diabetic foot care
Diseases Process
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
Instructed patient about your Foley catheter daily Care: Always wash your hands before and after
doing catheter care. Use soap and warm water. Keep your skin and catheter clean. Clean the skin
around your catheter at least once each day. Clean your skin area and catheter after every
bowel movement. These will help prevent a bladder or kidney infection and will keep you more
comfortable.
Instructed patient consider nutritional supplementation/support for nutritionally
consistent with overall goals of care.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent
with overall goals of care.
SN advised to patient / caregiver that blood glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
SN instructed patient on Colostomy Care.The patient should limit foods that may cause gas and odor: These include vegetables such as broccoli, cabbage and
cauliflower. Beans, eggs and fish may also cause gas and odor. Eat slowly and do not use a straw to drink liquids. Yogurt,
buttermilk and fresh parsley may help control odor and gas.
SN Instructed the patient about Colostomy Care and healthy eating. Healthy foods include: fruits, vegetables, whole - grain breads, low - fat dairy
products, and lean meats. Do not eat foods that give you cramps or diarrhea.
SN instructed patient on Colostomy Care. You contact your healthcare provider if: You have a fever, you have a foul odor coming from your colostomy bag or stomach that lasts longer than a week, your skin around the stomach becomes red and irritated, you have nausea, vomiting, pain, cramping, or bloating, you do not have regular bowel movements through your stomach, the size of your stomach changes, you have questions or concerns about your condition.
SN instructed patient about Jackson Pratt Care. Seek immediate help if : Your JP drain breaks or comes out. You have cloudy yellow or brown drainage
from your JP drain site, or the drainage smells bad.
SN instructed patient about Jackson Pratt care. Call your caregiver if: You drain less than 30 milliliters ( 2 tablespoons ) in 24 hours. This may mean your
drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than
101.5°F ( 38.6°C ).