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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Standard Code Book (SCB)  

Patient Education Protocol

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Code Topic Subtopic Outcome Standards
FP-ABST   FAMILY PLANNING  ABSTINENCE  The patient/partner will understand the role of abstinence in family planning.  1.Explain that abstinence is the only 100% effective method to prevent pregnancy and sexually transmitted infections. 2.Explain that even a single sexual encounter could result in pregnancy and sexually transmitted infections. 
ELD-ANA   ELDER CARE  ABUSE AND NEGLECT-ADULT  The patient/family will understand the definitions and warning signs of adult abuse and neglect and be aware of available medical treatment and social services for victims.  1.Discuss and define the different types of adult abuse and neglect including emotional, physical, financial, and sexual. 2.Emphasize the importance of reporting suspected incidents of adult abuse and neglect to the patient's healthcare provider and the proper adult protective and law enforcement agencies. 3.Discuss patient rights to privacy and confidentiality as it relates to patient/family safety and mandatory reporting laws for providers, as appropriate. 4.Identify methods and resources to enhance patient safety while maintaining the patient's autonomy and independence as appropriate. 
ACC-EMS   ANTICOAGULATION   ACTIVATING THE EMERGENCY RESPONSE SYSTEM  The patient/family will know the basic information needed to obtain medical help.  1. Emphasize the importance of evaluating the situation to ensure it is safe before acting. Rushing into an unsafe situation could result in the caregiver becoming a victim. 2. Emphasize the importance of not moving the patient’s body unless it is an emergency because there could be injuries that are not visible which could be worsened with movement. 3. Explain the importance of calling for help or identifying someone to call for help. 4. Discuss the importance of maintaining a list of phone numbers that may be needed in an emergency. 
CAD-EMS   CORONARY ARTERY DISEASE  ACTIVATING THE EMERGENCY RESPONSE SYSTEM  The patient/family will know the basic information needed to obtain medical help.  1. Emphasize the importance of evaluating the situation to ensure it is safe before acting. Rushing into an unsafe situation could result in the caregiver becoming a victim. 2. Emphasize the importance of not moving the patient’s body unless it is an emergency because there could be injuries that are not visible which could be worsened with movement. 3. Explain the importance of calling for help or identifying someone to call for help. 4. Discuss the importance of maintaining a list of phone numbers that may be needed in an emergency. 
CP-EMS   CHEST PAIN  ACTIVATING THE EMERGENCY RESPONSE SYSTEM  The patient/family will know the basic information needed to obtain medical help.  1. Emphasize the importance of evaluating the situation to ensure it is safe before acting. Rushing into an unsafe situation could result in the caregiver becoming a victim. 2. Emphasize the importance of not moving the patient’s body unless it is an emergency because there could be injuries that are not visible which could be worsened with movement. 3. Explain the importance of calling for help or identifying someone to call for help. 4. Discuss the importance of maintaining a list of phone numbers that may be needed in an emergency. 
STROKE-EMS   STROKE   ACTIVATING THE EMERGENCY RESPONSE SYSTEM  The patient/family will know the basic information needed to obtain medical help.  1.Emphasize the importance of evaluating the situation to ensure it is safe before acting. Rushing into an unsafe situation could result in the caregiver becoming a victim. 2.Emphasize the importance of not moving the patient's body unless it is an emergency because there could be injuries that are not visible which could be worsened with movement. 3.Explain the importance of calling for help or identifying someone to call for help. 4. Discuss the importance of maintaining a list of phone numbers that may be needed in an emergency. 
AMP-ADL   AMPUTATIONS  ACTIVITES OF DAILY LIVING  The patient/family will understand how the patient's ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1. Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, movement, toileting, and walking) and discuss how the patient's ability to perform ADLs affects the ability to live independently. 2.Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. This may include information about accessing social services, getting medical care, having relationships, shopping, cooking meals, avoiding risky behavior, structuring leisure time, keeping clean, and using transportation.  
MS-ADL   MULTIPLE SCLEROSIS  ACTIVITES OF DAILY LIVING  The patient/family will understand how the patient's ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1. Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, movement, toileting, and walking) and discuss how the patient's ability to perform ADLs affects the ability to live independently. 2. Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. This may include information about accessing social services, getting medical care, having relationships, shopping, cooking meals, avoiding risky behavior, structuring leisure time, keeping clean, and using transportation. 
ALZ-ADL   ALZHEIMERS DISEASE  ACTIVITIES OF DAILY LIVING  The family will understand how the patients decline in the ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1.Discuss the importance of supervising the patients activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, moving from a bed to a chair (also called transferring), toileting, and walking), or learning to assume responsibility of ADLs on behalf of the patient. 2.Assist the family in assessing the patients ability to perform activities of daily living. 3.Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. 
