DSA: Anticipatory Guidance + Documentation Flashcards
What are the key steps in using a glucometer?
How often should DM pts check their feet for wounds?
daily!!
they may lose feeling, and not know they have a wound
Where do we place the discussion of self care in the SOAP note?
plan
What are the three main types of carbohydrates?
Starch
Sugar
Fiber
What are the normal premeal, postprandial, and AIC levels?
ACE - American College of Endocrinology
ADA - American Diabetes Association
Where do pt recorded glucose readings go in the SOAP note?
objective - doesn’t matter that they were done at home
Why should pts not squeeze fingers to get enough blood? what is something they should do?
do not squeeze because it causes cellular damage, and can lead to an inaccurate reading
do warm hands with warm water or make fist
What is the effect of protein on blood sugar?
keeps blood sugar more level, avoids peaks/valleys
*protein and fiber should be included with every meal
In general, how often should type II DM pts check capillary glucose?
once daily
may also see benefit with post meal reads to encourage healthy habits
Where do foot exam findings go in the SOAP note?
objective - includes everything you did/saw