diabetic-foot-care!
Diseases Process
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 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.
Patient was instructed on Hyperglycemia. If dehydrated the body burns protein and fat rather than sugar for energy, causing acids and ketones to build up in your blood. These ketones can be partially released into the urine. If ketoacidosis develops, emergency care is needed immediately to keep the condition from getting worse.
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.
Instructed on some measures aimed to managing/controlling Emphysema, such as: report immediately to physician, nurse or other health care provider if fever, change in amount or color of sputum and/or increased shortness of breath occur.
Instructed PCA the importance of the patient's skin care, keep the perineal area clean and change pads and undergarments to prevent odors. Inspect the area regularly.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
Instructed the importance of adopting a lifestyle that controls an episode of Abdominal Aneurysm. Taught the patient how to care for the incision and instruct in case of any sign of infection, severe pain in the abdomen providing the name and telephone number of a physician or nurse.
Taught patient that this conditions its causes and related involvement of other body organs. The patient was instructed how to care for skin lesions.