Any of you ever do this?
Mrs Jones is a patient who comes in to see you for DSME. After working with Mrs Jones for a while you make a recommendation . . .
"Mrs Jones, we’d like to try to get you to increase your activity some every day (activity frequency). You don’t have to work / exercise hard -- just enough to feel challenged (activity intensity). Do you think you could maybe walk 15 - 30 minutes a day (activity type / time / duration)? Oh, walking makes your legs hurt? Do you think you could do some chair exercises (activity reassess / type)? Then you demonstrate these activities.
Am I the only one who thinks this sounds just like an exercise prescription?
Why is this important? Because unless you are an exercise physiologist or physical therapist, you have just stepped outside your scope of practice. Oh, you have a CDE? Read "The CDE: Limitations of the Credential" on the NCBDE website (look under position statements). http://www.ncbde.org/about/posstatements/limitations/
It supports the blurring of our individual scopes of practice. As diabetes educators many of us routinely practice beyond our professional scope of practice because our employers allow us or our employers expect it . . . because we have a CDE.
We are credentialed diabetes educators . . . we are the AADE7. We need licensure.