Access to health care/RN

lorlee
By lorlee Latest Reply 2015-02-11 21:32:07 -0600
Started 2015-02-04 21:07:10 -0600

Since Diabetes is such a complex disease and it is chronic, what would be your idea of good access to a registered nurse? What would you use him/her for? I would be interested to know what your ideas are regarding having access to "health care" in the form of registered nurses.


19 replies

lorlee
lorlee 2015-02-11 21:32:07 -0600 Report

Thanks for all your feedback! Such variety. I do agree that an experienced RN or diabetic specially trained RN/NP would be wonderful and have experienced both and always been very satisfied. Additionally, if they can't help, you get "fast-tracked" to the Dr.

RebDee
RebDee 2015-02-11 13:29:38 -0600 Report

Belonging to Kaiser Permanente has its advantages. If I cannot see my PCP, they have ON-CALL doctors that will see you. All you have to do is sent an e-mail to your PCP about why you must be seen "right now" and they will have the OCD take care of you.

valentine lady
valentine lady 2015-02-05 19:43:28 -0600 Report

Hi Lorlee
If I had access to an RN with the knowledge to advise me such as a
Nurse Practitioner I would be in heaven. The trips to the Dr. would be cut down probably in half. To be able to advise and prescribe medication and advise for diabetes etc. would be a dream come true. Where would you find someone liker that ?

Jibber Jabber
Jibber Jabber 2015-02-05 09:48:14 -0600 Report

As long as the RN was qualified.I would love to have an RN to call when I have a question…The problem is many RNs are running around with 2 year degrees from a community college…If I were to have access to an RN I would hope it would be one with a higher quality of education and experience with diabetes and their complications…don't get me wrong..I have a great deal of respect for RNs…but I would like someone with more information than I already have on the other end of the phone…

Gabby
GabbyPA 2015-02-06 07:36:19 -0600 Report

Does such a person exist? I mean one who has more information than you? LOL Just kidding....you are right. We out rank most of our doctors in what we know, just because we are dealing with it every day.

Frankly, I would just love to have anyone who can figure out why when I eat a 60 carb day and 1100 calories....I still have flippin high numbers.

Sopies Grandma
Sopies Grandma 2015-02-06 08:42:51 -0600 Report

I have one of these, her name is Tara and she is an RN and she runs the diabetic education center in my area, I met her when I was in the hospital, she came to the hospital to meet me. She came in to talk to me about my heath that how I ended up in the hospital. After I left the hospital she kept up with me. I went to her office to meet her and to talk with her about better management of diabetes. And there have been times when I couldn't get a hold of my doctor. I called her and she helped me through some very difficult times. It helps that she is one of us. She has a lot of knowledge and she is very very good at what she does. In fact she is going to be the one who is going to teach me how to use my insulin pump.

Sopies Grandma
Sopies Grandma 2015-02-06 15:41:52 -0600 Report

Hi Gabby, yes she does need to clone herself. she is really a special person. OH and thank you for sending me a welcome letter. I would of replied but I couldn't figure out how to do it. LOL I am not very good using the computer.
Barb

jayabee52
jayabee52 2015-02-05 01:41:08 -0600 Report

Howdy Lorlee
When I was living with my late wife we were members of Kaiser Permanente. (KP) we had several options for accessing nursing care. There was an advice nurse who we could call and tell what was going on with either of us and she would recommend a course of action, or on more complex issues she'd call a Dr and get their opinion.

My wife "Jem" also had a diabetes nurse who was familiar with her case. That DN was instrumental in getting Jem an Endo, and acted as a go between between Jem and the Endo. We did have direct access to the Endo via email, and I submitted weekly BG and insulin injection logs via the secure email on the KP website. (I had to do it because Jem was totally blind - I also had to test her BG levels and draw up the insulins according to the sliding scale set up by the Endo) The Endo would make changes to her 2 sliding scales as appropriate,

That is how it worked for us on KP. That, was some great medical care. The only reason I am not on it is that I had to leave Califorinia and come back to LV NV due to cost of living. The closest KP to me would be 300 mi one way. So I just am stuck with what is available here.

God's best to you

James

sweetslover
sweetslover 2015-02-04 21:18:07 -0600 Report

I would use a registered nurse who was a diabetes expert as a "hotline" if one was available for such a purpose. It would be good to be able to get answers to questions from a qualified medical professional.

lorlee
lorlee 2015-02-04 21:38:34 -0600 Report

Anything in particular? Would you ask about your medication management, symptoms/concerns even if they were not specific to diabetes?

RosalieM
RosalieM 2015-02-05 17:29:51 -0600 Report

RNs don't have as much information as you may think. A nurse
practicioner (spelling/) maybe. I won't see anyone but my doctor and I check the internet so I know if he is up to date.
Your best bet is to educate yourself. With the internet that is easy. 30 years ago, getting any medical information yourself was a nightmare.

lorlee
lorlee 2015-02-06 13:44:17 -0600 Report

RosalieM, a NP is the ideal for sure! They have vast knowledge and skills and if they have specialized in diabetes then they are especially wonderful! I would be interested to know which web sites you use to "check if your Dr is up to date"? The internet has a plethora of information, and a lot is not very good information. A lot of RNs are well versed in Diabetes and can for the most part will be able to give some advice.

RosalieM
RosalieM 2015-02-07 08:47:03 -0600 Report

Are you type one or type 2. If you are type one, a nurse may help you. Not so much with type two as understanding food is very important. Most nurses and doctors get their information from the American Diabetes Association. Their diet advice isway to high in carbs for a type 2. I don't check up on my doctor personally but learn everything he knows about my condition. You can find that information at Mayo Clinic and other sites like that. That way you get the latest research. It is difficult for your doctor to be up to date on every new piece of information for everyone. I feel it is my responsibility to understand my condition and what the suggested treatments are. I may see my doctor for 15 minutes. There is no way he learn as much about me as I can.

lorlee
lorlee 2015-02-07 13:05:13 -0600 Report

RosalieM, you are so right when you say your Dr. only has at best 15mins to spend, however, that is where the RN /CDE is your best resource as he/she usually has the TIME and knowledge to spend with you to explain, give resources, etc. We have a set up like that: often the Dr. will defer to the RN and tell the patient to see him AFTER the RN as they are more up to date.
The Mayo is a great resource for sure, I have used it many times, I especially like the diagrams and pictures.

RosalieM
RosalieM 2015-02-07 17:20:58 -0600 Report

Hi Lorlee
I don't have an RN available so that is not an option. If I did, I would make sure he/she did not follow the American Diabetic Association.
Are you type 1 or two?

RebDee
RebDee 2015-02-11 13:39:34 -0600 Report

I have two RNs that I use for different reasons. One is an endocrinology nurse who keeps up with my BS readings and calls me to let me know if I am ok or if someting should be changed (she asks the Endo Dr.).
The second takes care of all of my other needs and also sees me occasionally when I don't have an appointment with my PCP. She is my on-call nurse. When I go to the on-call clnic, I specifically ask for her.

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