a

a) Issue Analysis
Article 1: “Standards of Medical Care in Diabetes—2017 Abridged for Primary Care Providers”
Issue by American Diabetes Association
Key Messages:
1. Promoting health and reducing disparities in populations are the responsibility of each individual especially medical practitioner.
2. General medical evaluation and the role of medical practitioners in caring diabetes patient
3. Recommendations are given for overall assessment and treatment plan with all forms of diabetes.
Summary:
The article gives the useful clinical practice guidelines which are important in improving population health. Thus, such efforts require a combination of all clinical level and high patient-focused level of care, “the care refers to respectful of and responsive to individual patient preferences, needs, and values that all medical practitioners should acknowledge for the near future real practices”.
On the other hand, the studies mentioned the general medical evaluation which comprises the initial and ongoing assessment, the complications, rather, the participation of the patient throughout the treatment process. Medical Practitioners do notice that diabetes patient should receive the healthcare from many interdependent sides that may include physicians, exercise specialists, nurses care, caregiver, families….Especially each of patient or potential patient with diabetes must acknowledge how important they care themselves. The engagement of care also includes the awareness of not only the care team, but also the family side to refer assessment and treatment plan. In which, the lifestyle management, as well as psychosocial care, are highly recommended in the article. Accordingly, “Patients should be referred for diabetes self-management education (DSME), diabetes self-management support (DSMS), medical nutrition therapy (MNT), and psychosocial/emotional health concerns if indicated”.
One of the most important thing was mentioned in the article is that the medical practitioners should take notice for the preventive care services; even it is the less crucial things but may have a big result for the patient e.g., immunizations and cancer screening; ophthalmological, dental, and smoking cessation counseling,…
Article 2: “The associations of self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with Type 1 Diabetes Mellitus”
Issue by Taylor & Francis Group
Key Messages:
1. Adolescents in Singapore with Type 1 Diabetes Mellitus with poorer metabolic control tend to have poorer self-care behaviors.
2. The importance of treatment control cognitions (i.e. patients perceived treatment impact
over illness) and illness perception in Singaporean youth with Type 1 Diabetes Mellitus.
3. General psychological distress was not predictive of poor metabolic control and Type 1 Diabetes Mellitus
Summary:
The study did the examination for the role of self-care, illness perceptions and psychological distress in T1DM management conducted through the research of sample of 41 Singaporean adolescents (age 14 – 20) The findings of this research highlighted the importance of the perceptions of treatment control and dietary self-care in diabetes outcomes for adolescents with T1DM. Besides, it also noted the relationship between self-care, illness perceptions and psychological distress with metabolic control in Singaporean adolescents with T1DM. Indeed, it is hypothesised that the poorer metabolic control will be associated with lower adherence/self-care behaviours, the more negative illness perceptions (i.e. lower perceptions of control; more perceived consequences and symptoms, stronger identity) and higher distress.
Individuals need to coordinate a number of self-care behaviors on daily basis including blood glucose checks, calculating and administering insulin doses, and keeping to dietary and exercise recommendations for Singaporean adolescents with T1DM should try to work on strengthening perceptions of treatment control as well as improving self-care behaviours, or intrinsic motivation which is reflected as better self-care behaviours.
The study used the Kessler psychological distress scale (K10) which is a generic questionnaire, consisting of 10 items designed to measure level of psychological distress over the past four weeks (Kessler et al.,2005) in the survey. And results showed low distress scores and hence insufficient variation to allow relationships (if any) to emerge in the investigation. This all research and findings are enriched information and statistic practitioners and for the DSS.

Article 3: “A qualitative study of patient experiences of Type 2 Diabetes care delivered comparatively by General Practice Nurses and Medical Practitioners”
Issued by Journal of Clinical Nursing (JCU)
Key Messages:
1. The efficient and effective care makes treatment on Type 2 Diabetes patients.
2. The collaborative approach in Type 2 Diabetes patient’s care delivery
3. The care to inform would more supportive if it has taken by the medical practitioners
Summary:
The articles try to examine the patient experiences of type 2 diabetes mellitus and the care delivered by nurse, caregivers and in collaboration with the general and medical practitioners. The studies based on the Australian general practice nurses contexts as they have substantial role in caring the patient in type 2 diabetes and other type of diabetes.

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Accordingly, the research has applied the qualitative method under purposeful sampling of the 10 patients. All of them were invited to join into the research and after that, results were gathered from semi-structured face-to-face interviews. Eventually, all the agreed patients have been gone through the General Practice Nurse consulting process. At the meantime, the patients were asked to tell what have they faced with the ongoing challenge of living with T2DM and moreover, the study aimed to identified how need and important of additional awareness and advice properly.
What they have feel and face with the challenging living with type 2 diabetes were obviously come out and the results highlighted the need of general practice nurse go along with the care delivery. Being acknowledge the essential of effective delivered care in Diabetes treatment, nonetheless, the collaborative approach withdrawn from the study require the cooperation of assessments, necessary education, and self-supportive care and other duty of inform conducted by General Practitioners.

MEDIA RELEASE
FOR IMMEDIATE RELEASE

CARE FOR DIABETES – A GROWING HEALTH CONCERN
Date: 04 June 2018

The growing concern is given on the diabetes, both globally and in Singapore. One third the Singapore population is in risk of life with this growing diabetes disease.

Mr Yong Chiang Boon, the President of the Diabetic Society of Singapore (DSS), mentioned “If we do not take action today, it is estimated that one million Singapore residents will have diabetes by 2050. In April this year, MOH declared War on Diabetes, and set up the national Diabetes Prevention and Care Taskforce”.

For medical practitioners, the forehead is effort to address diabetes in three key aspects: lifestyle management, disease management and caring management. Moreover, the responsibilities of each of Singapore citizens is rising the own and public awareness. Mr. Yong also addressed: “The War on Diabetes is a whole-of-nation effort which requires the commitment of every Singaporean”. Everyone should recognize that health is absolutely important and that is crucial to take the awareness about it. An appealing for everyone is needed to take action from this moment.

– ENDS –
For more information,
The Diabetes Society of Singapore site is an initiative support. http://www.diabetes.org.sg
Q and Jurong Diabetes Education ; Care Centre
Blk 528 Jurong West St 52
#01-353 Singapore 640528
Tel : (65) 6564 9818, (65) 6564 9819

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