diabetic foot care
Diseases Process
Instructed patient to avoid soaking feet into hot water (Test water before use).
Instructed patient about the appropriate measures to prevent foot problems, such as: always wear properly fitted shoes and examine feet every day for sores and signs of infections. Check for blisters, cuts, sores and/or cracked skin. Check for pebbles, rough seams or anything else that might irritate your foot. Patient verbalized understanding.
The patient was instructed in diabetes mellitus ketoacidosis discussing blood sugar monitoring, when the test will take place, the technique, the necessary blood sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.
Instructed diabetic patient about the possible complications of kidney disease. Even though early kidney damage has no symptoms; there is a blood test called Microalbumin now available to detect early diabetic kidney damage while still reversible.
Sn instructed patient about diabetic wounds / ulcers have poor or delayed healing. Healing problems are caused by the peripheral arterial diseases and peripheral neuropathy that can occur with diabetes, wherein the small blood vessels in different parts of the body, especially in the extremities ( hands and feet ), grow narrower and reduce the blood circulation to those areas. A lack of circulation in the extremities can result in a reduced supply of oxygen and nutrients to the body tissue and nerves, which is necessary for healing. Over time, nerves in these areas may become damaged, decreasing the sensation of pain, temperature and touch, making patients vulnerable to injury.
Diabetic Chronic Kidney disease Treatment for diabetic kidney disease includes controlling blood pressure and blood sugar levels, reducing dietary protein intake, avoiding medications that may damage the kidneys, treating urinary tract infections and exercise and weight loss (under the supervision of a physician).
Instructed patient about the importance of proper footcare. This includes wearing properly fitting shoes and socks, correct trimming of toenails, and avoidance of injuries on the legs and/or feet.
Patient was instructed how to reduce friction and shear. Use draw sheet for repositioning, encourage use of trapeze if possible, keep head of bed elevated (if tolerated), elevate foot of bed slightly (if condition permits), use pillow or wedge to support hip (side lying, lateral position), utilize lifts and transfer devices.
The patient was instructed in buerger’s disease in the role nicotine plays in advancing the disease. The patient was advised on daily footcare, wear well-fitted shoes, avoiding going barefoot, use cotton or wool socks.
Instructed patient keep pressure off your ulcer, especially if it’s on your foot. This may mean you need to use crutches, special footwear, a brace, or other devices. Reducing pressure and irritation helps ulcers heal faster.