Maternal POC part 2 - Michigan
Beneficiary:
Diabetes (Type 1, 2 and Gestational)
| | | |
|INTERVENTION LEVEL |RISK INFORMATION |INTERVENTIONS |
| | |Using Motivational Interviewing techniques, complete the following interventions: |
| | | |
| | |Refused all interventions |
| | | |
| | |For Low and Moderate risk levels |
|LOW |Diabetes and receiving care. | |
|Date: | |Ask beneficiary about diabetes management. |
| |Client has: |Date 1st Addressed: |
| |Type 1 | |
| |Type 2 |Discuss importance of controlling diabetes during pregnancy and/or postpartum. |
| |Current Gestational Diabetes |Date 1st Addressed: |
| |History of Gestational Diabetes | |
| | |Discuss possible pregnancy complications: |
| | |Date 1st Addressed: |
| | |Increased blood pressure |
| | |Infant weight gain/large for gestational age |
|MODERATE |Diabetes and not receiving care. |Increased risk of early preterm delivery |
|Date: | |Increased risk of cesarean section |
| |Client has: | |
| |Type 1 |Discuss possible infant complications: |
| |Type 2 |Date 1st Addressed: |
| |Current Gestational Diabetes |low blood glucose |
| |History of Gestational Diabetes |low blood calcium |
| | |high bilirubin (jaundice) |
| |In care for diabetes but noncompliant |breathing difficulties |
| | | |
| | |Encourage regular monitoring of blood glucose and follow meal plan recommendations. |
| | |Date 1st Addressed: |
| | | |
| | | |
| | | |
| | |Advise regarding the importance of making all medical care appointments and following medical care provider |
| | |recommendations. |
| | |Date 1st Addressed: |
| | | |
| | |Follow up to assure appointments are scheduled and kept. |
| | |Date 1st Addressed: |
| | | |
| | |Assist with referral to Diabetes Educator. |
| | |Date 1st Addressed: |
| | | |
| | |Refer to Registered Dietitian. |
| | |Date 1st Addressed: |
| | | |
| | |Assist client in developing a safety plan in case of uncontrolled blood sugars. |
| | |Date 1st Addressed: |
| | |Wear ID bracelet to identify that she is diabetic. |
| | |Help identify a support person to administrate necessary medication if unconscious and call 911. |
| | |Contact provider immediately if blood sugar level not within recommended range. |
| | |Aware of own high/low blood sugar symptoms. |
| | | |
| | | |
| | | |
| | |Call 911. |
| |At imminent risk due to life threatening diabetic |Date 1st Addressed: |
| |complications | |
|EMERGENCY Date: | |Inform MHP. |
| | |Date 1st Addressed: |
| | | |
| | |Inform medical provider. |
| | |Date 1st Addressed: |
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