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Patient Resources

Page history last edited by Robert Rushakoff, MD 15 years, 1 month ago

Table of Contents for the Available Teaching Forms

  1. Nursing Diabetes Manuals
    1. 2009 Diabetes Teaching Manual
  2. Nursing Documentation Forms
    1. Standardized Nusing Care Plan 
    2. Adult Diabetes Teaching Record 
  3. Discharge Teaching Forms-English
    1. Individual Forms
      1. Dear Patient Letter
      2. Diabetes Teaching Tips 
      3. Disposal of Sharps 
      4. General Diabetes Discharge Information 
      5. Use of Insulin Pen 
      6. Contour Glucose Meter Quick Guide 
      7. How to Inject Insulin 
      8. Carbohydrate Controlled Diet 
      9. UCSF Diabetes TV Video Schedule
      10. Insulin Discharge Order Form
      11. Starting Insulin Form
    2. Complete Set of Discharge Forms
  4. Discharge Teaching Forms-Spanish
    1. Individual Forms 
      1. Dear Patient Letter 
      2. General Diabetes Discharge Information
      3. Use of Insulin Pen
      4. How to Inject Insulin
      5. UCSF Diabetes TV Video Schedule 
      6. Insulin Discharge Order Form 
    2. Complete Set of Discharge Forms in Spanish 
  5. Discharge Teaching Forms-Chinese
    1. Individualized Forms 
      1. Use of Insulin Pen 
      2. Insulin Discharge Order Form 
    2. Complete Set of Discharge Forms in Chinese
  6. Discharge Teaching Forms-Russian
    1. Individual Forms  
      1. Use of Insulin Pens   
      2. Insulin Discharge Order Form   
    2. Complete Set of Discharge Forms in Russian
  7. Optional Educational Materials - English
    1. Diabetes Complications
    2. Steroid Induced Diabetes
    3. Taking Care of Your Feet:  A Guide for Patients with Diabetes

 



 

 

Nursing Diabetes Manuals

 

 Link Pages Language Description

2009 Diabetes Teaching Manual

 2009 Diabetes Manual.pdf 38 English Teaching Resource for Nurses

 

 

 

Nursing Documentation Forms

 

 Link Pages Language Description

Standardized Nusing Care Plan 

 Standardized Nursing Care Plan - Adult diabetes.pdf  2 English Brief Expectations on Nursing Care of Patient Hospitalized with Diabetes

Adult Diabetes Teaching Record 

 Adult Diabetes Teaching Record.pdf  1  English Form for documentation of basic information taught to patient

 

 

 

 

 

Discharge Teaching Forms-English

Individual Forms

 Link Pages Language Description

Dear Patient Letter

 Dear Patient Intro Letter.pdf  1 English Intro letter for patients with contact information 

Diabetes Teaching Tips 

 Diabetes Teaching Tips.pdf  1  English Quick practical tips on insulin storage, needle use and disposal 

Disposal of Sharps 

 Disposal of Sharps.pdf  6  English Location of places for disposal of syringes.  San Francisco Bay Area 

General Diabetes Discharge Information 

 Diabetes Discharge Info - your health matters.pdf  3  English Basic General Information about Diabetes 

Use of Insulin Pen 

 Use of Insulin Pen - Your Health Matters.pdf  2  English Instructions on how to use an Insulin Pen 

Contour Glucose Meter Quick Guide 

 Contour Meter Quick Test Guide.pdf  2  English Instructions on how to use the Contour Glucose Meter 

How to Inject Insulin 

 How to Inject Insulin.pdf  2  English Instructions for the patient on how to inject insulin 

Carbohydrate Controlled Diet 

 Carbohydrate Diet - Your Health Matters.pdf  2  English Simple instructions on Diabetes Diet 

UCSF Diabetes TV Video Schedule

 UCSF TV Video Schedule.pdf 3 English Schedule of Videos on the UCSF Education Channels that are about all areas of diabetes.

Insulin Discharge Order Form

 Insulin Discharge Order Sheet.pdf 2 English Form to fill out for patient with their insulin orders to take home with them.

Starting Insulin Form

 Starting Insulin - Your Health Matters.pdf 2 English Simple form describing general aspects of how the patient should take their insulin when they go home.

Complete Set of Discharge Forms

 Complete Dischage Teaching Forms.pdf 26 English All of the above forms in a singe PDF download

 

 

 

Discharge Teaching Forms-Spanish

Individual Forms 

 Link Pages Language Description

Dear Patient Letter 

 Patient Letter - spanish.pdf 1 Spanish Intro letter for patients with contact information 

General Diabetes Discharge Information

 Diabetes Discharge Info - spanish.pdf

2 

Spanish

Basic General Information about Diabetes 

Use of Insulin Pen

 Use of Insulin Pen - spanish.pdf

2 

Spanish

Instructions on how to use an Insulin Pen 

How to Inject Insulin

 		 How to inject insulin - spanish.pdf

2 

Spanish

Instructions for the patient on how to inject insulin 

UCSF Diabetes TV Video Schedule 

UCSF TV Video Schedule - spanish.pdf

1

Spanish

Schedule of Videos on the UCSF Education Channels that are about all areas of diabetes.

Insulin Discharge Order Form 

Insulin discharge order sheet - spanish.pdf

2

Spanish

Form to fill out for patient with their insulin orders to take home with them.

Complete Set of Discharge Forms in Spanish 

 Combined Forms - spanish.pdf  10 Spanish All of the above forms in a singe PDF download

 

 

 

 

Discharge Teaching Forms-Chinese

Individualized Forms 

 Link Pages Language Description

Use of Insulin Pen 

 Insulin Pen - chinese.pdf 

2 

 

Chinese

Instructions on how to use an Insulin Pen 

Insulin Discharge Order Form 

 Insulin Discharge Orders - chinese.pdf 

2

Chinese

Form to fill out for patient with their insulin orders to take home with them.

Complete Set of Discharge Forms in Chinese

 Combined Forms - chinese.pdf  4 Chinese All of the above forms in a singe PDF download

 

 

 

 

 

Discharge Teaching Forms-Russian

Individual Forms  

 Link Pages Language Description

Use of Insulin Pens   

 Insulin Pen - russian.pdf 

2 

Russian

Instructions on how to use an Insulin Pen 

Insulin Discharge Order Form   

Insulin Discharge Orders -russian.pdf 

2

Russian

Form to fill out for patient with their insulin orders to take home with them.

Complete Set of Discharge Forms in Russian

 Combined Discharge Forms - russian.pdf  4

Russian

 All of the above forms in a singe PDF download

 

 

 

 

 

 

 

 

Optional Educational Materials - English

 

 Link Pages Language Description

Diabetes Complications

 Diabetes Complications.pdf  3 English Quick Introduction to Microvascular and Macrovascular complications

Steroid Induced Diabetes

 Steroid Diabetes.pdf  4  English Brief into to Steroid Induced Diabetes

Taking Care of Your Feet:  A Guide for Patients with Diabetes

 Diabetic Foot Care.pdf  5 English Short instructions on foot care

 

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