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Patient Resources

Page history last edited by Robert Rushakoff, MD 13 years, 10 months ago

Table of Contents for the Available Teaching Forms


 



 

 

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  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  English Quick practical tips on insulin storage, needle use and disposal 

Disposal of Sharps 

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

General Diabetes Discharge Information 

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

Use of Insulin Pen 

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

Contour Glucose Meter Quick Guide 

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

How to Inject Insulin 

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

Carbohydrate Controlled Diet 

Carbohydrate Diet - Your Health Matters.pdf  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

Spanish

Basic General Information about Diabetes 

Use of Insulin Pen

Use of Insulin Pen - spanish.pdf

Spanish

Instructions on how to use an Insulin Pen 

How to Inject Insulin

 
How to inject insulin - spanish.pdf

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 

 

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 

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  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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