Frail elderly residents with Type 2 diabetes represent 27% of the population at the Veterans Memorial Lodge. Residents with diabetes experience higher rates of infection, functional disability, co-existing illnesses and premature death than residents without diabetes.
There has been very little published research specific to these individuals to guide best practice. Broadmead Care took this opportunity to develop a set of guidelines that supports clinical decision-making in common areas of diabetes management. A team of nurses, dieticians and consulting doctors and educators developed a set of evidence-based recommendations that encourage assessment, critical thinking and individualized care planning.
The initiative has contributed to diabetes care with new goals for blood glucose testing and treatments for people with cognitive impairment, those who are ill and those who are actively dying.
Since implementation of the diabetes care guidelines, there has been an increased awareness among staff members of the importance of blood glucose monitoring and standardized frequency of blood glucose monitoring based on the resident’s diabetes treatment regime.
“We are still working to improve the identification and treatment of both isolated and persistent hyperglycemia,” says Director of Care Fiona Sudbury. “However, the frequency of infection and incidents of hypoglycemia and hyperglycemia have decreased since the introduction of the guidelines, so we’re very pleased with the results.”