diabetic foot care
Instructed patient to cut toenails straight across. This will help to avoid ingrown toenails. Also instructed to avoid letting somebody else to cut the toenails.
Instructed patient to never go barefoot or wear thigh garters. Do not wear thigh worn boots for long periods of times. Never let feet get dry and cracked, severe infections may develop. Do not use hot water pads, iodine, hot water bottles or rubbing alcohol. Never use razors, knives or corn remedies.
Instructed patient to wash feet daily and dry them carefully, especially between toes.
Instructed patient to check feet by looking between toes use a mirror if necessary or have a friend or relative to check them daily. Look for blisters, redness, cuts, breaks, and scratches and report immediately if any of these occur.
Instructed patient to check feet's temperature. If they feel cold or hot, something could be wrong.
Instructed patient to avoid soaking feet into hot water (Test water before use).
Patient was instructed about how to check both feet daily looking over them carefully every day, and be sure check between all of the toes. Blisters and infections can start between the toes, and with diabetic neuropathy, may not feel them until they've become irritated or infected. If physical challenges occur, ask a family member to help. Further teaching is needed.
Instructed caregiver reducing additional risk factors, such as , high cholesterol, and elevated blood glucose, are important in prevention and treatment of a diabeticfoot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks. the patient podiatrist can provide guidance in selecting the proper shoes.
Instructed patient about the appropriate measures to prevent foot problems, such as: always wear properly fitted shoes and examine feet every day for sores and signs of infections. Check for blisters, cuts, sores and/or cracked skin. Check for pebbles, rough seams or anything else that might irritate your foot. Patient verbalized understanding.
The patient was instructed in diabetes mellitus ketoacidosis discussing blood sugar monitoring, when the test will take place, the technique, the necessary blood sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.