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Pain Management Teaching 623

The best treatment for nerve pain, ultimately, is to manage your diabetes well. In fact, a major study by the American Diabetes Association in 2006 showed that strict blood glucose control with intensive insulin therapy lowered the chances of having symptoms of peripheral neuropathy - tingling, burning, and pain - by 64%. While you can't control whether or not you get diabetic nerve pain, you can help control your glucose levels with diet, exercise, and mediations if you need them.

Diabetes Teaching 624

Your feet are your source of independence - or at least its foundation. Give your feet a little tenderness, a little loving care, each day. And be sure to have your doctor take a good look at your feet during each of your diabetes checkups, in case you missed anything.

Nerves damages Teaching 627

Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). The symptoms depend on which nerves are affected. Most often, diabetes can cause tingling, numbness, or pain that usually begins at the tips of the toes or fingers.

Nerves damages Teaching 629

Patient was instructed on nerve damage as a complication of diabetes. Because of the lost sense of feeling in the extremities it is possible to not feel any discomfort in the feet, and it is also possible to develop sores that can turn into skin ulcers without being aware of it.

Skin Care Teaching 635

Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.

Skin Care Teaching 651

Patient was instructed on skin care. Look at the body after washing. Make sure there are no dry, red or sore spots that could become infected.

Skin Care Teaching 653

Patient was instructed on skin care. Treat cuts right away. Wash them with soap and water. Avoid antiseptics, iodine or alcohol to clean cuts, because they are too harsh. It is recommended to put antibiotic cream or ointment on minor cuts.

Cast care Teaching 1291

SN advised patient to call doctor immediately if any of the following happen: The cast gets wet, damaged, or breaks, skin or nails on the toes below the cast become discolored, such as blue or gray, skin, or toes below the cast are numb, tingling, or cold, the swelling is more than before the cast was put on, bleeding, drainage, or bad smells come from the cast, and severe or new pain occurs. Patient verbalized understanding of instructions given.

Bedbound Teaching 1565

Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Take care of the Skin
Inspect the skin at least once every day. Pay attention to any red areas that remain even after 
changing position.

Hyperthermia Teaching 1616

SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.