scholarly journals The Durability of an Intensive, Structured Education-Based Rehabilitation Protocol for Best Insulin Injection Practice: The ISTERP-2 Study

2021 ◽  
Author(s):  
Sandro Gentile ◽  
Giuseppina Guarino ◽  
Teresa Della Corte ◽  
Giampiero Marino ◽  
Ersilia Satta ◽  
...  
Keyword(s):  
Insulin Injection ◽  
Structured Education ◽  
Rehabilitation Protocol ◽  
Injection Practice

scholarly journals Practical guidance on insulin injection practice in diabetes self-management in the Indian setting: an expert consensus statement

2019 ◽  
Vol 8 (3) ◽  
pp. 176-194 ◽  
Author(s):  
Rajeev Chawla ◽  
Minakshisundaram Shunmugavelu ◽  
Brij Makkar ◽  
Manoj Chawla ◽  
Abhay Sahoo ◽  
...  
Keyword(s):  
Consensus Statement ◽  
Insulin Injection ◽  
Expert Consensus ◽  
Self Management ◽  
Injection Practice ◽  
Practical Guidance ◽  
Indian Setting

scholarly journals Injection Technique: Development of a Novel Questionnaire and User Guide

2020 ◽  
Author(s):  
Katharine D. Barnard-Kelly ◽  
Edward Mahoney ◽  
Leah Baccari ◽  
Teresa Oliveria ◽  
Stanislav Glezer ◽  
...  
Keyword(s):  
Diabetes Management ◽  
Insulin Injection ◽  
Injection Technique ◽  
Injection Practice ◽  
Technique Development ◽  
Assessment Questionnaire

Approximately 200 million people worldwide use injectable therapies as part of diabetes management. There appears to be a significant gap between insulin injection technique recommendations and injection practice for many. We aimed to develop and validate a novel, brief, self-administered injection technique assessment questionnaire.

scholarly journals Insulin Injection Practice and Injection Complications – Results from the Bangladesh Insulin Injection Technique Survey

2020 ◽  
Vol 16 (1) ◽  
pp. 41 ◽  
Author(s):  
ABM Kamrul-Hasan ◽  
Ajit Kumar Paul ◽  
Mohammad Nurul Amin ◽  
Md Abu Jar Gaffar ◽  
Md Asaduzzaman ◽  
...  
Keyword(s):  
Insulin Injection ◽  
Injection Technique ◽  
Injection Practice

scholarly journals PRACTICE AND SOME FACTORS RELATED TO PRACTICE OF AUTULIN INSULIN FOR PEOPLE WITH DISEASE TYPE 2 IN 2020

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
Thu Thảo Lê ◽  
Văn Dũng Đào
Keyword(s):  
Type 2 Diabetes ◽  
Psychological Factors ◽  
Insulin Injection ◽  
National Hospital ◽  
Elderly Age ◽  
Cross Sectional ◽  
Endocrine Disease ◽  
Injection Practice ◽  
Duration Of Disease

Diabetes (diabetes mellitus) is a metabolic endocrine disease that is considered a «silent killer» because of its rapid growth and increased mortality due to dangerous complications of the disease. Target: Description of self-insulin injection practice of type 2 diabetes outpatient at the National Hospital of Endocrinology, 2020. Factors related to insulin self-injection practice of outpatients at the National Hospital of Endocrinology. Objects and methods: Cross-sectional descriptive studies, 250 Type 2 Diabetes Outpatient Treatment in On-Demand Clinic, National Hospital of Endocrinology from January 2020 -06/2020. Process: ITAS-scale interviews, questions about treatment costs, awareness of insulin self-injection practices. Results: 62.8% male, 68% urban area. Psychological factors group with mean age 61.45 ± 10.43, HbA1C 7.29 ± 1.55, durations of diabetes 11.72 ± 6.47, 184 patients (73.6%) had psychological insulin resistance (PIR). The rate of patients afraid of hypoglycemia 83.2%, seeing treatment failure 80%, patients situation getting worse 69.6%, difficult to determine the correct number and timing of injection 58%. Medical expenses covered by health insurance 91.2%. Age and duration of disease in the group of patients having PIR higher than in the group of patients don’t have PIR, HbA1C in the group with PIR lower than in the group without PIR. Over 190 patients self-injected insulin with injection pen: 100% preserved correctly; 97.6% determined the correct injection site; 97.6% had the correct injection time; 98% know how to change injection sites. Elderly age and prolonged illness reduce knowledge about dose compliance and post-use needle disposal. The group with psychological factors has higher understanding of needle flow and needle reuse. Conclude: Psychology and practice of self-insulin injection is a major factor affecting the effectiveness and compliance of insulin injection in patients with type 2 diabetes, which should be considered for counseling.. Keywords: Type 2 diabetes, insulin injection, psychological factors when using insulin, ITAS score.

scholarly journals Assessment of Insulin Injection Practice of Nurses Working in a Tertiary Healthcare Center of Nepal

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Shital Adhikari ◽  
Ramesh Sharma Poudel ◽  
Laxmi Rajbanshi ◽  
Shakti Shrestha
Keyword(s):  
Injection Site ◽  
Good Practice ◽  
Insulin Injection ◽  
Injection Technique ◽  
Demographic Information ◽  
Cross Sectional ◽  
Injection Practice ◽  
Healthcare Center ◽  
Tertiary Healthcare ◽  
Self Administered Questionnaire

