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Transitions in Care: Meeting the Challenges of Type 1 Diabetes in Young Adults

Discussion in 'Diabetes Book Club' started by Ellen, Jun 15, 2009.

  1. Ellen

    Ellen Senior Member

    Joined:
    Oct 22, 2005
    Messages:
    8,240
    Transitions in Care: Meeting the Challenges of Type 1 Diabetes in Young Adults by Howard A. Wopert, ME, Barbara J. Anderson, PhD, and Jill Weissberg-Benchell, PhD,CDE.

    I reviewed the book at AMAZON and would love to discuss it here with others who read it.

    A few lines that stand out:

    P. 9 - "The young adult who as a child faced unrealistic expectations for self-care behavior and glucose control and had a legacy of punitive and judgmental medical encounters is especially vulnerable to 'diabetes burnout,' a condition characterized by feelings of inadequacy or guilt from chronically failing at diabetes management."

    p. 12 - ..."teens who display behavioral difficulties during adolescence experience poorer glycemic control as young adults. Therefore, openly discussing past emotional and behavioral issues is also an important goal in transition planning."

    P. 36 - "...it's best to set your primary goals around new actions (or habits) rather than simply a glucose goal."

    p. 72 - "...intensive care of adolescents with diabetes does not necessarily set the stage for optimal glucose control during young adulthood and underscore the need for focused intervention to help young adults successfully cope with the transition to independent self-care."

    p. 93-94 - "Giving the patient an ideal rather than a realistic A1c treatment target can be counterproductive....In contrast, realistic and attainable goals that are appropriate to the patient's aptitude, motivation and stage of development will reinforce the patient's sense of confidence and self-efficacy, and this will often drive further progress as the goals are further advanced."

    p. 95 - "Anxious parents who are overly intrusive and controlling can trigger a destructive cycle of 'miscarried helping' that undermines their child's self-confidence and motivation."

    p. 98 - "There is no evidence that 'fear-mongering' is successful in motivating patients. On the contrary, if the interaction with the health professional heightens the patient's fears and anxietites, withdrawal from follow-up and self-care will often result."
     
  2. frizzyrazzy

    frizzyrazzy Approved members

    Joined:
    Dec 23, 2006
    Messages:
    14,141
    looks like a very interesting book!
     

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