PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 17102467

Structural visualization of expert nursing: Diabetes self-management education program.

Megumi Higashi·Teruko Kawaguchi·Etsuko Yokoyama·Miho Ota·Akiko Ito·Michiyo Ryota·Satoko Tsuru
View original source ↗Export metadata ↓

Abstract

In the Japanese clinical setting, expert nursing, and at the same time quality and safety assurance, are demanded. To provide nursing service with reliable assurance of nursing quality and safety, structural visualization of the thought, judgment and behavior processes of nursing practice and widespread application through development of IT applied systems are required. We have discussed and developed the structural visualization of programmed care in the field of diabetes self-management education, which is an area of expert nursing care. In this article, we report the programmed care for dietary therapy.

Explore related subjects

Diabetes MellitusHumansJapanNursing CarePatient Education as TopicSelf CareJournal ArticleResearch Support, Non-U.S. Gov't

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Megumi Higashi, Teruko Kawaguchi, Etsuko Yokoyama, Miho Ota, Akiko Ito, Michiyo Ryota, Satoko Tsuru. 2006. Structural visualization of expert nursing: Diabetes self-management education program.. https://pubmed.ncbi.nlm.nih.gov/17102467/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Allergy reactions to insulin: effects of continuous subcutaneous insulin infusion and insulin analogues.

The purification of animal insulin preparations and the use of human recombinant insulin have markedly reduced the incidence but not completely suppressed the occurrence of insulin allergy manifestations. Advances in technologies concerning the mode of delivery of insulin, i.e. continuous subcutaneous insulin infusion (CSII), and the use of insulin analogues, resulting from the alteration in the amino acid sequence of the native insulin molecule, may influence the immunogenicity and antigenicity of native insulin. Instead of increasing allergy reactions, CSII has been reported to represent a successful alternative treatment in diabetic patients presenting local or generalized allergy to insulin or other components (zinc, protamine) of conventional treatment. Most recent reports concern CSII-treated patients using short-acting insulin analogues (essentially insulin lispro), although the precise role of these insulin analogues remains unclear as allergy to them has also been described. Finally, data on antigenicity and immunogenicity of long-acting insulin analogues (glargine, detemir), which may mimic the basal insulin delivery with CSII, remain scarce at present.

Diabetes Mellitus↗
PubMed2007

Effects of glucose homeostasis on protein metabolism in patients with advanced chronic kidney disease.

Insulin deficiency is known to be associated with a state of increased muscle protein breakdown; this process is mediated by the ubiquitin-proteasome pathway. Convincing in vitro data are further supported by extensive studies in humans with insulin deprivation and are further substantiated by reversal of muscle protein breakdown with insulin treatment. In patients with end-stage renal disease (ESRD) and diabetes mellitus (DM), muscle protein breakdown is enhanced in both acute and chronic conditions. Recent data also point to the potential protein catabolic effects of insulin resistance combined with insulin deficiency. Because ESRD is associated with a state of insulin resistance, uremic muscle wasting may also be mediated by this pathway.

Diabetes Mellitus↗