Home Health Blogger

Managing the Home Health Patient on Insulin

Posted by Melissa Cott-Webber, RN on Mar 28, 2017

Home health patient teaching for insulin therapy include the following MyHomecareBiz objectives: 

1. To provide the suggested procedure for the initiation of insulin for people with diabetes which is evidence based and considered best practice
2. To ensure that the patient is able to self-inject independently, safely and effectively
3. To provide education and support for the patient, their family, providers and staff so that the care delivered to people with diabetes is consistent
4. To promote an empowering education program for all people with diabetes so that they are able to manage their condition

Know the Different Types of Insulin

  • Rapid-acting: Usually taken before a meal to cover the blood glucose elevation from eating. This type of insulin is used with
    longer-acting insulin.
  • Short-acting: Usually taken about 30 minutes before a meal to cover the blood glucose elevation from eating. This type of insulin is used with longer-acting insulin.home-health-download-insulin-teaching
  • Intermediate-acting: Covers the blood glucose elevations when rapid-acting insulins stop working. This type of insulin is often combined with rapid- or short-acting insulin and is usually taken twice a day.
  • Long-acting: This type of insulin is often combined, when needed, with rapid- or short-acting insulin. It lowers blood glucose levels when rapid-acting insulins stop working. It is taken once or twice a day.img-Insulin-table.png

 

Patient Teaching for Insulin Administration & Management...

Discuss the process of insulin management with the patient; encourage the patient to have a family member present if they so desire.

  • Allow the patient to ask questions and discuss, reassure about any fears they may have regarding insulin injections
  • Advise the patient that you will explain each step of the procedure; take into account the patients ability
  • Have the patient perform a blood glucose reading with their glucometer in the office and record on the glucose log sheet
  • Demonstrate to the patient the use of device that has been prescribed for the delivery of insulin
  • Demonstrate to the patient the correct technique for subcutaneous injection
  • Have patient redemonstrate the steps above
  • Support and assist patient in self-injecting insulin
  • Discuss possible injection sites and injection rotation
  • Use patient literature to explain the above
  • Discuss correct disposal of sharps
  • Discuss storage of insulin and device used
  • Discuss times of meals and insulin injections, emphasize the importance of a regular schedule for eating and insulin administration
  • Discuss and give booklets about hypoglycemia, prompt recognition and treatment of hypoglycemia
  • Provide written information; re: insulin doses
  • Discuss hyperglycemia and provide written information
  • Have patient redemonstrate insulin and blood glucose monitoring technique as many times as needed for them tbe comfortable with self-care
  • Discuss action of insulin and dose adjustment

 

For more information on Medicare's Home Health Care Quality Indicators click here.

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