This toolkit is for health professionals using the Australian diabetes-related foot disease guidelines in daily practice.
The new guidelines and this toolkit is designed for health professionals and disciplines caring for Australians with diabetes-related foot disease and diabetes-related foot ulcers in secondary and tertiary health care settings in Australia. This resource was funded by the National Diabetes Services Scheme (NDSS), an initiative of the Australian Government and administered by Diabetes Australia, in partnership with Diabetes Feet Australia and the Australian Diabetes Society.
The toolkit covers the guidelines:
Please refer to the NDSS website at Diabetes and feet – NDSS
Activity 1: MESAC
Activity 2: ADS/ADEA DIABETES WORKFORCE DATA COLLECTION & ANALYSIS PROJECT
Activity 3: DIABETES CLINICAL PATHWAYS
Activity 4: HEALTH PROFESSIONAL DIABETES EDUCATIONAL PROGRAMS
Activity 5: NATIONAL HIGH RISK FOOT NETWORK
The aim of the Diabetes Models of Care (MoC) project is to create a practical toolkit of examples of various models of care that may assist health practitioners across Australia review and consider revisions of their own current MoC for managing people with type 2 diabetes. The target audience of health professionals includes general practitioners, endocrinologists, diabetes educators, health services managers and other multidisciplinary practitioners across the spectrum of health-care.
There is strong evidence supporting lifestyle and medical management programmes to improve outcome measures and quality of life for people with diabetes. Many people with diabetes often have other co-morbidities, including (but not limited to) obesity, cardiovascular disease, renal, eye and foot disease, that manifest into a complex array of treatments highlighting the need for a multidisciplinary and comprehensive diabetes management approach.
The essential ingredient of effective diabetes management in an interdisciplinary system of care is the empowerment of the person with diabetes to become engaged to actively manage their health. When people with diabetes (and often their carers) are more informed, involved, and empowered, they interact more effectively with healthcare providers and strive to take actions that will promote healthier outcomes.
There are many MoC being used within diabetes services across Australia. Many of these models promote the importance of integrated care across health professional disciplines and have been successfully implemented into practice. However, more needs to be done to improve integrated and collaborative care nationally. One such area that needs improving is the collection of outcome measures that could lead to the identification of which primary care attributes support high quality care for people with diabetes.
This toolkit will focus on MoC for the management of type 2 diabetes, concentrating on integrated care from primary to specialist care, and include models that target diabetes complications, screening and management. The models illustrated in this document are not a complete list and have been included as examples only. It is anticipated that any MoC can be adapted to the local population and workplace.
This toolkit is designed to be a ‘living document’ and will be added to, edited and revised over time. As such, the document will only be up to date at the time of access or download.
This NADC Collaborative for Interdisciplinary High-Risk Foot Services is a highly inclusive process, which under the NADC Foot Network has received formal input from key national diabetes foot care organisations, to realise the Interdisciplinary Diabetes High Risk Foot Services Standards of Care herein, which we now commend to you. The mission of the NADC Foot Network is to establish and maintain reduced morbidity and mortality caused by diabetes-related foot disease in people in Australia. One of the first steps in this process is to establish and then maintain National Standards of care for Interdisciplinary HRFS, providing standards for these services and the health professional working within them, to be guided by. Few countries globally have developed national standards for Interdisciplinary Diabetes HRFS, and it is anticipated that these Standards will help to realise and then to maintain a high level of diabetes HRFS care throughout our nation, aiding equity of access, and underpinning more consistent across-service outcomes in diabetes foot care. Download PDF - NADC Colloborative Interdisciplinary Diabetes High-Risk Foot Service (HRFS) Standards
Support by health professionals to help people with type 1 diabetes to optimise both their diabetes self-management and their mental health is critical, but the skills involved are not necessarily intuitive. Although there is evidence that these skills can be defined and acquired, just as in any other area of clinical expertise, there have been few resources available in Australia to help health professionals develop the required expertise. The training resource “Enhancing Your Consulting Skills: Supporting Self-Management and Optimising Mental Health in People with Type 1 diabetes” has been created to help meet this educational need. It has been specifically developed for advanced trainees in adult endocrinology in Australia, but will also be a helpful reference for their supervisors and other interested health professionals involved in diabetes care.
The development of this resource has been a combined initiative of the Australian Diabetes Society (ADS), the National Diabetes Services Scheme (NDSS) and Diabetes Australia (DA). The lead author, Dr Jennifer Conn, is a member of the ADS Council and is Chair of its Health Professional Education Committee. Other major contributors have been Dr Christel Hendrieckx (clinical psychologist) and Dr Carol Silberberg (liaison psychiatrist).
It is now available in electronic format through the ADS website at: [http://diabetessociety.com.au/download-request.asp]. It can be downloaded free of charge for individual use. Please Note that you will be required to submit a request for download and obtain your password prior to receiving the download link. Hard copies of the resource are available from the ADS Secretariat.
For further information, please contact the ADS Secretariat (02) 9256 5462
Conn JJ, Silberberg CL, Henrieckx C, Nankervis AJ, Cheung NW, Jenkins AJ, on behalf of the Australian Diabetes Society. Enhancing your consulting skills - supporting self-management and optimising mental health in people with type 1 diabetes. Canberra: National Diabetes Services Scheme; 2014