|
|
|
|
|
|
|
"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
>
Monitoring
|
|
|
**VNAA IS IN THE PROCESS OF UPDATING THE ENTIRE DIABETES SECTION. We appreciate your patience during this time. Thank you. - VNAA Staff (August 2010)**
Best Practice: Homecare patients with diabetes should have a plan for self-monitoring of blood glucose (SMBG) and have target blood glucose values established. |
|
|
|
|
|
More frequent and less stringent target goals are appropriate for homecare patients with severe or frequent hypoglycemia; with hypoglycemia unawareness; with gastroparesis; with life expectancies of less than 5 years; or for whom the risks of intensive glycemic control outweighs the benefits.
|
|
 |
| Assess
(4 documents) |
| Especially important to evaluate are patient’s verbalized and demonstrated knowledge, behavior and status. Do they have an understanding and competency with the product they are presently using and how do they use the information they are receiving from the meter? |
| |
| Plan
(3 documents) |
| The plan of care should include measurable specific goals that are realistic. The patient and/or caregiver needs to have an understanding and knowledge of how to use the blood glucose meter, what their blood glucose reading means, how to obtain supplies. |
| |
| Implement
(20 documents) |
| When implementing a Monitoring program for a patient with diabetes consider individualized target goals, coverage for supplies to check blood sugar, manual dexterity and ability to handle meter and supplies and to see information displayed on meter. |
| |
| Evaluate
(2 documents) |
| Progress needs to be continually updated by assessing measurable outcomes. The goals and intervention for diabetes patients need to be evaluated regularly and revised to achieve desired health outcomes. |
| |
|
|
|
|
|
|
|
|
|
|
Monitoring
Print Friendly Version
