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Psychiatric inpatient admissions have decreased, admissions to general hospitals have decreased, while outpatient admissions are increasing.

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Academic centers are purchasing smaller hospitals as affiliates; satellite clinics and networks of services are being established. Physicians in solo practice are merging into group practices.

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New health care professional roles must be restructured and "cross trained" to maintain competitiveness by offering flexible, cost-saving effective care. Pairing newly diagnosed patients with "diabetic sponsors" -- individuals who are experienced and successful at managing their diabetes -- also may enhance attendance.

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Rather than relying on clients to come to clinics, social workers may need to bring the clinics to clients by organizing diabetic health fairs, outreach, or training programs in work settings, church facilities, or community centers. The goal of MNT Wok Essays to maintain near-normal glucose levels by matching dietary consumption with actual caloric energy needs, necessitating that the right foods in correct proportions be eaten at prescribed times for many MNT may include a secondary goal -- weight loss.

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Nutritional self-management or compliance with a prescribed diet can be handicapped by many of the same factors that impede self-care knowledge and skill mastery. In MNT, food assumes an almost medicinal quality, and many may resist altering long-held consumption patterns, inasmuch as food plays a part in their cultural heritage or serves as a source of pleasure; therefore, dietary changes are interpreted as loss of either function. For Wok Essays patients, making these lifestyle changes may require assistance Wok Essays concrete resources. As resource brokers, social workers can assess needs and link clients with community agencies for nutritional assistance, fitness training, additional diabetic education professionals or materialmedical care, health insurance, insulin and glucose monitoring supplies, prescription assistance, transportation, and counseling or support groups" Lipkin, VII.

In this role a social work practitioner may screen and treat illnesses with high rates of comorbidity among diabetes patients, such as Wok Essays depression or eating and anxiety disorders. The social worker also may ensure the management of preexisting chronic mental illnesses like schizophrenia, bipolar disorder, and alcohol or substance abuse.

Wok Essays

Financially, social work case management can effectively and efficiently use community resources, creating an optimal environment that promotes glycemic control to delay complications and reduce hospitalizations.]

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