Diabetes Care Plan: Psychological, Cultural, and Spiritual Support

This presentation addresses the critical importance of psychological, cultural, and spiritual considerations in the care of diabetes patients. It explores how a diabetes diagnosis often leads to stress and various emotional responses, necessitating psychological support through evaluation and training of patients to cope with the challenges. The presentation also highlights the influence of cultural and spiritual beliefs on treatment adherence and lifestyle choices, emphasizing the need for culturally competent healthcare providers and faith-based interventions. It provides examples such as the impact of cultural attitudes on treatment preferences and the role of spiritual practices in managing the condition. The presentation suggests practical strategies for integrating these aspects into a comprehensive care plan, enhancing patient outcomes and overall well-being.

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Diabetes

Considerations for Diabetes Patients
Psychological aspects:
 Diabetes diagnosis is associated with stress.
 Psychological reactions include anger, denial, guilt,
acceptance and depression
They determine:
 acceptance of diabetes diagnosis
the adjustment of a patient to self-care routine
individual coping and progresses with the condition

Considerations continued
Cultural Aspects:
Influence diabetes patients’ attitudes and perceptions
regarding treatment
influence the intentions of patients to seek traditional
medicine and alternative treatments
Spiritual Aspects:
important coping mechanisms for diabetes patients
essential for the treatment if depressive symptoms among
diabetes patients
Spirituality influences lifestyle
determined the views of patients towards medication. For
instance, Muslims reject insulin as it is obtained from pigs
which are regarded unclean

Support in the care plan
Spiritual support: Faith-based education interventions
Example: Buddhist monks in Thailand who practice a Spartan
dietary lifestyle, conceivably mental peace and physical activity
are protected against diabetes and insulin resistance
Cultural support: Cultural competence among healthcare
providers
Example: availing various treatment options to support different
cultural needs
Psychological Support: Evaluation and training of patients
Example: Personal afforest to address the diabetes challenges are
essential for dealing with psychological needs routinely
monitoring diabetes patients is essential to meet treatment targets
and identify the onset of complications.

References
 Abdulrehman, M. S., Woith, W., Jenkins, S., Kossman, S., & Hunter, G. L.
(2016). Exploring Cultural Influences of Self-Management of Diabetes in
Coastal Kenya: An Ethnography. Global qualitative nursing research, 3.
doi:10.1177/2333393616641825
 Kalra, S., Jena, B. N., & Yeravdekar, R. (2018). Emotional and
Psychological Needs of People with Diabetes. Indian journal of
endocrinology and metabolism, 22(5), 696–704.
doi:10.4103/ijem.IJEM_579_17
 Kuramasuwan, B., Howteerakul, N., Suwannapong, N., & Rawdaree, P.
(2013). Diabetes, impaired fasting glucose, daily life activities, food and
beverage consumption among Buddhist monks in Chanthaburi Province,
Thailand. International Journal of Diabetes in Developing
Countries, 33(1), 23-28. doi:10.1007%2Fs13410-012-0094-y

References
Lynch, C. P., Hernandez-Tejada, M. A., Strom, J. L., & Egede, L. E. (2012).
Association between spirituality and depression in adults with type 2
diabetes. The Diabetes Educator, 38(3), 427-435.
doi:10.1177%2F0145721712440335
Rebolledo, J. A., & Arellano, R. (2016). Cultural Differences and
Considerations When Initiating Insulin. Diabetes spectrum : a publication of the
American Diabetes Association, 29(3), 185–190. doi:10.2337/diaspect.29.3.185
Sridhar, G. R. (2013). Diabetes, religion and spirituality. International Journal
of Diabetes in Developing Countries, 33(1), 5-7. doi:10.1007/s13410-012-0097-
8
Young-Hyman, D., De Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., &
Peyrot, M. (2016). Psychosocial care for people with diabetes: a position
statement of the American Diabetes Association. Diabetes care, 39(12), 2126-
2140.

Questions?
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