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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 > Monitoring

Monitoring

Best Practice: Homecare patients with diabetes should have a plan for self-monitoring of blood glucose (SMBG) and have target blood glucose values established.
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More frequent and less stringent target goals are appropriate for homecare patients with severe or frequent hypoglycemia; with hypoglycemia unawareness; with gastroparesis; with life expectancies of less than five years; or for whom the risks of intensive glycemic control outweighs the benefits.
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Assess (4 documents)
Especially important to evaluate are patient’s verbalized and demonstrated knowledge, behavior and status.
 
Plan (5 documents)
The plan of care should include measurable specific goals that are realistic when monitoring a diabetes plan.
 
Implement (34 documents)
When implementing a monitoring program for a patient with diabetes consider individualized target goals, coverage for supplies to check blood sugar, manual dexterity and ability to handle meter and supplies and to see information displayed on meter.
 
Evaluate (6 documents)
Progress needs to be continually updated by assessing measurable outcomes.
 
 


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.