*Corresponding author:Salvatore Corrao,Internal Medicine Department, Italy
Received: June 01, 2018; Published: June 12, 2018
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Diabetes is a significant chronic disease, 424.9 million people worldwide are estimated to have diabetes in 2017,and this number is expected to increase to 628.6 million by 2045. More and more patients with diabetes areaffected by other comorbidities, in fact, more than 40% of diabetic people have 3 or more comorbidities . Another important aspect is that, as population ageing, health needs tend to become more complex,multimorbidity, the co-occurrence of multiple diseases in the same patient, represents the mostrelevant featureamong older adults, with a prevalence from 55% to 98% . Inevitably, the coexistence of chronic diseases isoften accompanied by polypharmacy (daily intake of five or more drugs), that could createa frailty condition,poor adherence to therapies, unknown Diabetes Quality of life (DDI) and inappropriatehospital admission, withsignificant implications on economic resources [4,5].In light of these reasons themanagement of complex diabetic outpatients should be reviewed,and nurses might play a central role to improve quality of care and patient quality of life.
Keywords: Nursing Assessment; Diabetes Mellitus; Comorbidity; Outpatients; Clinical pathway; Patient Care Management; Chronic Disease; Needs Assessment; Clinical Complexity; Therapeutic Reconciliation;Diabetes Quality of life
Abbreviations: DDI: Drug-Drug Interactions; CIRS: Cumulative IllnessRating Scale;DQOL:Diabetes Quality of life; ABI: AnklebrachialIndex; MMSE:Mini-Mental StateExamination;SBT:ShortBlessed Test;GDS : Geriatric Depression Scale;MNA: Mini Nutritional AssessmentTest