ࡱ> \^[ bjbj 4bee 6`````ttt8$tH$@ X```v``:g,`>=-}QR 0HRJ!J!J!`HJ! &:  Name: __________________________________ DOB: ___________________________________ MR#: ___________________________________ Diabetes Mellitus (Adult Onset) Purpose: To provide the patient with knowledge Teaching Flowsheet and skills to manage Diabetes Mellitus. Patient Learning Need/Goal Pt. will know or demonstrate proficiency inInitial SessionReview SessionComments (Also see Progress Notes)DateLearn LevelDM Educ.DateLearn LevelDM Educ.A. General Facts About Diabetes Mellitus What is Diabetes Mellitus? Basic Pathophysiology of Type I/Type II Diabetes Mellitus Normal and Abnormal Glucose Levels Normal and Abnormal HgbAIC Levels Results and Significance of DCCT ReportB. Dietary Management Weight Reduction Targets How to Follow ADA Dietary GuidelinesC. Treatment of DM w/Oral Hypoglycemic Agents Type & Action of Drugs (incl. onset, peak & duration) Doseges Interactions, Side Effects & Adverse ReactionsD. Treatment of DM w/Oral Hypoglycemic Agents Type & Action of Insulin (incl. onset, peak & duration) Doseges Interactions, Side Effects & Adverse Reactions Proper Technique of Insulin Injection (w pt. demo.)E. Hypoglycemia & Hyperglycemia Signs and Symptoms Treatment of Hypoglycemia F. Blood Glucose Monitoring (BGM) Use of Fingerstick Glucometer (w pt. demonstration) Urine Testing for Keynotes Diary KeepingG. Exercise Benefits of Exercise Pt. Exercise Limits & Ability to Perform ADLs Types of Exercise & Location of Exercise ProgramsH. Complications of Diabetes Mellitus Cardiovascular Events (esp. w/Smoking, HTN, Cholesterol) Blindness Infection of Limb or LossI. Prevention of Complications of Diabetes Mellitus Personal Hygiene (incl. skin & foot care) Benefit of Ophthalmologic Exam Benefits of Regular Podiatry Visits Benefits of Annual Dental Exam Recognition of Signs & Symptoms of InfectionJ. Managing Sick Days and Illness When to call a Nurse or Physician Adjustment of Food & Medication to IllnessK. Psychological AdjustmentL. Patient Responsibilities in the Care of Diabetes Importance of Compliance w/Diet & Medications Adjustment of Regular Follow-upM. Family Education Signs & Symptoms of Hypoglycemia & Hyperglycemia Emergency Treatment of Hyperglycemia ADA Dietary GuidelinesN. Smoking CessationO. 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