All home care patients with diabetes should be referred to an optometrist or ophthalmologist annually for a dilated eye exam polypharmacy home care nurses have the unique opportunity to view patients home settings and thereby record an inventory of all the medications a patient may be taking provision of care by a variety of health care professionals often translates into a potentially unsafe situation in which multiple and competing medications are prescribed simultaneously patients . For clients with diabetes home health care agencies must absorb the cost of insulin needles and syringes and blood testing supplies if clinicians are administering or teaching the administration of insulin or performing or teaching blood glucose testing the case mix adjusted rate is calculated using the home health resource group hhrg the hhrg is a point system that combines assigned points for clinical functional and service utilization to reflect the intensity and cost of care . Home care offers a solution to lessen the impact the disease has on ones health and well being the caregiver prepares meals for the client in accordance with a meal plan set by a doctor home health nurse or nutritionist eg low sodium low cholesterol low fat vegetarian or vegan manages medications and promotes physical activity family nursing cares specially trained caregivers provide support education and assistance to diabetic patients and their families diabetes . Home health care and diabetes assessment care and education for clients with diabetes home health care agencies must absorb the cost of insulin needles and syringes and blood testing supplies if clinicians are administering or teach ing the administration of insulin or performing or teaching blood glucose testing
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