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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
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Jul 20th, 2006

Best Practice Recommended Questions to Assess Patient’s Current Risk Reduction for Acute and Chronic Diabetes Complications- Level 2

Assessing Current Practices:
  1. Do you wear identification that states you have diabetes?
  2. What do you do when your blood sugar is low?
  3. For you what would be a low blood sugar?
  4. How often do you experience low blood sugars?
  5. When did you last experience a low blood sugar?
  6. What do you do when your blood sugar is high?
  7. For you what would be a high blood sugar?
  8. How often do you experience high blood sugars?
  9. When did you last experience a high blood sugar?
  10. Have you been taught to check and care for your feet?  If so, please explain how you do that.
  11. When was your last dilated eye exam?
  12. When was your last visit to a dentist?
  13. Have you received vaccine to protect you from pneumonia?
  14. Have you received your flu vaccine this year?  
  15. Do you have a plan in case of a natural disaster or emergency for your diabetes supplies and medications?
  16. If you smoke, have you considered stopping?
  17. Do you currently take an aspirin each day?
     
Assessing Physical Status:
  1. Do you have pain, numbness or tingling in your feet or hands?
  2. Do you have chronic constipation and diarrhea?
  3. Do you have problems with nausea, or bloating?
  4. For male patients:  do you have problems achieving an erection?
  5. Do you have any places on your skin that are very slow to heal?
  6. Do you put any lotion or cream on your skin, feet or legs?
  7. Do you have urinary tract infections more than 2 times a year?
  8. Do you get dizzy when you first sit or stand?
Assessing Resources, Risk, and Readiness
  1. On a scale of 1-10 how important do you think it is for you: to check and care for your feet every day?
    1. Repeat above question for;
      1. To prevent, recognize and manage low blood sugars?
      2. To prevent, recognize and manage high blood sugars?
      3. To have a dilated eye exam every year?
      4. To have your cholesterol checked at least once a year?
      5. To have your kidney function evaluated every year?
      6. To see your dentist at least twice a year?
      7. To receive flu vaccine every year?
      8. To be prepared for natural disasters or emergencies?
      9. To take aspirin every day?
      10. To stop smoking?
      11. To have your GI, GU, CV function evaluated each year?

  2. On a scale of 1-10 how confident are you that you: can check and care for your feet every day?
    1. Repeat above question for;
      1. Prevent, recognize and manage low blood sugars?
      2. Prevent, recognize and manage high blood sugars?
      3. Obtain a dilated eye exam every year?
      4. Have your cholesterol checked at least once a year?
      5. Have your kidney function evaluated every year?
      6. Visit your dentist at least twice a year?
      7. Receive flu vaccine every year?
      8. Be prepared for natural disasters or emergencies?
      9. Take aspirin every day?
      10. Stop smoking?
      11. Have your GI, GU, CV function evaluated each year?
  3. What could you do differently to protect your feet?
  4. Do you have someone to assist you with foot care and trimming your toenails?

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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.