A detailed assessment of the person with diabetes should be made at diagnosis. The aim of the assessment is to provide a whole-of-person evaluation to determine and understand which factors are affecting the patient’s health and quality of life.
Individualised planning for ongoing care should also be developed at this stage, including negotiated goals and expectations.
This assessment should include:
- a full medical and psychosocial history
- appropriate physical assessment
- assessment for complications and cardiovascular risk status
- investigations where required.
A comprehensive list of assessment components, including intervals of assessment, is provided in tables 1–3. Refer also to Box 1 for the Medicare Benefits Schedule (MBS) diabetes ‘cycle of care’ minimum requirements. Suggestions for which members of the multidisciplinary team should carry out components of assessment are shown in Table 4.
Aboriginal and Torres Strait Islander point1
In Aboriginal and Torres Strait Islander patients, the development of rapport may take precedence over a detailed assessment in a single consultation. An assessment could be done over several visits.
Developing a doctor–patient (or patient–healthcare worker) relationship based on trust and respect is the best way of overcoming cultural barriers and ensuring effective care in the long term.