|
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.
|
|
|
|
|
|
|
|
 |
"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978
|
|
level 2
|
|
Heart Failure
>
Monitoring
>
Plan
|
|
|
| The plan of care should include measurable, specific goals that are realistic. The patient and/or the caregiver needs to have an understanding of the components of and how to implement their self-care action plan. |
|
|
|
|
Characteristics of a good plan include:
- Incorporates a defined time frame.
- It is developed with the patient and reflects what the patient wants to achieve.
- Considers patient's readiness to change.
- Considers patient's risks for re-admission.
- Outlines the support the patient needs to make these changes.
- Includes individualized interventions to meet patient's goals.*
*Under Monitoring - Implement category you will find tools to help you carry out patient goals.
Important considerations
- Target goal for blood pressure
- Target goals for cholesterol
- Target goals for A1c
- Target dry weight
- Current recommended standards of clinical care (ATPIII, VNCVII. ACCF/AHA 2009 Update, AHA Prmoting SCHcare, etc.)
|
|
|
Levels of evidence
|
 |
|
Level 1
|
Systematic reviews and repeated studies, thoroughly researched.
|
|
Level 2
|
Experimental (Single or Quasi experimental study) and non-experimental (Exploratory or qualitative study).
|
|
Level 3
|
Recommendations of respected, experienced homecare authorities.
|
|
Level 4
|
Not Recommended.
|
|
|
|
|
Print Friendly Version
