PathWell Home Healthcare Diabetes Protocol
PathWell’s in-Home Healthcare Adheres to Diabetes Protocols to Help Minimize the Impact of the Patient’s Condition
PathWell Home Health Diabetes Goals of Care
- Blood sugar range will be within normal limits for the patient
- Patient / Caregiver will demonstrate competent selfcare skill management for diabetic care, medication, insulin adherence, and use
- Patient / Caregiver will demonstrate competent selfcare skill management for injection administration
- Reduce rate of hospitalization
The Diabetes Patient and Caregiver will be Instructed on the Following:
- Signs and symptoms of hypo / hyperglycemia
- Treatment and prevention of hypo / hyperglycemia
- Frequency of capillary blood glucose monitoring and recording results as tested
- Foot care (i.e. keep feet clean and dry, apply lotion except between toes, inspect feet daily, wear properly fitted shoes)
- Importance of podiatry and ophthalmology appointments
- Diabetic diet and referral to dietician if needed
- When to notify MD
- Medication management and / or insulin regimen
- A1C as ordered by MD
- Importance of regular exercise
- Anxiety and stress reduction techniques
- Smoking cessation
Assessment
Key Assessment Points for Diabetes Patients:
- Signs and symptoms of hypo / hyperglycemia
- Blood sugar parameters as established by MD
- Annual optometry appointment and referral to podiatrist
- Notifying MD if blood sugars are outside of established parameters
Assessment of patient / caregiver Education on:
- Independence with capillary blood glucose
- monitoring and recording results as tested
- Knowledge of diabetic diet and referral to dietitian if indicated
- Foot/skin integrity podiatrist
- Knowledge of daily foot care
- Adherence and understanding of medication,and / or, insulin regimen