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

Diabetes > Exercise > Plan

Plan

The plan of care should include measurable specific patient goals that are realistic and attainable. The plan should be based on assessed current practices, physical status, resources, risks and patient readiness.

Diabetes - Plan
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 Characteristics of a good plan:
  • Includes a defined time frame
  • Developed with the patient and reflects what the patient wants to achieve.
  • Considers patient’s readiness to change.
  • Outlines the support they need to make changes.
  • Includes individualized interventions to meet patient's goals*
    *Under implement category you'll find tools to help carry out patient goals.

 Important to consider when doing your plan of care:
  • Target goals for A1c
  • Target goals for blood pressure
  • Target goals for cholesterol (LDL, HDL, Triglycerides).
  • Current recommended standards of clinical care
  • Monitor heart rate and respiratory rate

Cholesterol Quiz (Web Page) - Feb 3rd, 2011
Quiz on the steps you can take to reduce your high blood cholesterol

Action Plan for Diabetes (Web Page) - Feb 3rd, 2011
A proven system with all the essential information you need to safely and effectively manage type 1 and type 2 diabetes and prediabetes for long term. Action Plan for Diabetes will help you do more than survive; you will thrive and feel better than you ever thought possible.

Diabetes Self Management Behavior Goals (pdf) - Feb 2nd, 2011
Chart for Patient to Write in Behavior Goals to Better Manage Diabetes

 


The development of the hypertension and chronic stable angina project was made possible by a grant from the New York State Attorney General on behalf of the Attorneys General of all 50 states, DC and Puerto Rico from litigation settlement funds to benefit the healthcare needs of consumers with high blood pressure and angina. Original funding for the site was provided in part by US Congress and CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.