wound care
General
Instructed caregiver persons with mental retardation are living longer and integrating into their communities. Primary medical care of persons with mental retardation should involve continuity of care, maintenance of comprehensive treatment documentation, routine periodic health screening, and an understanding of the unique medical and behavioral disorders common to this population. Office visits can be successful if physicians familiarize patients with the office and staff, plan for difficult behaviors, and administer mild sedation when appropriate. Some syndromes that cause mental retardation have specific medical and behavioral features. Health issues in these patients include respiratory problems, gastrointestinal disorders, challenging behaviors, and neurologic conditions. Some commonly overlooked health concerns are sexuality, sexually transmitted diseases, and end-of-life decisions.
SN instructed the patient on good diabetic foot care and assessment as follows: using a handheld mirror if needed assess feet daily to include in between toes. Never cut toenails or file down calluses. Only a podiatrist should do this. Report any blisters, cracks, wounds or any other concerns to your podiatrist immediately. Wash and lotion feet very well daily. Do not lotion between toes as this may cause maceration and cause skin breakdown. Recommended wearing diabetic socks. Always wear good fitting shoes. Preferably tailor-made for the patient. Never walk around barefoot.
Instructed to take all medications at the times indicated. Instructed to read the label and follow your health-care provider's instructions.
Instructed to call your health-care provider inmediately if you have unpleasant or unusual reactions to a medication.
Instructed to don't stop taking your medication or change dosage without talking to your health-care provider, even if you're feeling better.
Instructed to don't transfer medications to others containers, unless your pharmacist ot health-care provider says it's ok.
Instructed in proper skin care, focusing on areas prone to abnormalities.
SN suggested patient to have nails, calluses and corns trimmed by podiatrist because those with diabetes have poor circulation. A good blood circulation is known to aid your body in all healing processes, so when it becomes sluggish, it takes longer for any injuries to on feet to heal.
Partient is unable for diabetic care due to multiples functional limitation such as poor vision, poor eyes/ hand coordination. No caregiver available at this time.
Instructed caregiver clean patient's skin daily: Clean the patient's skin around your tube 1 to 2 times each day.