Nearly 20 million Americans live with diabetes. Even more staggering, 1 in 4 US residents aged 65 and older have diabetes. If not held in check, diabetes can cause kidney failure, heart disease, and stroke. The key to managing diabetes is through a careful combination of self-managed and team-based care program like BrightStar Clinical Pathways for Diabetes.
The RN Clinical Pathways coordinator leads a team of Certified Nursing Assistants and Home Health, all expert diabetes caregivers specially trained to provide condition-specific, person-centered care.
The BrightStar Clinical Pathways for Diabetes home care plan employs an evidence-based approach that focuses on the key aspects of managing diabetes – like daily foot inspections, healthy eating habits, and blood sugar tracking – to make sure people with diabetes and their families gain the knowledge and coping skills needed to successfully manage the disease and its related conditions.
The BrightStar Clinical Pathways for Diabetes team makes sure the:
- Patient clearly understands the plan of care from the physician and the steps needed to take to optimize their wellness
- Family feels confident their loved one can self-manage their condition
- Physician is kept up to date on the patient’s condition and made aware of any circumstances that may require attention
What happens during a BrightStar Clinical PathwaysSM for Diabetes visit?
RN Clinical Pathways Coordinator
- Go over/review physician orders, appointment dates and items to bring, safe needle disposal, daily foot inspection
- Listen to the client’s and family’s concerns and evaluate how well the client and family are coping with the diagnosis, medication management, and related lifestyle changes
- Understand that the person’s choices may conflict with the plan of care and discuss the pros and cons of those personal choices. Be an advocate for the client
- Comprehensive nursing assessment that pays special attention to signs and symptoms, like checking the lower extremities for swelling, open areas, and fit of shoes
BrightStar Care® caregivers
- Check client’s vital signs, blood glucose levels*, feet for cracks and sores, weight, home safety, and food and medication supply
- Assist in activities of daily living (ADL) and encourage pacing of person-centered leisure activities with rest in between
- Review the plan for the visit with the client and family
- Exit after ensuring the client’s safety and noting any changes of condition. Before leaving ask, “Is there anything more we can do for you?”
Exclusive BrightStar Clinical Pathways educational resources for diabetes patients and their families
- Guidebook – The story of the condition that the individual, caregiver, physician, and family can use to better manage their condition.
- Patient and Family Education Material – Informative, illustrated packet provides useful information on how to stay healthy.
- Symptom Alert – Easy-to-read reference card helps monitor symptoms for early detection.
- CareTogether® (www.caretogether.com) – Individual and family can coordinate caregiving schedule and communicate with each other. Links to BrightStar Care® calendar so family knows the when and the who of BrightStar Care visits.
Additional BrightStar Clinical Pathways: