The nurse is caring for a type 1 diabetic patient who is being discharged home tomorrow. Patient teaching includes assessing the patient's self-care skills to determine if further diabetes teaching is required
What is the best way to assess the patient's ability to prepare and give insulin?
A) Ask the patient to describe the self-care skill
B) Direct observation of the self-care skill
C) Ask the family to describe the patient's ability to perform the self-care skill
D) Consult the home health nurse to discuss self-care skills
Ans: B
Feedback: Nurses should assess the patient's ability to perform diabetes related self-care as soon as possible during the hospitalization or office visit to determine whether patients require further diabetes teaching. While consulting a home care nurse is beneficial, an initial assessment should be performed during the hospitalization or office visit. Nurses should directly observe the patient performing the skills such as insulin preparation and infection, blood glucose monitoring, and foot care. Simply questioning the patient or family members about these skills without actually observing performance of the skill is not sufficient.
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