Diabetes Self Care Program (7 steps to success)

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  • Diabetes Self Care Program (7 steps to success)
  • Introductory module
  • Healthy eating module
  • Being active module
  • Monitoring module
  • Taking medications module
  • Problem solving module
  • Healthy coping module
    • Participant learning outcomes
    • About this module
    • Use of the psychosocial scales as screening tools
    • Evidence summary
    • Toolbox
    • Supporting programs
    • Clinical management referral points
    • SECTION 1: Guide for a one to one consultation
    • SECTION 2 - Group session - The module at a glance
    • References
  • Reducing risks module
  • Program Survey

Healthy coping module

SECTION 1: Guide for a one to one consultation

Guide for a one to one consultation

Purpose of the one to one session is to look at healthy coping and how the person is managing with their diabetes

• Use of screening tools where appropriate
• Raise the potential to go on to a group if appropriate and suitable to the person

Impact of diabetes

Discuss diabetes within the wider context of the persons life – brief input and discussion with client as per the group module (refer to Activity 4 – section 2 in this document)

Diabetes and well being

• Identifying low mood
• Using the WHO(5) – if appropriate and the person wants to work on this with you. Explain that this index has been shown to be a reliable measure of emotional well being and a good screening tool (identifying people who may at risk of) for depression. Emphasise it is not diagnostic.
• (Refer to Activity 5 – section 2 in this module)

Diabetes related stress

• Using the PAID scale to identify common diabetes related stresses – if appropriate and the person wants to work on this with you.
  
  
• Explain that while the WHO-5 is a measure of general well being, the PAID scale is diabetes specific and can be used to identify particular areas of diabetes management and self care that may be causing stress for the person with diabetes.
  
  
• Explain how to complete and score the questionnaire.
  
  
• Explain that the various questions in the PAID scale can be used to identify areas that are causing them some distress (high scoring items) and help focus problem solving activity to reflect on the particular problem area and explore options for overcoming them. Explain that individuals may want to do this with a health professional, either a member of their diabetes team or a mental health professional.
  
  
• Ask participants to reflect on questions for which they scored highly and consider if they could be the focus of a self care goal.
  
  

If using scales, discuss the outcome with the person. Consider referral, reappointment and/or see if interested in a group program where suited – importantly do not leave the person with the results of a screening tool without discussion and support, particularly if a low score.

Open ended questions

• Alternatively or in addition to the scales, use a series of open ended questions to determine the person’s general wellbeing, concerns and potential for group membership.
  
  
• Examples are:
  • How are you feeling about your diabetes at the moment?
  • Do you feel diabetes is a comfortable part of your life, or not? Maybe it is a bit of both?
  • What has been helpful for you in managing your diabetes?
  • Do you ever feel sad, low or blue?
  • Do you ever feel diabetes is overwhelming?
  • Do you think you have the right amount of focus on your diabetes, or not? If not, do you need to focus more or less on it?
  • Are there any other problems or concerns in your life that make it difficult to manage your diabetes?
  • Do you have any support?
  • What would you like to see change about your diabetes management at the moment – anything at all?

These are just suggestions. Simply asking a person how they are feeling and what is on their mind can unearth a lot of useful information – you just need to listen and allow them the space to be heard.

Ongoing support

• Joining the ‘Healthy coping’ session if this is an option.
• The diabetes team (including Medicare rebated services (allied health and mental health), Home Medicine Review.
• Other health service programs.
• Community based programs (including Diabetes Australia, Diabetes Counselling Online and other websites).

Refer to Activity 6 – section 2 in this document.

Self care goal

Designing a self care goal – only if not going on to a ‘Healthy coping’ group and both you and the client feel it may be helpful. Be sure to set a review time in x number of weeks with the client. If going on to a group this will form part of the group program.

 

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