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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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level 2
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Heart Failure
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Risk Reduction
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Plan
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| Include specific, measurable, patient goals in the plan of care. Use “plan characteristics” as tools to build a nursing care plan and find resources to set and reach goals. Consider culture, tradition, individual preferences as well as economic circumstances when creating the plan of care.
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Plan characteristics should
- Include a defined time frame.
- Developed with the patient's including thoughts on including those things they want to achieve.
- Consider a patient’s readiness to change.
- Outline the support they need to make changes.
- Include the individualized interventions to meet patient’s goals.
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*Under Implement category you will find
tools to help you carry out patient goals.
Important considerations when creating your plan of care
- Target goal for blood pressure
- Target goals for cholesterol
- Target goals for A1c
- Target dry weight
- Current recommended standards of clinical care
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Levels of evidence
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Level 1
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Systematic reviews and repeated studies, thoroughly researched.
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Level 2
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Experimental (Single or Quasi experimental study) and non-experimental (Exploratory or qualitative study).
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Level 3
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Recommendations of respected, experienced homecare authorities.
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Level 4
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Not Recommended.
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Plan
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