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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.
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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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Problem Solving
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| 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 and psychiatrists.
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| Assess
(8 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. |
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| 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.
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| Implement
(32 documents) |
| It is important to work in tandem with the primary care providers in order to make appropriate referrals.
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| Evaluate
(4 documents) |
| Use the questions as a base for evaluating measurable goals/outcomes when problem solving.
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Problem Solving
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