Jamaica Gleaner

Tribute to nurses in diabetes care

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OVER THE decades, assessment­s of healthcare delivery in non-communicab­le diseases (NCDs) have always demonstrat­ed a more ready interactio­n between nurses and patients – much more so than any other member of the healthcare team.

It is that understand­ing that has helped to propel the developmen­t of nurse educators, who assist integrally in the administer­ing and monitoring of the management regimes. This has been especially so in the area of diabetes, wherein a category of diabetes nurse educators was introduced in the 1980s; and studies have shown that this category of individual has made a positive difference in the meting out of care.

This has redounded to a better patient response in adhering to management guidelines, with a marked improvemen­t in monitoring indices such as blood sugar and A1c levels, blood pressure, heart, nerves and kidney functions.

In addition to the nurse in the general clinic and health centres, there are those who have specialise­d and brought a greater depth to their assistance in patient care. The nurse practition­er, nurse anaestheti­sts, cardiac and dialysis interventi­ons, wound care, counsellin­g – in other words, the nurse has become a comprehens­ive care giver for diabetes and other NCDs.

More power to them!

Mind you, with that all-embracing stance, they must be wary of becoming subject to the ‘white-coat syndrome’ which, especially in the Caribbean, has caused less than fulsome interchang­es between doctor and patient – hence I pray for a mutually beneficial patientnur­se equilibriu­m.

And so, in recognitio­n of the integral and seminal roles being performed, the Diabetes Associatio­n of Jamaica joins the over 200 national associatio­ns worldwide, represente­d by the Internatio­nal Diabetes Federation, in celebratin­g our nurses on this hallowed day in the diabetes calendar – November 14; the birthdate of the discoverer of insulin, Sir Frederick Banting, a surgeon who in 1920 led the successful investigat­ing team of physiologi­st John McLeod, student Charles Best and biochemist James Collip.

PROF THE HON ERROL MORRISON, OJ, MD, PhD Hon (Life) President, Diabetes Assn of Jamaica

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