Diabetes Management

Diabetes Management


The title of the lesson is diabetes management whereby the nurse will be informing the audience about diabetes and how to manage it through lifestyle change, medication and dietary habits. In the US, diabetes affects more than 29 million people including children and adults and with more people getting diagnoses, it is necessary to educate the community about the disease and how they can manage it. The disease is caused by both genetic factors and environmental factors such poor dietary habits and lack of physical activity. However, with proper education and management, people can delay or prevent diabetes related complications (Long, 2015).

The lesson will be for three audiences. The first selected audience or learners is a family of eight and is made up of a mother and a father, three children, paternal grandmother, a maternal uncle and a paternal aunt. Both the parents are middle aged and have full time jobs, the children are aged between 5 and 15 with the first two children being girls and the last born a boy. The father and the eldest daughter have recently been diagnosed with diabetes. The grandmother is 65 years old and was diagnosed with diabetes 10 years ago. The maternal uncle lives with the family while the paternal aunt helps to take care of the grandmother when others are not around. Both the maternal uncle and paternal aunt have part time jobs while still taking college courses. During the lesson, the educational setting will be family education whereby the nurse will be sitting down with the family to educate them about the disease and its management. The nurse will make arrangements to visit the family home when all the family members are available for the lesson. To deliver the lesson, the nurse will conduct a talk with the family while allowing a question and answer session. In addition, the nurse will come with fliers that will contain important information regarding diabetes management and each family member will get the flier.

The second audience is a diabetes patient who is aged 18 years and has had the disease since he was 12 years old. This lesson will take place at the hospital during one of the patient’s checkup visit. The lesson will be conducted by talking to the patient and allowing a question and answer session.

The third audience is a local daycare whereby the nurse will be talking to the daycare’s staff about diabetes management. To conduct the lesson, the nurse will make a visit to the daycare and give a talk about the disease and its management. In addition, the nurse will allow the learners to ask question and will distribute fliers with information about diabetes management at the end of the lesson.

Learner assessments

The learners were assessed as follows:

Educational level – For the family, all the grownups are college educated except the grandmother who only went to high school. All the children are in school with the younger two in elementary school and the older daughter in junior high school. Most of the family members therefore understand what a disease is and can understand ways of effectively managing the disease. The 18 year old patient is high school educated while all the staff at the daycare are college educated.

Emotional readiness – For the family, everyone has a high motivation to learn about diabetes management as the information is relevant to their lives. This is because three family members have already been diagnosed with diabetes and so all family members feel like the education will be relevant in their lives and will help them solve a personal need. The family’s psychosocial adaptation to the health conditions of all family members also contributes to the emotional readiness to learn about diabetes management. With this emotional readiness, it is expected that the family members will be active participants in the lesson and each will need a chance to express him or herself about diabetes and how it has affected them. The 18 year old patient is also motivated to attend the lesson as it will be relevant in helping him live a better quality life.

Experiential readiness – all the members in the family have had past and present experiences in managing diabetes. Because of the family members that have the disease, all the members of the family already have previous knowledge, skills and attitudes in managing diabetes. In addition, all the family members except the youngest child have the intellectual capability of reading, listening and problem solving such that they can understand that the disease is a problem that can be managed. Also to add on the experiential readiness, the most preferred learning style for the family is listening and question and answer sessions. Further, the family prefers to learn in the home setting in an afternoon where all family members are available to sit down and listen to the nurse. In addition, the 18 year old has had experience in managing diabetes and understands that it is a problem to be addressed. Some of the staff at the daycare have had experiences in managing the disease while others do not (American Diabetes Association, 2014). All the three audiences are conversant with the English language and the nurse can effectively deliver the message in a language that most people understand.

Readiness to learn – all the family members have demonstrated readiness to learn as they are all enthusiastic about the lesson and everyone wants to understand how they can prevent the complications related to diabetes. Further, the family members who have full time jobs are willing to spare a few hours on their day off day to be available for the lesson. The 18 year old has also demonstrated readiness to learn by spending more time at the clinic for the lesson. As for the daycare staff, they are all ready to learn as they will all attend the lesson.

Purpose and rationale for selecting the topic/disease

The title of the lesson, which is Diabetes Management was selected for various reasons. The first major reason is because the family already has three members who have been diagnosed with the disease with one family member having managed the disease for ten years. Diabetes incidence and prevalence rates are steadily increasing in the US and it is also a leading cause of death. Both genetic and environmental factors have been associated with the disease and it is not surprising to have several family members having the disease because of any or both of these factors can affect family members. 

Another reason for selecting the topic is that most people who have been diagnosed with the disease hear about it from health care professionals who use a series of medical jargons to explain the disease. As a result, most people with diabetes are confused, overwhelmed or depressed about the disease and how to manage it. For this reason, it is necessary to educate the three audiences about the disease and its management using simple terms while meeting the learning needs of patients. While the learners can get a lot of information about diabetes management from the internet, a nurse or health care professional can help decipher the information to help each family member understand. Further, a nurse has the role of guiding patients and the community through the vast information and resources that is available on diabetes management, 

The philosophical or theoretical basis for the teaching approaches

The teaching approach that will be used throughout the lesson is active learning whereby learners will have breaks in between the lesson to organize their ideas and discussing among themselves. It will also involve a lot of question asking and answering whereby both the nurse and learners will ask and answer questions about diabetes management (Carr, Palmer & Hagel, 2015). The nurse will also encourage the learners to contribute to discussions on how the steps they can take to manage diabetes and its related complications. This teaching approach is based on the constructivist learning theory whereby individuals learn by linking new ideas to past knowledge and experiences (Bransford, Brown & Cocking, 1999). According to the theory, learners can either absorb new information to an already existing knowledge base or modify the existing knowledge to assimilate the new information. The active learning will help the three audiences to make connections on what they already know about diabetes management and extend their understanding about how they can effectively manage the disease.


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