diabetes diet
Others
Patient was instructed about how to get a balanced diet: choose a variety of nutrient-dense foods and beverages among the basic food groups, balance calories from foods and beverages with physical activity to manage body weight, choose fiber-rich fruits, vegetables, and whole grains often, eat 2 cups of fruit and 2 1/2 cups of vegetables daily (for someone eating 2,000 calories) and other way to get the goals will be explained in next teaching. Further teaching is needed.
Instructed on the importance of following/adhering to a no concentrated sweets, low fat/sodium diet, as directed by MD.
SN instructed patient to eat a balanced diet and drink fluids, increase protein and take vitamins to promote wound healing.
SN instructed patient / caregiver on service authorization, advance directives, rights and responsibilities, rights of the elderly and obtained necessary signatures. Instructed patient / caregiver on 24 hour nurse availability and provided / posted the agency telephone number. Also instructed that after hours, weekends and holidays an answering service will reach the nurse and he / she will return the patient / caregiver call and answer any questions or make a visit if needed. Patient and caregiver stated understanding. Patient and caregiver educated on diabetic diet, diabetic foot care, symptoms / signs ( s / s ) of depression, managing pain with medications, healthy skin, and pressure ulcer prevention. Leaflets left in home.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Damage to the nerve that control the bladder, digestive tract and reproductive organ is called autonomic neuropathy and it can cause problems with nausea, vomiting, diarrhea and constipation.
Patient was instructed that neuropathy is a long term complication of diabetes, which means it typically takes many years for it to develop. To prevent and reduce the risk of diabetic neuropathy: blood glucose control, a balanced eating and exercises can help fend off neuropathy.
Patient was instructed on depression as a diabetes complication. Fatigue and lack of enthusiasm can cause people to withdraw from the things they used to like to do. Emotions become flat and thoughts can turn to sadness or anxiety.
Patient was instructed on depression as a diabetes complication. It is important recognizing the symptoms of depression to get help that is needed. Feeling sad for a prolonged period of time - feeling restless or anxious for non apparent reason - feeling hopeless, helpless or worthless - not being able to concentrate.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Nerve damage occurs because excess sugar injures the walls of the tiny blood vessels (capillaries) that nourish the nerves.
Patient was instructed on nerve damage as a cause of diabetes. The pain that begins in the extremities, toes and fingers over a period of months or years gradually it spreads upward. If not treated, it is possible to loose all sense of feeling in the affected area.