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Addressing Pediatric Diabetes Care: Challenges and Solutions in Nursing Roles

This presentation examines critical issues facing pediatric diabetes specialist nurses (PDSNs) as of March 2009. Key concerns include the inequality in banding levels for nurses, the disparities in patient loads—ranging from 70 to over 200 patients per PDSN—and complexities of prescribing and dosage adjustments. Attention is drawn to the care of children with diabetes at school, the support for families navigating Disability Living Allowance (DLA), and the need for seamless transitions from pediatric to adult services. Addressing these challenges is essential for improving accessibility and quality of care.

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Addressing Pediatric Diabetes Care: Challenges and Solutions in Nursing Roles

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Presentation Transcript

  1. Partners in Paediatrics6th March 2009 Issues from PDSN perspective Julia Greensall

  2. Issues relating to Nurse Roles • Concern: Inequality of Banding levels – go from Band 5 – 8. Issue particularly for nurses working in DGHs; • Number of patients per PDSN – some areas have 70 patients per PDSN – others 200! • PGDs & issues around prescribing / dose adjustment for PDSNs

  3. Issues relating to Patients • Concern: Care of Child at school – many on multiple injection schemes – who injects? • Things to consider on school trips – providing appropriate food etc • DLA – Disability Living Allowance – Nurses spend time helping families – needs standardisation

  4. Transitional Services • To ensure that the transition from paediatric to adult services is as smooth as possible • How can we improve this area?

  5. Standards • Need to meet them! • NSF, NICE, HCC • Making Every Young Person with Diabetes Matter

  6. PCT issues • Lack of supplies to patients – eg blood test strips – restriction of supply • Access to & funding for pumps – still inequalities - despite NICE guidance

  7. Strategic Planning • Darzi – planning future services • Obesity – is one of the priorities for the SHA • Pathways of Care – need these to be standard set for all to adhere to

  8. StatementofPurpose .. to improve the quality and accessibility of services for children across the area served by the participating Trusts…

  9. “Coming together is a beginning. Keeping together is progress. Working together is success!” Henry Ford Where Do We Go From Here?

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