BH-ADL   BEHAVIORAL AND SOCIAL HEALTH  ACTIVITIES OF DAILY LIVING  The patient/family will understand how the patient's ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1.Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, moving from a bed to a chair (also called transferring), toileting, and walking) and discuss how the patient's ability to perform ADLs affects the ability to live independently. 2.Assist the patient/family in assessing the patient's ability to perform activities of daily living. 3.Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. 
CERP-ADL   CEREBRAL PALSY  ACTIVITIES OF DAILY LIVING  The patient/family will understand how the patients ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1. Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, movement, toileting, and walking) and discuss how the patients ability to perform ADLs affects the ability to live independently. 2. Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. This may include information about accessing social services, getting medical care, having relationships, shopping, cooking meals, staying out of trouble, structuring leisure time, keeping clean, and using transportation. 
COG-ADL   COGNITIVE DISORDER  ACTIVITIES OF DAILY LIVING  The family will understand how the patients decline in the ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1.Discuss the importance of supervising the patients activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, moving from a bed to a chair (also called transferring), toileting, and walking), or learning to assume responsibility of ADLs on behalf of the patient. 2.Assist the family in assessing the patients ability to perform activities of daily living. 3.Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. 
DEM-ADL   DEMENTIA  ACTIVITIES OF DAILY LIVING  The family will understand how the patients decline in his or her ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1.Discuss the importance of supervising the patients activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, moving from a bed to a chair (also called transferring), toileting, and walking), or learning to assume responsibility of ADLs on behalf of the patient. 2.Assist the family in assessing the patients ability to perform activities of daily living. 3.Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. 
FASD-ADL   FETAL ALCOHOL SPECTRUM DISORDER  ACTIVITIES OF DAILY LIVING  The patient/family/caregiver will understand how the patient's ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1. Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, movement, toileting, and walking) and discuss how the patients ability to perform ADLs affects the ability to live independently. 2. Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. This may include information about accessing social services, getting medical care, having relationships, shopping, cooking meals, staying out of trouble, structuring leisure time, keeping clean, and using transportation. 
HPDP-ADL   HEALTH PROMOTION, DISEASE PREVENTION  ACTIVITIES OF DAILY LIVING  The patient/family will understand how the patient's ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1.Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, moving from a bed to a chair (also called transferring), toileting, and walking) and discuss how the patient's ability to perform ADLs affects the patient's ability to live independently. 2.Assist the patient/family in assessing the patient's ability to perform activities of daily living. 3.Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. 
PL-ADL   PULMONARY DISEASE  ACTIVITIES OF DAILY LIVING   The patient/family will understand how the patient’s ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1. Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, movement, toileting, and walking) and discuss how the patient’s ability to perform ADLs affects the ability to live independently. 2. Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. This may include information about accessing social services, getting medical care, having relationships, shopping, cooking meals, structuring leisure time, keeping clean, and using transportation. 
STROKE-ADL   STROKE   ACTIVITIES OF DAILY LIVING  The patient/family will understand how the patient’s ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1. Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, movement, toileting, and walking) and discuss how the patient’s ability to perform ADLs affects the ability to live independently. 2. Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. This may include information about accessing social services, getting medical care, having relationships, shopping, cooking meals, avoiding risky behavior, structuring leisure time, keeping clean, and using transportation. 
TPLNT-ADL   ORGAN DONATION/TRANSPLANT  ACTIVITIES OF DAILY LIVING  The patient/family will understand how the patient’s ability to perform activities of daily living (ADLs) impact the care plan including in-home and out-of-home care.  1. Define activities of daily living (ADLs) (e.g., the everyday activities involved in personal care such as feeding, dressing, bathing, movement, toileting, and walking) and discuss how the patient’s ability to perform ADLs affects the ability to live independently. 2. Provide the appropriate information and referrals for services needed to increase, maintain, and/or assist with activities of daily living. This may include information about accessing social services, getting medical care, having relationships, shopping, cooking meals, structuring leisure time, keeping clean, and using transportation. 
DMC-AC   BALANCING YOUR LIFE AND DIABETES  ACUTE COMPLICATIONS  The individual/family will understand acute complications and self-care actions to take to prevent or treat acute complications  AC1 Define low blood sugar. AC2 Discuss two or more causes of low blood sugar. AC3 List two or more symptoms of low blood sugar. AC4 State two or more actions to take when feeling symptoms of low blood sugar. AC5 State two or more actions to prevent low blood sugar. AC6 Define high blood sugar. AC7 State two or more causes of high blood sugar. AC8 List two or more symptoms of high blood sugar. AC9 Discuss two or more actions to take when the blood sugar is high. AC10 State two or more actions to prevent high blood sugar. AC11 Explain how blood sugar is affected during illness. AC12 State two or more things to do to manage blood sugar when sick. AC13 Identify two or more food and drink choices to use when sick. 
