved? (1700 words) - Conclusion – What are the key points from your assignment?
Learning and Teaching
Teaching and learning methods
Keynote speakers will be identified to disseminate specific research activities related to Diabetes generated within the University. Face to face sessions will utilise some didactic lecturing supported by case studies, discussion and group work. Student centred seminars/case conferencing sessions will provide the opportunity for discussing key issues arising from teaching sessions and assignments. Learners will employ self-directed and discovery learning to support the materials provided in face to face sessions, and will be expected to be involved in the presentation and discussion of case studies from their own practice. The University has a range of online facilities to support students develop the necessary skills to complete the module which include help with literature searching, referencing and academic writing. Blackboard will be utilised to provide case studies in addition to lecture and course materials. A discussion forum will be used for communication between students. Facilitators will be available electronically for support and advice. The learning methods within this module have been considered in accordance with the Michael Report (Healthcare for All, 2008) and National Framework for Disability Equality & Etiquette Learning (DEEL) to promote best practice within Higher Education.
|Total study time||250|
Resources & Reading list
Holt RIG, et al (2010). Textbook of Diabetes.
Holloway, I. & Wheeler, S. (2010). Standards of Medical Care in Diabetes.
Greenhalgh T (2010). How to read a paper; the basics of evidence based medicine.
Byrne CD and Wild SH (2011). The Metabolic Syndrome.
Multiple choice question
|Abstract and Presentation||30%|
|Clinical Audit (2500 words)||70%|
|Abstract and Presentation||30%|
Repeat type: Internal & External