diabetes
Diseases Process
Instructed patient that insulin/oral diabetic agents are used to relief the symptoms and not to cure the disease.
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.
Instructed patient on the proper disposal of sharps. They will be disposed off in the container provided.
Instructed patient about the importance of site rotation at the time of the subcutaneous injection.
Instructed patient on S/S of hypoglycemia such as: cold sweat, shaking, blurred vision, faintness, hunger, headache, confused thinking and impatience. Instructed patient that if these S/S occur to take fast acting sugar, such as orange juice with sugar or glucose tablets.
Instructed patient on S/S of hyperglycemia such as: excessive urination, thirst, nausea, vomiting, abdominal pain/cramps, weak-tired feeling, drowsiness, deep-rapid breathing, or fruity breath. If these S/S occur client S/O instructed to notify MD.
Instructed patient that sugar levels may reach high limits causing complications.
Patient was instructed on hypertension. Other possible risk factors of high blood pressure include: low intake of potassium, magnesium and calcium. Sleep apnea and sleep disordered breathing, depression, cigarette smoking, high cholesterol or low HDL (good cholesterol), diabetes.
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 the signs and symptoms of hypotension that may happen in a few seconds or minutes of standing up after been sitting or lying down. It feel like fainting. Signs include: dizziness, blurry vision, confusion, weakness and nausea. Those symptoms go away if sitting or lying down for few minutes until the blood pressure adjusts to normal.