Report on Administration of Medicines

Faculty of Health Studies

Return to Practice for Healthcare Professionals

Report on the Self Administration Management of Diabetes in Hospital


Abstract 2
1.   Introduction 2
1.1   The aim 2
1.2   The scope 3
2.   Background 3
2.1   Autonomy 3
2.2   Application of the SAM Policies 4
2.3   Perspective 4
2.4 Key Ideas / Focus of report 5
3. Policies 5
3.1 National policies 5
3.2   Professional guidelines 5
3.2   Local policies 5
4. Key issues 6
4.2   Autonomous Practice in the Self-administration of Medicine 7
4.3   Rationale for the Self-administration of Insulin 8
4.4   Benefits and Risks with Self-administration 9
5. Conclusion 10
6. Recommendations 10
Reference 11

Report on the Self Administration Management of Diabetes in Hospital


Care of the diabetic patient in hospital is well managed but at what cost to patients’ rights to maintain in control of their own management of the condition.   This report looks at the Self Administration of Medicines Policy in practice and relevant literature surrounding the self-management of diabetes.

1.   Introduction

      1.1 The aim

The purpose of this report is to examine the planned care of a diabetic patient and the extent to which the application of the self-administration of medicine (SAM) policy was applied in an acute hospital setting.   It will assess the impact on a specific patient (Patient X) and review relevant literature that surrounds good practice in patient empowerment to self-administer.
Reference will be made throughout the report to Patient X, a 72 year old inpatient on an acute medical ward, being treated for hypertension.   A diabetic controlled on insulin, Patient X normally self-managed her diabetes at home, but within the hospital setting had become disempowered in the management of this by nursing staff undertaking the routine recording of blood glucose levels and administering insulin.
The report will briefly identify the...