Module E: The Case Manager’s Role in Diabetes Care

CE Credits: 1.75

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This module explores how CMs can play an essential role in effective DM care, since the disease is a complex illness that requires both a team of healthcare professionals and a high level of patient education. The module details the key contributions that CMs can make to a DM patient’s care—such as proper discharge planning, and helping the patient set up medical nutrition therapy (MNT). It also covers the most effective methods of patient centered education, motivational interviewing (MI). Also, the module explains the different levels of health literacy among patients, the power of cultural and linguistically appropriate care (CLAS) and the essentials of advance planning, such as advance directives and living wills.

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Learning objectives: After completing this module the case manager will be able to:
» Discuss why persons with diabetes mellitus benefit from case management
» Describe current case management standards of practice
» Describe four types of healthcare professionals with expertise in diabetes care
» Describe key elements of case management planning for diabetes mellitus
» Describe key features of motivational interviewing
» Discuss the advantages of employing open-ended questions in health coaching
» Identify strategies for overcoming health literacy barriers
» Identify strategies for providing culturally sensitive care
» Describe three important advance planning documents

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Advance your professional practice:: DM patients require help from a wide range of healthcare professionals—such as physicians, nurses and dieticians. When case managers are knowledgeable about the scope of needs, they can serve as the nerve center of the team. Not only should we be able to help coordinate care, but also report to the other appropriate team members to make sure that the patient is benefiting from all possible resources. In doing so, CMs can reduce the chances of complications—as well as the day-to-day stress— that can affect DM patients.

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Improve organizational performance: When uncontrolled, DM can contribute to a high number of healthcare costs, ranging from unscheduled physician and emergency department (ED) visits and hospitalizations to ongoing complications and co-morbidities that must also be managed. By coordinating the efforts of the team of professionals, case managers help DM patients manage their illness and avoid negative outcomes.