Designed for the Unique Needs of Homecare Providers

This site provides homecare clinicians with access to chronic care management models, best practices and downloadable resources for homecare patients.

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Heart Failure
Hypertension and Angina
Diabetes


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Jul 20th, 2006

Best Practice Recommended Questions to Assess Patient's Current Physical Status, Daily Exercise, and Physical Capabilities

Assessing Current Practices:
  1. What is your daily physical activity pattern?
  2. Have you changed anything in your daily physical activity since you found out you have diabetes?
  3. What times of day are you typically most active?
  4. What do you consider strenuous activity?
  5. What types of exercise do you do?
  6. Normally would you exercise outside of your home?
  7. On a typical day, what is the most activity you can do before you develop symptoms?  How has this changed in the last week? Month? Year?
    Other than the symptoms of HF what else limits your ability to be active?
    Have you ever fallen at home?  Under what circumstances?
    Do you have trouble getting up from a sitting position in a chair?  Out of bed?  Off the toilet?


Assessing Physical Status:
  1. What types of in-home activities do you avoid because they are too difficult?
  2. Do you have any assistive equipment that you need to use during daily activit


Assessing Resources, Risk, and Readiness
  1. On a scale of 1-10 how important do you think it is for you make changes in your current activity level?
  2. On a scale of 1-10 how confident are you about making changes to improve your activity level?
  3. What could you do differently to change your current level of activity?
  4. Do you have someone to assist you with an activity plan?
  5. How safe do you feel to exercise?  What concerns you?

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The development of the hypertension and chronic stable angina project was made possible by a grant from the New York State Attorney General on behalf of the Attorneys General of all 50 states, DC and Puerto Rico from litigation settlement funds to benefit the healthcare needs of consumers with high blood pressure and angina. Original funding for the site was provided in part by US Congress and CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.