Paper Summary:

This paper explains that the objective of both the interview and the assessment is to gain knowledge so that the patient and family learn what resources and choices they have in order to achieve greater control over the patient's chronic illness, diabetes. The author points out that the sudden development of the patient's diabetes without any warning symptoms combined with the sudden complication she faces, underscore that type 2 diabetes is one of the most complicated illnesses that health care providers encounter in primary care. The paper stresses that seeing the illness from the family's perspective ensures that the needs and concerns are identified properly and are given the right priority. The author believes that she needs to work on her communication skills to elicit illness narratives because the quality of information depends on effective communication.

Table of Contents:
Introduction
Interview with Mr. and Mrs. Banar
Family Feedback
Analysis of Perceptions and Impact of Chronic Illness
The Canadian Diabetes Association
Author's Reaction to Interview
Appendix: Family Assessment
Appendix: Confidentiality Agreement

From the Paper:

"It is not only the physical aspects of diabetes that create an impact. Psychosocial factors also play a very important role in the family management of diabetes. Diabetes can be difficult to manage in families because any negative psychosocial functioning in the family will affect adherence to the regimen along with glycemic control. In order to achieve control over diabetes, it is not just the patient but the involvement of the entire family that is needed. It can be observed that Mrs. Banar is supported by his wife, and this family further is supported by members of the extended family."

Sample of Sources Used:

• Butler, D. & Lawlor, M. (2004). It takes a village: Helping families live with diabetes. Diabetes Spectrum, 17: 26-31.
• Canadian Diabetes Association (2007). Type 2 diabetes. Accessed February 16, 2007. http://www.diabetes.ca/Section_About/type2.asp
• Grauw, W. & Lisdonk, E. (1999). The impact of type 2 diabetes mellitus on daily functioning. Family Practice, 16 (2), 133-139.
• Houlden, R. (2003). Psychological Aspects of diabetes: Clinical practice guidelines. Canadian Diabetes Association. http://www.diabetes.ca/cpg2003/downloads/psychological.pdf
• Kozier, B., et al. (2004). Fundamentals of nursing. Toronto: Pearson Education Canada

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