Wednesday January 24, 2018
Keeping an open
Talking about diabetes
How to keep your resolutions New Year’s has been and gone and many of you in a fit of enthusiasm will have made a resolution or two about this year and how it will be different from last year. It may be keeping the house tidy, or reading a book a week and many of you will have set weight loss goals. Many of you will have set to with enthusiasm... for the first week or two but about now reasons are starting to crop up, reasons why ‘this’ week isn’t a ‘good’ week or how things are crazy busy right now. Obviously I’m a hypnotherapist so I’m going to suggest a hypnotherapy solution but just see if any of this sounds familiar: I don’t have time right now, work/school is just about to start again and I have to get ready; I’ll start again once my schedule is settled down; I had a bad day, went back to my old ways and now it’s all turned to custard, I give up! If any of these sound at all familiar I’m going to suggest
that it really doesn’t have to be that way. The problem with many resolutions is that we set ourselves up to fail by pitting our own willpower against our normal inclinations. Battling ourselves is a recipe for losing but a simple reframe can make all the difference. That’s where hypnotherapy can be really handy, reminding you why you want to make a change and more importantly what you are enjoying and looking forward to with that choice. You can start to enjoy the changes you have made in your life and take the battle out of the equation. You’re too busy enjoying the changes to even think about boring words like willpower, effort, grit or determination. Get in touch if any of this sounds like you.
Contact me for a no-obligation assessment 8a Penlington Place, Karori Ph. 021 203 3374 firstname.lastname@example.org www.ntrance.co.nz
The research team from the University of Otago, Wellington, from left to right, Rachel Tester, Tony Dowell and Maria Stubbe. PHOTO: Supplied
Primary care physicians can improve their communication to newly-diagnosed diabetes patients by offering more information speciﬁc to the patient’s experience, new research from Otago, Auckland and Victoria universities shows. For six months, the researchers tracked and videoed all the interactions between healthcare professionals and 32 patients newly diagnosed with type 2 diabetes. “Despite many health professionals having high communication and technical skill levels, our study found that there are many opportunities to communicate and consult more effectively with these patients,” says lead author Professor Tony Dowell from the University of Otago, Wellington. The research team found strengths in primary care interactions including high levels of communication skills, enthusiasm to coordinate services, and signiﬁcant allocation of time with patients. But for optimal care, better communication is needed.
The study found that initial consultations between primary care clinicians and patients who are newly diagnosed with type 2 diabetes are often driven by biomedical explanations which are out of context from patient experience. “Patients who have just been diagnosed with diabetes or other long-term conditions bring their own expertise and experience to the situation and healthcare professionals need to listen to this. We need to re-think our usage of technical biomedical language when talking to these patients,” Tony suggests. “Despite the high levels of generic communication expertise by clinicians, many patients found the style and content of health promotion and lifestyle advice did not apply to their lives.” Patients were also concerned about the overuse of checklists, and suggested a need for more effective methods of sharing patient information. Tony and colleagues note there was also a perception of time pressure but considerable time was spent with patients by health
professionals repeating information that may not be relevant to patient need. “The time that patients spend with health providers could be allocated more effectively and efﬁciently when patients see multiple clinicians,” he says. “Although there has been a huge amount of research into diabetes, this is the ﬁrst study to directly observe the patient journey and interactions with different health professionals from the onset of diabetes.” The authors recommend that clinicians employ a framework for communications with diabetes patients that acknowledges the importance of the patient’s own particular situation and social needs. They suggest that time could be allocated more effectively and efﬁciently when patients see multiple clinicians. “The research makes us appreciate the importance of listening more and possibly talking less in consultations. It helps with understanding and improving health care one sentence at a time,” Tony says.
Independent Herald 24-01-18