diabetic foot care
Instructed in new medication Aricept to manage moderate dementia of the Alzheimer type. In addition, warned of possible S/E such as headache, insomnia, dizziness, fatigue, depression, abnormal dreams, somnolence, seizures, tremor, irritability, paresthesia, aggression, vertigo, ataxia, restlessness, abnormal crying, nervousness, aphasia, syncope, pain, chest pain, hypertension, vasodilation, atrial fibrillation, hot flashes, hypotension, cataract, blurred vision, eye irritation, sore throat, nausea, diarrhea, vomiting, anorexia, fecal incontinence, GI bleeding, bloating, epigastric pain, frequent urination, ecchymosis, weight loss, dehydration, muscle cramps, arthritis, toothache, bone fracture, dyspnea, bronchitis, pruritus, urticaria, diaphoresis, influenza, and increased libido. The drug does not alter the underlying degenerative disease but can temporarily stabilize or relieve symptoms. Effective therapy depends on taking drug at regular intervals. Instructed to take drug in the evening, just before bedtime. Immediately report significant adverse effects or changes in overall health status. Inform health care team that patient is taking drug before he receives anesthesia. Avoid OTC cold or sleep remedies because of the potential for increased anticholinergic effects.
Instructed to keep pressure off wound area to promote circulation which is essential to healing.
Instructed in factors that affect healing, such as, age, disease, nutrition, and infection.
Instructed in need for proper nutrition to promote wound healing, including foods high in Vitamin C and protein.
Instructed in proper disposal of soiled dressing materials in biohazardous waste container provided.
Instructed in S/S of complications which require need for medical intervention, including redness, increase or change in drainage, heat at the wound site, fever, bleedind or increased pain.
Instructed to keep dressing clean and dry to prevent growth of bacteria.
Instructed in the assessment of their chest pain, including amount, frequency, location, duration and any associated symptoms. Instructed to report these to the health care professional.
Instructed in proper care and maintenance of home glucose monitor.
Instructed in proper skin care, focusing on areas prone to abnormalities.