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.

Heart Failure
Hypertension and Angina
Diabetes
Best Practices 
Nutrition
Exercise
Monitoring
Medications
Problem Solving
Assess 
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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 > Problem Solving > Evaluate

Evaluate

Use the questions as a base for evaluating measurable goals/outcomes when problem solving.
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The questions and tools listed below will assist in the total evaluation of measurable outcomes for diabetes patients.

Questions To Be Considered:

  • Has patient’s ability to recognize potential problems and seek resources improved if indicated based on initial assessment?

  • Is the patient maintaining or improving diabetes control?

  • Has the patient been able to identify and resolve problems related to diabetes care and control?

  • Does the patient have a solid understanding of blood glucose control?

  • does the patient understand lipid and blood pressure management?

  • Does the patient have a grasp on the importance of high quality foot care and retinal screening?

  • Does the patient show an understanding of the importance of medical nutrition therapy and smoking cessation?
Diabetic Audit (pdf) - Feb 3rd, 2011
One page form from the Migrant Clinician's Network to audit 10 charts.

Diabetes Chart Audit 2007 (doc) - Feb 3rd, 2011
A two page form from the North Carolina Diabetes Prevention and Control Program to audit seven charts per page.

Diabetes Flow Sheet and Chart Audit Tool (pdf) - Dec 31st, 2010
Diabetes Patient Flow Sheet and Chart Audit Tool

Heart Failure Flow Sheet and Audit Tool - Level 3 (doc) - Aug 1st, 2010
Flow sheet and audit tool for heart failure patient charts

 


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.