"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 > Problem Solving

Problem Solving

**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 contact information for community, state or national resources for diabetes care and primary care providers should be invited to consider potential referrals to specialty providers when indicated.
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Referral resources could include endocrinologists, cardiologists, ophthalmologists, nephrologists, neurologists, psychologists, social workers, psychiatrists. Community, state and national resources could include: American Diabetes Association, American Dietetic Association, Community Centers, Diabetes Research and Wellness Foundation.
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Assess (5 documents)
It is important to evaluate the patient’s and/or caregiver’s level of diabetes knowledge, how they see it relating to themselves, and the resources they have available when they have questions regarding their diabetes.
 
Plan (3 documents)
A self-care action plan should include the appropriate patient response to scenarios common in patients with heart failure. This includes the response to fluid overload or dehydration as well as to chest pain. It is important to work in tandem with the provider in order to make appropriate referrals. A list of community and national resources can be made available to the patient and/or the caregivers in order to assist them in initiating these relationships. Include specific measurable patient goals in the plan of care. Use "Plan Characteristics” below as tools to build a nursing plan and find resources to set and to reach goals.
 
Implement (15 documents)
It is important to work in tandem with the primary care providers in order to make appropriate referrals. A list of community and national diabetes resources can be made available to the patient and/or caregivers to assist them in initiating these relationships.
 
Evaluate (2 documents)
Use the questions as a base for evaluating measurable goals/outcomes. The tools listed below will assist in the total evaluation of measurable outcomes for diabetes patients.
 
 


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VNAA Clearinghouse for Chronic Conditions in Homecare


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