Complex Diabetes Patient Module

The following is the Table of Contents of an educational module designed to help teams integrate Interprofessional Practice Protocols.

PDFs are available for a selection of materials included within this module. In some cases, links to an external website hosting the document or other resource are provided.

Contact us if you and your team are interested in receiving the protocol (binder format, available for a fee) or the educational session (in-service, tailored to your needs).

1
Introduction/Project Overview


2 Evidence
a. Introduction
b. Complex Diabetes – GAC Literature Review (Valerie A. Palda MD, MSc)
c. Psychological Aspects of Diabetes
Jones H, Hall P, Simon B, Mitchell B. Psychological Aspects of Diabetes. Canadian Diabetes Association Clinical Practice Guidelines. 2008. S82-5. Online
d. Motivational Enhancement Therapy with and without CBT
Ismail K et al. Motivational Enhancement Therapy with and without Cognitive Behavior Therapy to Treat Type 1 Diabetes. Annals of Internal Medicine 2008;149:708-19. Online
e. The Expanded Chronic Care Model
Barr V et al. The Expanded Chronic Care Model. Hospital Quarterly 2003;7(1):73-82. PubMed
f. Diabetes Care in Socially Disadvantaged Populations
Glazier RH, Bajcar J, Kennie NR, Willson K. A Systematic Review of Interventions to Improve Diabetes Care in Socially Disadvantaged Populations. Diabetes Care 2006;29(7): 1675-88. Online


3 Interprofessional Protocols for Managing Complex Diabetes
a. Defining Practice Assumptions and Goals
b. Working Assumptions and Key Considerations → Balancing Patient Needs & Practice Goals
FHT Barriers and Strategies
c. Developing a Care Pathway
Care Pathway Introduction
Sample Care Pathway
d. Identifying Roles and Accountabilities
Health Professional Competencies
e. Linking with Community Resources
Identifying Community Resources
Community Resource Worksheet
f. Measuring Outcomes


4 Tools
a. Depression Screening Tool
PHQ-9 Tool: www.phqscreeners.com
b. Cognitive Behaviour Therapy Overview
Somers J. Cognitive Behavioural Therapy: Core Information Document. Centre for Applied Research in Mental Health and Addictions. 2007. Online
c. Motivational Interviewing
Treasure J. Motivational Interviewing. Advances in Psychiatric Treatment 2004;10:331-7. Online


Appendix
A
Diabetes Care Pathway


Appendix
B
Interprofessional Team Development for Diabetes Care - Discussion Paper