One of the challenging subjects in any Endocrinology Department is the patient's consistency in keeping appointments with their providers, especially when both have become very limited due to the growing number of individuals with diabetes. Therefore, this concern has prompted me to ask the question: Does the office appointment compliance improve glycemic control in adult patients with diabetes? Moreover, that investigation opened the door for the implementation of the Orem's Self-Care Deficit Theory. As Moser, van der Bruggen and Widdershoven (2006) explain, the Orem's theory defines self-care as the practice that motivates people to perform activities leading to an interest in " maintaining life, healthful functioning, continuing personal
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Therefore, the focus remains on patients who are affected by the chronic disease and their decrease in self -care ability expressed by impaired physical activity either due to ones' pain in the lower extremities from neuropathy or poor visual acuity related to diabetic retinopathy. Additionally, the concept of self- care is also affected by patient's lack of knowledge regarding this disease process and its complications, and that should be continually addressed by provider or nurse educator while having a face to face detailed discussions. On the other hand, Orem's "major assumptions included that people should be self-reliant and responsible for their own care and the care of others in their family. She said that a person's knowledge of potential health problems is necessary for promoting self-care behaviors" (Olin, 2011). Therefore, the importance of patients' compliance with follow -up visits is essential in promoting self-care driven behavior which brings me to the next step in the analysis the implementation. Thus, the appointment compliance becomes a major component in developing individual's concern to maintain health, personal growth, especially while obtaining necessary information during each meeting required for successful diabetes self-management. Moving through acronym of PICOT format question the last item to review would be the outcome, which is identified in the form of improved glycemic control. Ultimately, the glycemic control is reflective of patient's engagement in his or her care as well as exposes any self - care deficits, which may be immediately addressed and rectified by a diabetes educator or provider. Therefore, this approach encompasses the complete view of Orem's theory as a theory of self-care, a theory of self-care deficit and the
Therefore, the focus remains on patients who are affected by the chronic disease and their decrease in self -care ability expressed by impaired physical activity either due to ones' pain in the lower extremities from neuropathy or poor visual acuity related to diabetic retinopathy. Additionally, the concept of self- care is also affected by patient's lack of knowledge regarding this disease process and its complications, and that should be continually addressed by provider or nurse educator while having a face to face detailed discussions. On the other hand, Orem's "major assumptions included that people should be self-reliant and responsible for their own care and the care of others in their family. She said that a person's knowledge of potential health problems is necessary for promoting self-care behaviors" (Olin, 2011). Therefore, the importance of patients' compliance with follow -up visits is essential in promoting self-care driven behavior which brings me to the next step in the analysis the implementation. Thus, the appointment compliance becomes a major component in developing individual's concern to maintain health, personal growth, especially while obtaining necessary information during each meeting required for successful diabetes self-management. Moving through acronym of PICOT format question the last item to review would be the outcome, which is identified in the form of improved glycemic control. Ultimately, the glycemic control is reflective of patient's engagement in his or her care as well as exposes any self - care deficits, which may be immediately addressed and rectified by a diabetes educator or provider. Therefore, this approach encompasses the complete view of Orem's theory as a theory of self-care, a theory of self-care deficit and the