diverticulosis-and-diverticulitis
Diabetes
Instructed patient about the management of infections: bathing everyday with a mild soap and lukewarm water, applying lotion to keep skin moist, wearing gloves when working outside, always wearing shoes and treating injuries promptly by cleaning with soap and water.
Instructed patient about the importance of proper foot care. This includes wearing properly fitting shoes and socks, correct trimming of toenails, and avoidance of injuries on the legs and/or feet.
SN complete assessment done on all body systems, checked vital signs, blood sugar monitoring, hydration, nutrition intake, and medication compliance. SN refilled patient’s medication box for daily routine. Taught patient to carefully manage her blood sugar with diet, physical activity, and medication to prevent diabetes complication and avoid hypo/hyperglycemia.
SN instructed patient on diabetes and kidney problem, that diabetes mellitus ( DM ) is one of the leading cause of kidney failure in the United States. Approximately one-half of people who need dialysis have kidney disease from diabetes.With that, tight control of blood sugar must be done by avoiding concentrated sweets and high-carbohydrate content foods.Diabetic patients with hypertension have a special lower blood pressure target of less than 130 / 80 mmHg to reduce cardiovascular risk and delay progression of kidney disease.
Instructed in measures important in foot care of the diabetic: inspect feet dialy, report any foot problems to podiatrist or physician, wash feet dialy with warm soap and water and pat dry; especially between toes.
Instructed to maintain a diabetic record of blood sugars and any untoward reactions. Record should include date, time, and any other pertinent information.
Instructed patient on how to properly use testing strips: wash hands with lukewarm water and mild soap, stick side of finger (not the tip), dry finger well before procedure, change fingers every test, and use the thinnest lancet, as that will give you the best drop of blood.
Instructed patient about the importance of avoiding getting sick. Seasonal viruses such as common cold, flu and other illnesses may cause DM episodes to increase in frequency and severity.
Instructed patient on possible complications linked to diabetes such as, kidney, bladder and heart disorders, strokes, eye complications, peripheral vascular and nervous system disorders.
Instructed patient to maintain a diabetic record of blood sugars and any adverse reactions. Records should include date, time, and any other pertinent information.