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Wound Care Teaching 554

Patient was instructed on traumatic wounds. Contusions are caused by more extensive tissue trauma after severe blunt or blast trauma. The overlying skin may seem to be intact but later become non-viable. Extensive contusion may lead to infection.

Wound Care Teaching 563

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.

Wound Care Teaching 568

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.

Diabetes Teaching 691

Patient was instructed on complications of diabetes such as nerve damage. One of the most common complications of diabetes is diabetic neuropathy. Neuropathy means damage to the nerves that run throughout the body, connecting the spinal cord to muscles, skin, blood vessels and other organs.

Blood Sugar Teaching 714

Patient was instructed on supplies that will use for blood glucose meter - reads blood sugar Test strip - collects blood sample. Lancet or small needle -fits into lancing device, pricks finger, and provides small drop of blood for glucose strip. Lancing device - pricks finger when button is pressed. Most devices have dials to select how deep the needle goes into the skin. Start with middle depth. If get more blood than needed, dial the number down so the lancet does not go as deep. If get less blood, dial the number up so lancet goes deeper. Alcohol wipes or soap and water - to clean fingers or other testing site.

Precautions for diabetes Teaching 726

Patient was instructed on the importance of rotate the site of insulin injection to prevent future complications in that skin area. Injecting in the same place much of the time can cause hard lumps or extra fat deposits to develop.

Injection Teaching 732

Caregiver was instructed on injecting at the proper depth is an important part of good injection technique. Insulin be injected in the subcutaneous fat, which is the layer of fat just below the skin. If injected too deep, the insulin could go into muscle, where it's absorbed faster but might not last so long.

Hyperglycemia Teaching 743

Patient was instructed on Hyperglycemia. The following symptoms may be associated with acute or chronic hyperglycemia: blurred vision, fatigue, poor wound healing, dry mouth, dry or itchy skin, frequent hunger, thirst and urination.

Hyperglycemia Teaching 759

Patient was instructed on Hyperglycemia. To prevent high blood sugar emergencies, treat infections early. Untreated infections (such as urinary tract infections, pneumonia, and skin infections) can increase the risk for a high blood sugar emergency.

Hyperglycemia Teaching 770

Patient was instructed on hyperglycemia disease. Hyperglycemia one of the classic symptoms excessive urination. But also feeling ill, nausea, with vomiting, stomach pain, dehydration (dry mouth and skin) fruity acetone breath, deep rapid breathing, drowsiness and mental illness are other hyperglycemia symptoms.