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An Innovative Approach to Home Health Education: The Critical Path to Self-Care for Adults with Diabetes

Janet L. McDaniel

Mary Hope Gibson

A retrospective chart audit of home health care clients with the primary diagnosis of insulin-dependent diabetes mellitus (IDDM) revealed that the average number of visits for care exceeded the average number of visits for teaching. Using Orem's Self-Care Deficit Theory of Nursing, a critical pathway was designed to extend the number of visits incorporating teaching and to sequence teaching so that the client/caregiver would not be overwhelmed with instruction at the beginning of care. Physiologic needs and safety are addressed first on the pathway, followed by health promotion and disease prevention. A flexible method for documentation minimizes variance.

Key Words: critical pathway • diabetes education • insulin-dependent diabetes mellitus • Orem's Self-Care Deficit Theory of Nursing

Home Health Care Management & Practice, Vol. 8, No. 6, 41-51 (1996)
DOI: 10.1177/108482239600800609


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