diverticulosis-and-diverticulitis
Patient was instructed on factors that may contribute to chronic wounds is old age. The skin of older people is more easily damaged, and older cells do not proliferate as fast and may not have an adequate response to stress in terms of gene up regulation of stress related proteins. In older cells, stress response genes are over expressed when the cell is not stressed, but when it is, the expression of these proteins is not regulated by as much as in younger cells.
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.
Patient was instructed on a healthy mouth. Poor oral mouth can make diabetes more difficult to control. Infections may cause the blood sugar to rise and require more insulin to keep it under control. In addition diabetes can diminish the ability to taste sweets influencing and changing food choices in favor of additional sweeter tasting foods, thereby affecting the dental health.
Patient was instructed on Gum disease. Dental plaque can cause many problems if not removed from the teeth with regular brushing and flossing. It hardens under the gum line into a substance called tartar or calculus. Tartar irritates the gums and causes gingivitis. Gum disease is a leading cause of tooth loss.
Patient was instructed on tips for fire safety. Keep cooking areas clear of combustibles and wear short or tight-fitting sleeves when cooking. Keep the handles of the pots turned inward so they do not ever-hang the stove. If grease catches fire, carefully slide a lid over the pan and smother the flames, then turn off the burner.
Patient was instructed on tips for fire safety. If an appliance smokes or has an unusual smell, unplug immediately and have it repaired. Replace frayed or cracked electrical cords and don
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet.
Patient was instructed on list of precautions regarding medications: Herbal and vitamins supplements and over the counter medications can affect certain medications. Always ask the doctor or nurse about supplements before taking them.
Patient was instructed that neuropathy is a long term complication of diabetes, which means it typically takes many years for it to develop. To prevent and reduce the risk of diabetic neuropathy: blood glucose control, a balanced eating and exercises can help fend off neuropathy.
Patient was instructed on depression as a diabetes complication. Depression can color everything in a person's life. The ability to do everyday activities can become overwhelming, and this includes taking care of diabetes, such as taking medications, eating right and exercising.