Retirement is a very important change in the lives of people with chronic diseases including diabetes.With retirement, self -care and control of your diseases, it goes to the forefront.
Therefore, care of your diabetes becomes more relevance.The retiree is more demanding health services, so when attending more regularly to the doctor and nurse, he makes his illness, self -care and control know better.It becomes more compliant.So the passage to retirement is an improvement opportunity.
It must also be borne in mind that the control objectives of the DM2 change in older patients and more laxes are being made with age.Another point is that these patients when you get older have more prevalence of other pathologies such as different types of dementia, osteoarthritis and other cardiovascular risk factors, which can make compliance with the treatment of DM2 not adequate.
Diabetes is a chronic disease that, despite the development of treatments, constitutes a mental and emotional challenge.
more time
In this group of patients the most positive factor is the availability of time and perhaps the most negative the lack of motivation and in some cases the low awareness of disease.Some patients consider that from a certain age it is not necessary to achieve certain objectives of blood glucose or blood pressure.Therefore, it is key to promote individual and group actions with which the patient is motivated and informed, improving the knowledge of the disease, their complications and what they can do to improve their control, from therapeutic adhesion to the rest of the measures at their reach.From the medical consultation the patient can be motivated by proposing the control objectives in a simple and understandable way.They can be cited in scheduled consultation to have extra time and thus practice active listening that helps create a climate of trust and allows to detect the underlying aspects that may be influencing the therapeutic involvement and compliance.
Bring an organized life, with daily routines and time activities, reinforcing continuity in good house, with sufficient time to perform physical exercises and the use of technology, such as mobile alarms to remember the intakes of medications are guidelines are guidelinesto consider.
Mood disorders can influence in a determining way in adhesion to treatment, so it is important to suspect them in cases of poor adhesion and address them in the clinical interview.Thus, the factors related to the worsening of the most prominent adhesion are economic solvency and depression.
coordinated work
The role of nursing staff is fundamental in this patient profile.It must also be taken into account that it is very frequent especially in men who delegate responsibility for the care of their health in the wife, this is an inertia that is a risk to take into account, in case of sending the male there are many cases many casesof abandonment or confusion with treatment.It is important to explain to the patient that he must become aware and responsibility of his illness.
With the electronic recipe it can be detected whether or not the prescribed medication is properly removed.Pharmacists can collaborate in this aspect informing the patient about the medication that corresponds to them or if they are inactive for not withdrawing it and encouraging them to go to the medical consultation if they suspect poor adherence or confusion in taking the medication.Patient associations do an important work that can help the knowledge of the disease, its complications, the importance of adherence to treatment andHabits improvement.
In short, it is essential that the treatment of DM2 is based on teamwork focused on improving the patient's quality of life, avoiding acute and chronic complications of the DM2.This team, composed of the family doctor, nurses, auxiliaries, therapists, pharmacists, family members, family associations must have different, well -defined tasks and with a global vision in terms of therapeutic treatment and compliance with type 2 diabetes.
For the elaboration of this article, the collaboration of the doctors specializing in Immaculate Family Medicine Gallo Salle, Azucena Rodríguez Martínez, Fernando Hernández Menarguez, Vicente Nohales Requena, Oscar de Pablos Carbonalal, Rodolfo Castillo Wandossell and María Mercedes Tárraga Aguilar,from Murcia;The primary care doctors Antonio Ripoll Cano, Marwan Damaj Hamieh, Pedro Vélez Guerra and Jose González Batista, of the Foietes, Benidorm, and Pilar Cardenal Falcón, José Alfredo Alfredo Agullo López, Octavio Sosa Meza, Pascual Martínez Delell, Salvador Aguilar Pérezand Rafael Alonso Pinos, from Alicante.