high blood pressure
SN suggested patient to have nails, calluses and corns trimmed by podiatrist because those with diabetes have poor circulation. A good blood circulation is known to aid your body in all healing processes, so when it becomes sluggish, it takes longer for any injuries to on feet to heal.
Advise patient to never share insulin pens or cartridges, sharing needles or pens can result in transmission of hepatitis viruses, HIV, or other blood-borne pathogens.
teach patient how control to monitor blood glucose and to report difficulties in glycemic control
SN explained to patient/caregiver some risk factors of cellulites such as: cracks or peeling skin between toes, history of PVD, ulcers from blockage in the blood supply (ischemia), among others. Patient verbalized understanding of instructions given.
The patience was advised the importance of preventing transmission of the virus by contact with body fluids, (vaginal or anal intercourse, oral sex) without using condom, sharing needles or sex toys, blood contact of any kind.
The patient was reviewed and indicated the location of the suspected obstruction of the arterial insufficiency and explained collateral circulation. The patient was instructed in the skin care; avoid heating pads, restrictive clothing that could affect with blood circulation in the affected areas.
The patient was encouraged importance of keeping the extremity elevated above heart level on firm pillows and the need for applying ice bags to the surgical arthroscopy to control swelling and relieve pain. The patient was advised not to apply the ice pack directly to the skin, but to wrap the ice in a small towel. The patient was instructed avoid bathing until able to stand for 10 to 15 minutes, then showering with the extremity covered by a plastic bag may be permitted. The patient was instructed the use of hot tubs, whirlpool baths, and heating pads should be avoided. The patient was encouraged of moving extremities to improve circulation and prevent blood clots. The patient was instructed physical therapy exercises needed for a gradual increase in strength and mobility.
The patient was instructed in iron deficiency anemia that stools will appear dark or black as the effect of iron additional treatment. The patient was advised the importance of checking for blood loss in the stool if has gastrointestinal bleeding predispositions. The patient was taught the correct use of guaiac exams. The patient was reviewed to take iron with meals to make best use of absorption. The patient was recommended the need to increase vitamin C consumption.
The patient was instructed in hepatitis viral to wash hands meticulously after toileting. The families of the patient were reviewed to wear gloves if interaction with feces. The patient was instructed not to make food for others during the symptomatic time of the illness. The patient was recommended not to share stuffs, like eating utensils, razors, toothbrushes, toys, needles. The patient was advised to use an electric razor and soft-bristled toothbrush to help prevent bleeding. The families of the patient were reviewed for injection of gamma globulin. The patient was taught to exercise blood and body fluid protections until is free of the disease. The patient was advised to handle scratches and slashes carefully. The patient was encouraged to provide separate bed and bathroom. The patient was advised to evade using alkaline soaps and to use mild soaps. The patient was advised to save the skin moist with soothing ointments.
Infection control measures and proper hand washing techniques. Hand washing has to be done to prevent the growth of microorganisms on the nails, hands, and forearms. When hands are visibly dirty or contaminated with proteinaceous material or are visibly soiled with blood or other body fluids, wash hands with soap and water, if hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands. Wash hands before eating and after using a restroom. Wash hands for at least 15 seconds, covering all surfaces of the hands and fingers, rinse hands with water and dry thoroughly with a disposable towel, use towel to turn off the faucet, use hand lotions or creams to minimize the occurrence of irritant contact dermatitis associated with hand antisepsis or hand washing.