Samatvam Asha Medical Center – JP Nagar
Diabetes treatment unit (under development)
Patients are admitted for a maximum of five days in the outpatient ward. The ward accommodates 12 patients on a 24-hour basis and 4 on a daytime-only basis. Patients are admitted for both planned and acute hospitalisation.
The staff consists of a duty doctor, nurse, a social health worker and a clinical dietician; an endocrinologist diabetologist, a medical secretary and a social counsellor are also attached to the ward. The outpatient ward offers experience and training periods for students and trainees.
The most common reasons for hospitalisation:
• recently developed diabetes
• increased acid levels
• start up of night insulin treatment
• foot ulcers
• monitoring and regulation of treatment
• hypos: hypoglycaemia (low blood glucose)
The aim of hospitalisation:
to empower the patient to optimise his/her blood glucose levels and thereby improve his/her life quality by preventing development or progression of major diabetic complications. We try to meet this aim by:
• making a medical review and giving a status of the patient’s complications
• optimising the patient’s self-monitoring of blood glucose
• motivating the patient to set personal diabetes-management goals
• assessing the patient’s knowledge of diabetes and need for diabetes-related education in order to give him/her greater understanding of his/her illness
• teamworking to create a tailored hospitalisation plan for the patient
• offering education both in a group and on a one-to-one basis in order to strengthen the patient’s management.
What happens during a typical hospital stay
• the duty doctor establishes the patient’s medical record
• blood samples are taken and the patient is examined
• the patient has an admission consultation with the diabetes specialist counselor where joint goals are set for the hospital stay and one-to-one education and guidance are planned
• the patient has a consultation with the dietician and receives dietary guidance and one-to-one education
• Doctors’ rounds are thrice a week on Tuesdays, Thursdays and Saturdays.
In addition to the standard education programmes, three group education sessions are offered each week. The sessions are based on the participants’ needs and requests.
The sessions offer:
• dietary advice from the dietician
- education from the specialist diabetes nurse
- counselling by a medical social worker
Each year, few theme weeks are arranged. People with the same diabetes-related problems are offered a hospital stay where they receive education and treatment. Hospital referrals are made by the practitioners in Samatvam. The theme weeks are planned and run by a multidisciplinary team consisting of an endocrinologist diabetologist , a registrar, a diabetes specialist counselor, and a clinical