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Instructed patient to keep feet dry, especially between toes, to use lotion to keep skin soft and moist and to keep feet clean. Wash daily with lukewarm water.
Patient was instructed on hypertension. It is possible to lower blood pressure by making healthy changes in the lifestyle. There are 6 lifestyle changes that can help to prevent this disease such as loosing extra weight, eating less salt, exercising, limiting alcohol drinks at 2 daily, getting potassium every day, following a diet rich in fruits, vegetables and low-fat dairy products.
Patient was instructed about how make sure the shoes fit well. Even the slightest rubbing or misfit shoe can cause a blister that turns into a sore that becomes infected and never heals. Buy better-fitting shoes, or try different socks, even at the most minor signs of redness or irritation, since you may not be able to feel when it's getting worse. Before buying or putting on the shoes check your shoes for rough seam, sharp edges or other objects that could hurt your feet. Further teaching is needed.
Patient was instructed on prevention to avoid hyperglycemia: take the medication as directed. Eat less. Sometimes it helps to eat less and avoid sugary beverages. Responding in changes in blood sugar can help in the prevention of long-term complications of diabetes.
Instructed on some signs and/or symptoms of high blood sugar, such as: dizziness, vomiting and abdominal cramps.
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: pain and tenderness of joint and swelling, among others.
Instructed on some signs/symptoms of activity intolerance in response to physical activity, such as: excessive fatigue and/or sweating, among others.
Instructed on some signs/symptoms of high blood sugar (hyperglycemia), such as: dizziness, vomiting and abdominal cramps, among others.
Caregiver A.L.F's staff was instructed in Hypothyroidism disease; on how symptoms differ among individuals, depending on the severity of the case: sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, lack of facial expression, enlarged tongue.
Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.