Introduction.Sound knowledge and good practice on insulin injection technique are essential for nurses in order to administer insulin correctly and to educate patients or their relatives adequately. This study aimed to assess the insulin injection practice through the use of insulin pen among nurses working in a tertiary healthcare center of Nepal.Materials and Methods.A cross-sectional descriptive study was conducted among 67 nurses working in one of the tertiary healthcare centers of Nepal. Demographic information and insulin injection practice of nurses through the use of insulin pen were assessed using self-administered questionnaire. Each correct practice was scored “1” and incorrect practice was scored “0.”Results.The median (IQR) insulin injection practice score of nurses was 11 (9-12) out of 16. Thirty-seven (55.2%) nurses store insulin pen filled with insulin cartridge at room temperature while 57 (85.1%) nurses store unopened cartridge at refrigerator (2-8°C). The practice of hand washing and injection site cleaning was mentioned by 92.5% and 82.1% of the nurses, respectively. However, just over half of the nurses mix the premix (cloudy) insulin and prime insulin pen before each injection. Thirty-four (50.7%) nurses do not lift skin during injection and more than half of the nurses keep needle beneath the skin for less than 5 seconds after completely injecting the required dose of insulin. One out of ten nurses massage injection site after injecting insulin. Most of the nurses (86.6%) use single needle more than once and the median (IQR) frequency of needle reuse was 6 (3-12). Similarly, systematic site rotation was performed by 59 (88.1%) nurses and twenty (29.9%) nurses claim that they use single insulin pen for two different cartridges.Conclusion.The insulin injection practice of nurses assessed through the use of insulin pen was suboptimal and highlights the need for urgent educational intervention.

scholarly journals Injection Technique: Development of a Novel Questionnaire and User Guide

2020 ◽  
Author(s):  
Katharine D. Barnard-Kelly ◽  
Edward Mahoney ◽  
Leah Baccari ◽  
Teresa Oliveria ◽  
Stanislav Glezer ◽  
...  
Keyword(s):  
Diabetes Management ◽  
Insulin Injection ◽  
Injection Technique ◽  
Injection Practice ◽  
Technique Development ◽  
Assessment Questionnaire

Approximately 200 million people worldwide use injectable therapies as part of diabetes management. There appears to be a significant gap between insulin injection technique recommendations and injection practice for many. We aimed to develop and validate a novel, brief, self-administered injection technique assessment questionnaire.

scholarly journals Assessment of Insulin Injection Practice among Diabetes Patients in a Tertiary Healthcare Centre in Nepal: A Preliminary Study

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Ramesh Sharma Poudel ◽  
Shakti Shrestha ◽  
Rano Mal Piryani ◽  
Bijaya Basyal ◽  
Kalpana Kaucha ◽  
...  
Keyword(s):  
College Teaching ◽  
Insulin Injection ◽  
Diabetic Control ◽  
Cross Sectional Study ◽  
Cold Chain ◽  
Injection Technique ◽  
Cross Sectional ◽  
Injection Practice ◽  
Patients With Diabetes ◽  
Tertiary Healthcare

Introduction. Proper insulin injection practice is essential for better diabetic control. This study aims to assess the insulin injection practice of patients with diabetes. Materials and Methods. A cross-sectional study was conducted at Chitwan Medical College Teaching Hospital, Bharatpur, Nepal, from February 2017 to May 2017. Patients injecting insulin through insulin pens (n=43) for a minimum of 4 weeks were consecutively recruited. Patients’ baseline characteristics, current insulin injection technique, insulin transportation practice, complications of insulin injection, disposal practice of used needle, and acceptability of insulin were recorded. Descriptive statistics were performed using IBM-SPSS 20.0. Results. The insulin injection technique of patients and their relatives was inadequate. The majority of patients and their relatives (25, 58.1%) mentioned that they transport their insulin cartridge without maintaining cold chain. Thirteen patients (30.2%, n=43) reported complications of insulin injection and the most common complication among those patients was bruising (10, 76.9%, n=13). Almost all patients disposed the used needle improperly, and the common method was disposing the needle in a dustbin and then transferring to municipal waste disposal vehicle. Insulin was accepted by just 16 (37.2%) patients. Conclusion. There was a significant gap between the insulin delivery recommendation through insulin pen and current insulin injection practice.

Pediatric Replantation after Traumatic Amputation at the Distal Forearm: Rehabilitation Protocol and Outcomes

2020 ◽  
Author(s):  
Nicholas C. Oleck ◽  
Radhika Malhotra ◽  
Haripriya S. Ayyala ◽  
Ramazi O. Datiashvili
Keyword(s):  
Operating Room ◽  
Multidisciplinary Team ◽  
Distal Forearm ◽  
Left Forearm ◽  
Traumatic Amputation ◽  
Postoperative Rehabilitation ◽  
Rehabilitation Protocol ◽  
Microsurgical Technique ◽  
Optimal Function ◽  
And Function

AbstractMajor limb replantation is a formidable task, especially in the pediatric setting. While meticulous microsurgical technique is required in the operating room, the authors aim to highlight the importance of postoperative rehabilitation therapy for optimal function. We highlight the case of a 12-year-old boy who suffered complete traumatic amputation through the distal left forearm. The limb was successfully replanted with successful restoration of sensation and function with the aid of intensive postoperative occupational therapy. A multidisciplinary team is of paramount importance to maximize function of a replanted upper extremity.

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