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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
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Diabetes
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Nutrition
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**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 receive individualized medical nutrition therapy. |
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Medical nutrition therapy should be based on presence of co-morbidities, and the assessment of food preferences, cooking facilities, capabilities, dentition and swallowing ability, food availability, cultural appropriateness, finances, personal preferences, and individual wishes and willingness to change as indicated to help achieve treatment goals, avoid hypoglycemia, and to prevent and minimize complicating conditions.
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| Assess
(4 documents) |
| Progress towards goals must be assessed every visit and intervention and goals revised accordingly. Especially important to evaluate are patient’s verbalized and demonstrated knowledge, behavior and status. |
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| Plan
(4 documents) |
| The plan of care should include measurable specific patient goals that are realistic and obtainable. It needs to include buy-in and understanding on the part of the patient and caregiver taking into consideration culture, ethnicity, tradition, individual preferences, and economic circumstances. |
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| Implement
(33 documents) |
| Implementation is the critical stage when an assessment and a plan are put to work. Ongoing communication among all professionals, patient and caregivers involved in the treatment plan is essential to maximizing diabetes control. |
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| Evaluate
(2 documents) |
| Progress needs to be continually updated by assessing measurable outcomes. The goals and interventions for diabetes patients are evaluated regularly and revised to achieve desired health outcomes. Use the questions in the evaluation area and “Important Considerations” to assist you in developing measurable goals for your patients. |
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