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RE: [IPk] diet, blaming the nhs etc



What management tools are used to give straightforward guidelines?

I'd be interested in any examples or thoughts.

Rgds

Julian

> -----Original Message-----
> From: Elizabeth OShea [mailto:email @ redacted]
> Sent: 16 August 2001 09:20
> To: email @ redacted
> Subject: RE: [IPk] diet, blaming the nhs etc
> 
> 
> Abi wrote:
> 
> because a substantial proportion  of the population has a low 
> iq or can't be
> bothered is probably why dm management is cr.. at the moment. i  have
> immense sympathy with medics trying to deal with people who 
> won't, or are
> intellectuallt incapable of looking after themselves. But 
> does this make it
> right that everyone should be deprived of better methods to 
> manage their
> condition
> 
> 
> Exactly. Why is it so much trouble for them to develop some sort of
> milestone programme so that people who can't or won't handle 
> the information
> get taken so far and then their medical team regularly reinforces the
> information the people can handle. People who do want to 
> learn it all can do
> so. But instead, we get the situation where everyone is told 
> very little -
> and then staff make comments about people not wanting to look after
> themselves! But in order to look after yourself, you have to 
> have the tools
> to do it. Some people can go and find the tools themselves, 
> but quite a lot
> of people need to be given the tools and don't realise they 
> can find them
> themselves - particularly as we live within a medical model 
> that teaches
> doctor knows best. I still have not come across an Irish 
> diabetes clinic
> with an education programme. Most people don't learn if you 
> don't teach them
> in the first place.
> 
> I think I've told this story here before, but I'll tell it 
> again. When I was
> diagnosed and I had my first meeting with the diabetes nurse 
> (this was in
> San Fransisco), she told me it's best to eat healthy and 
> you'll be better
> off if you eat healthy, and we'll help you with that. Now if 
> you want to eat
> soda and candy all the time, we can help you manage that too, 
> but you'll do
> much better if you're eating healthy. I think that attitude 
> is a much more
> productive one than just dropping the food management 
> programme because most
> people don't do it in reality, and I think it's an attitude 
> that allows for
> people who can't or won't while giving excellent support to 
> people who can
> and will.
> 
> elizabeth
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