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.

Heart Failure
Hypertension and Angina
Diabetes

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"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

Diabetes > Nutrition > Evaluate

Evaluate

The goals and interventions for diabetes patients are evaluated regularly and revised to achieve desired health outcomes.

Diabetes - Nutrition - Evaluate
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Progress needs to be continually updated by assessing measurable outcomes. Use the questions in the evaluation area and "Important Considerations" to assist you in developing measurable goals for your patients.

 Important Considerations
  • Does the patient verbalize and demonstrate increased knowledge?
  • Is the patient maintaining/improving diabetes control?
  • Has the patient been able to minimize risk factors affecting diabetes control?
Four Steps to Control Your Diabetes for Life (pdf) - Feb 3rd, 2011
A 30-page booklet from NDEP, updated in 2006, that explains basic diabetes care and control and includes pages to keep a record of care received and progress toward goals for blood glucose, cholesterol and blood pressure.

Assessment of Diabetes Care, 2009 (Web Page) - Feb 3rd, 2011
A one page form in Word for individual chart audits, from Indian Health Service (IHS).

Diabetic Audit (pdf) - Feb 3rd, 2011
One page form from the Migrant Clinician's Network to audit 10 charts.

Diabetes Chart Audit 2007 (doc) - Feb 3rd, 2011
A two page form from the North Carolina Diabetes Prevention and Control Program to audit seven charts per page.

Diabetes Flow Sheet and Chart Audit Tool (pdf) - Dec 31st, 2010
Diabetes Patient Flow Sheet and Chart Audit Tool

Heart Failure Flow Sheet and Audit Tool - Level 3 (doc) - Aug 1st, 2010
Flow sheet and audit tool for heart failure patient charts

 


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.