Premier Home Health Care
Transitional Care
Visits List
RN DIABETES CLINICAL PATHWAY - Visit 3
Validation
1
Expected Outcomes
2
Interventions
3
Signature
Patient will verbalize understanding of disease process & management
Yes
No
select "Yes" or "No"
Patient will demonstrate appropriate sites for insulin administration
Yes
No
select "Yes" or "No"
Patient will verbalize importance of and demonstrate proper foot/skin care
Yes
No
select "Yes" or "No"
Patient demonstrates compliance with proper sharps disposal
Yes
No
select "Yes" or "No"
Patient will verbalize knowledge of dose, use, side effects of medications previously taught
Yes
No
select "Yes" or "No"
Check and document the current finger stick. Assess bg log. Notify NP/MD if results outside of parameters
Yes
No
select "Yes" or "No"
Instruct on effects of DM and how to prevent/manage symptoms
Yes
No
select "Yes" or "No"
Instruct on measures to manage sick days
Yes
No
select "Yes" or "No"
Assess patient ability to self-administer insulin and properly dispose of sharps
Yes
No
select "Yes" or "No"
Continue medication teaching
Yes
No
select "Yes" or "No"
Instruct on rationale, importance, and method of inspecting feet daily
Yes
No
select "Yes" or "No"
Instruct on proper skin care (i.e., thoroughly drying in between toes, lotion to dry areas except in between toes)
Yes
No
select "Yes" or "No"
Assess patient ability to appropriately plan meals as per prescribed diet
Yes
No
select "Yes" or "No"
Assess if follow-up appointment made with NP/MD; assess for any med/tx change
Yes
No
select "Yes" or "No"
Finished
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Validation states
2
Alerts
3
Payment Info
4
Other Info
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