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Transitions of Care: Diabetes

presented by Constance Sheets & Rose Flinchum

Accreditation Check:

This course features an interactive case study. For the best experience, please watch this course on a desktop or laptop computer.

Diabetes has now reached pandemic proportions. Hospitalization expenditures for the disease have been quoted at $176 billion annually (Enomoto. Shrestha, Rosenthal, Hollenbeak & Gabby, 2017). The prevalence of diabetes increases with age, reaching 25.2% in those 65 and older (American Diabetes Association, 2015). Elders living in skilled nursing facilities (SNFs) are at an increased risk of developing acute and chronic complications related to diabetes. Comorbidities affect and are affected by diabetes, rendering it a complex problem in which nurses will need to personalize residents’ care and establish achievable goals to prevent complications that lead to readmission. Due to the significant disease burden, this course will provide nurses with an overview of pathophysiology, signs and symptoms, general diabetic management and care, assessment for the development of complications, and interventions nurses can provide to prevent readmissions.

Meet Your Instructors

  • Constance Sheets, DNP, RN, GCNS-BC

    Dr. Sheets has taught in the undergraduate nursing program at Valparaiso University since 2004. She is certified in gerontology and has an extensive home health background. She has co­-authored articles that have been published in Rehabilitation Nursing and Nursing Education Perspectives, and has been a content reviewer for a gerontological nursing textbook. Professor Sheets has presented her Transitional Care DNP EBP project at both the Canadian and American Gerontological Nurses Associations. Professor Sheets maintains a limited practice through Moses Caregivers in a small elderly group home environment and is a home hospice/palliative care trained CNS. Dr. Sheets was also instrumental in developing a new service line of Transitional Care and Palliative care at IU Health LaPorte Hospital. She is a member of Sigma Theta Tau, ANA, and other local community organizations. Professor Sheets also holds a supervision and leadership certificate.

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  • Rose Flinchum, MSEd, MS, RN, ACNS-BC, BC-ADM, CDE

    Ms. Flinchum is an advanced practice nurse with forty years' experience in staff and patient/community diabetes self-management education. She has held the position of Clinical Nurse Specialist-Diabetes Educator at La Porte Hospital (formerly Indiana University La Porte Hospital) since 2007 and is currently program coordinator for the outpatient diabetes self-management program, in addition to maintaining inpatient diabetes clinical nurse specialist responsibilities. Ms. Flinchum holds board certification as an adult clinical nurse specialist, holds board certification in advanced diabetes management, and is a certified diabetes educator. Throughout her career, she has served as preceptor and mentor for numerous undergraduate and graduate nursing students attending various universities. She is a past recipient of the American Association of Diabetes Educators' Advocacy Award in recognition of her efforts resulting in the passage of diabetes licensure legislation in her home state. She is also a recipient of the Daisy award for excellence in nursing. In addition to her focus on diabetes, she has extensive experience in developing and presenting continuing education offerings on a wide variety of medical-surgical and critical care topics and has presented posters at local and national meetings. Ms. Flinchum completed training in transitional care nursing through the University of Pennsylvania and subsequently successfully championed the establishment of a transitional care service at IU Health La Porte Hospital. She has also completed post-graduate coursework in evidence-based practice, pharmacology, and advanced practice clinical practicums. Ms. Flinchum is currently pursuing a Doctorate in Nursing Practice from Valparaiso University. She is a member of Sigma Theta Tau and Phi Kappa Phi honor societies, the Society of Nursing for Advanced Practice, and local, state, and national chapters of the American Association of Diabetes Educators. In addition, she serves on the Northwest Indiana Research Consortium and various other professional committees and organizations.

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Chapters & Learning Objectives

  1. Pathophysiology and Symptoms

    1. Pathophysiology and Symptoms

    Diabetes is a complex problem involving many body systems. Knowledge of diabetes pathophysiology is important in the understanding of its manifestations. This chapter will discuss overall pathophysiology of diabetes, distinguish type 1 from type 2, and identify signs and symptoms of the disease.

  2. Diabetes Management

    2. Diabetes Management

    Management of diabetes requires a multifaceted approach. This chapter will focus on nutrition, activity, medications, and monitoring to promote better outcomes.

  3. Assessing for Complications

    3. Assessing for Complications

    Prevention and early recognition of developing complications is essential for improving resident outcomes. This chapter provides an overview of assessment parameters for early recognition of impending complications to prevent readmissions, with a focus on hypoglycemia, hyperglycemia, urosepsis, and wounds. Suggestions of interventions that can be used to prevent and address common diabetic complications will be given.

  4. Case Study

    4. Case Study

    In this case study, the learner will be able to synthesize what was learned in the course. Interactive technology will allow learners to use their new knowledge and skills to reduce rehospitalization for high-risk patients with diabetes.