PathWell Home Health Care Diabetes Protocol

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

Key Assessment Points for Diabetes Patients:

Education on:

Assessment of patient / caregiver

Independence with capillary blood glucose monitoring and recording results as tested
Knowledge of diabetic diet and referral to dietitian if indicated
Foot/skin integrity
Knowledge of daily foot care
Adherence and understanding of medication, and / or, insulin regimen