diabetic foot care
Wound Care
Patient was instructed on pressure ulcer also called decubitus or bed sore. A pressure ulcer is the results of damage caused by pressure over time causing an ischemia of underlying structures. Bony prominences are the most common sites and causes.
Instructed patient about some signs and symptoms of pressure ulcers, such as, skin tissue that feels firm or boggy, local redness, warmth, tenderness or swelling.
Skilled Nurse instructed caregiver get at least 4 pillows, include one of those long body pillows since you can and place them between the knees, ankles, under the arms and behind the back when the patient is laid on her side.
SN instructed patient on s/s of infected wound susch as: Thick green or yellow drainage, Foul odor, Redness or warmth around wound, Tenderness of surrounding area, and Swelling.
SN instructed patient to eat a balanced diet and drink fluids, increase protein and take vitamins to promote wound healing.
SN advised patient to take temperature once a day before bedtime, check for bleeding, pus, hardness, swelling, odor and any color change. If any of these are present, please let your nurse or doctor know as soon as possible. Patient verbalized understanding of instructions given.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
Instructed caregiver that treatment includes proper positioning, always avoid placing any weight
or pressure on the wound site.
Instructed patient all bed-bound and chair-bound persons, or those whose ability to reposition is impaired, to be at risk for pressure ulcers.
Instructed caregiver reduce friction by making sure when lifting a patient in bed that they are
lifted, not dragged during repositioning, prevent ulcers from occurring and can also help them from
getting worse .