Development of a Protocol for Capillary Blood Glucose Testing in Nursing Home and Rehabilitation Settings
| العنوان: | Development of a Protocol for Capillary Blood Glucose Testing in Nursing Home and Rehabilitation Settings |
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| المؤلفون: | Elizabeth A. Stephens, Deanna S. Allen, Lisa R. Werner, Judy A. McEuen, Julie E. Vandling, Karen A. McWhorter, Kathleen A. Fuglee, Keith J. Pagel, Nancy L. Allison, Kay L. Beliel, Wendy A. Wanlass, Scott L. Mader |
| المصدر: | Journal of the American Geriatrics Society. 54:1114-1118 |
| بيانات النشر: | Wiley, 2006. |
| سنة النشر: | 2006 |
| مصطلحات موضوعية: | Blood glucose testing, Geriatrics, Protocol (science), medicine.medical_specialty, Rehabilitation, business.industry, medicine.medical_treatment, Rehabilitation unit, Diabetes management, Emergency medicine, medicine, Geriatrics and Gerontology, Nursing homes, Intensive care medicine, business, Veterans Affairs |
| الوصف: | OBJECTIVES: To develop an algorithm to standardize capillary blood glucose (CBG) testing in nursing home and rehabilitation patients. DESIGN: Descriptive study in which an interdisciplinary team from a nursing home, a rehabilitation center, and a diabetes mellitus care program developed and tested a protocol to standardize diabetes management parameters and CBG testing frequency. SETTING: Department of Veterans Affairs nursing home and rehabilitation unit. PARTICIPANTS: One hundred one patients admitted to the units during the 6-month study period who had orders for CBG testing. INTERVENTION: Use of a standardized CBG testing protocol. MEASUREMENTS: Use of management goal, use of CBG testing protocol, total CBG tests/month. RESULTS: One hundred one subjects received orders for CBG testing; 72 (72%) received orders for a management goal, and 69 (69%) received orders to use the CBG protocol. Of these 69 patients, 22 met their CBG goals and were advanced to less-frequent CBG testing using the protocol, and 15 did not meet their CBG goals and were not advanced. An additional 15 patients were advanced to less-frequent CBG testing but not using the protocol. In all, 54 of 69 patients (78%) were advanced or could have been advanced by protocol to less-frequent CBG testing. Total CBG testing per month did not change before, during, or after the study period. CONCLUSION: This protocol would be useful in long-term care facilities and in other congregate living settings where patients with diabetes mellitus have staff assisting with their diabetes management. Barriers to successful implementation are discussed. |
| تدمد: | 1532-5415 0002-8614 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::8ab6a2aa7433a7e36c0acfc1c5735f7e https://doi.org/10.1111/j.1532-5415.2006.00788.x |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........8ab6a2aa7433a7e36c0acfc1c5735f7e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15325415 00028614 |
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