M-ADD   MEDICATIONS  ADDICTION  The patient/family will have an awareness of addiction potential to some prescription medications.  1.Discuss that medications should be taken as prescribed. Feeling the need to take more medicine than prescribed may become problematic and should be discussed with a medical provider. 2.Explain that some medicines have higher addiction potential than others. 3.Explain that some conditions do require large amounts of medication to control symptoms. Tolerance and addiction are different and some people may become medically dependent on some medications. This is not considered addiction. 4.Refer to treatment programs as appropriate. Refer to AOD - Alcohol and Other Drugs. 
PN-ADM   PRENATAL  ADMISSION TO HOSPITAL  The patient/family will understand the hospital admission process for delivery.  1. Discuss preparations for preadmission, as appropriate: a. What paper work to do in advance. b. When to come to the hospital. c. Who will be the support. d. Where to go for admission. This may include a hospital tour. e. What to expect on admission. 2. Discuss what to bring to the hospital. a. Labor plan b. Clothing for self and baby 3. Obtain a car seat in advance. 
ADM-ADV   ADMISSION TO HOSPITAL  ADVANCE DIRECTIVE  The patient/family/caregiver will understand the process of developing an advance directive and its role in guiding medical care and decision making to best serve the patient's care preferences.  1.Explain that many persons are not able to make their own decisions when ill. The advance directive, or other statement of care preferences, allows patients to express their preferences and guide treatment decisions in that setting. 2.Explain that this statement of preferences is only used to guide decision making if the patient is unable to provide guidance at the time that decisions need to be made. 3.Explain that Advance Directives or other statements of care preferences can help families and caregivers who may need to be decision-makers for the patient to understand the patient's preferences for care. 4.Review the option of Advanced Directives or other statements of care preferences with the patient and the patient's family. Explain treatment options and answer questions in a manner the patient/family will understand. 5.Refer as appropriate to those who can assist the patient in further clarifying healthcare decision-making authority (e.g., Social Services, Clergy, Lawyer,) by defining a healthcare proxy, writing a living will, or further discussing the preferences for care. 6.Refer to "ADV - Advance Directives". 
ALZ-ADV   ALZHEIMERS DISEASE  ADVANCE DIRECTIVE  The patient/family/caregiver will understand the process of developing an advance directive and its role in maintaining a sense of control in the patient's medical care and decisions.  1.Explain that many persons are not able to make their own decisions when ill. The advance directive, or other statement of care preferences, allows patients to express their preferences and guide treatment decisions in that setting. 2.Explain that this statement of preferences is only used to guide decision making if the patient is unable to provide guidance at the time that decisions need to be made. 3.Explain that Advance Directives or other statements of care preferences can help families and caregivers who may need to be decision-makers for the patient to understand the patient's preferences for care. 4.Review the option of Advanced Directives or other statements of care preferences with the patient and the patient's family. Explain treatment options and answer questions in a manner the patient/family will understand. 5.Refer as appropriate to those who can assist the patient in further clarifying healthcare decision-making authority (e.g., Social Services, Clergy, Lawyer,) by defining a healthcare proxy, writing a living will, or further discussing the preferences for care. 6.Refer to "ADV - Advanced Directives". 
ATO-ADV   AUTOIMMUNE DISORDERS  ADVANCE DIRECTIVE  The patient/family will understand the process of developing an advance directive and its role in maintaining a sense of control in the patients medical care and decisions.  1. Explain that many persons are not able to make their own decisions when ill. The advance directive, or other statement of care preferences, allows patients to express their preferences and guide treatment decisions in that setting. 2. Explain that this statement of preferences is only used to guide decision making if the patient is able to provide guidance at the time that decisions need to be made. 3. Explain that the Advance Directives or other statements of care preferences can help families and caregivers who may need to be decision-makers for the patient to understand the patients preferences of care. 4. Review the option of Advanced Directives or other statements of care preferences with the patient and the patients family. Explain treatment options and answer questions in a manner the patient/family will understand. 5. Refer as appropriate to those who can assist the patient in further clarifying healthcare decision-making authority (e.g., Social Services, Clergy, Lawyer) by defining a healthcare proxy, writing a living will, or further discussing the preferences for care. 
BARI-ADV   BARIATRIC SURGERY  ADVANCE DIRECTIVE  The patient/family will understand the process of developing an advance directive and its role in maintaining a sense of control in the patient's medical care and decisions.  1.Explain that many persons are not able to make their own decisions when ill. The advance directive, or other statement of care preferences, allows patients to express their preferences and guide treatment decisions in that setting. 2.Explain that this statement of preferences is only used to guide decision making if the patient is unable to provide guidance at the time that decisions need to be made. 3.Explain that Advance Directives or other statements of care preferences can help families and caregivers who may need to be decision-makers for the patient to understand the patient's preferences for care. 4.Review the option of Advanced Directives or other statements of care preferences with the patient and the patient's family. Explain treatment options and answer questions in a manner the patient/family will understand. 5.Refer as appropriate to those who can assist the patient in further clarifying healthcare decision-making authority (e.g., Social Services, Clergy, Lawyer,) by defining a healthcare proxy, writing a living will, or further discussing the preferences for care. 
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