TABLE 1.

Key Assumptions

  1. Hospitalized patients are ill, under increased stress related to their hospitalization and diagnosis, and in an environment not conducive to learning.

  2. For hospitalized patients, diabetes “survival-skills” education is a feasible approach to provide sufficient information and training to enable safe care at home.

  3. A patient who is hospitalized needs brief, targeted diabetes education and take-home materials to reinforce instruction.

  4. Patient education is the foundation of good nursing practice.

  5. Preparation for discharge needs to begin on the day of admission.

  6. Hospitalization is a time to help patients access comprehensive diabetes education resources in their communities.

  7. Patients should be encouraged to become more activated and confident in diabetes self-care.

  8. All current resources should be used efficiently and appropriately, making best use of staff skills.