skin integrity
Patient was instructed on the importance of a good foot care. Calluses indicate that areas of the feet are receiving too much pressure. If the increased pressure continues, the skin may break down and it is possible to get a foot ulcer.
Patient was instructed about the feet care: always wear shoes or slippers. Always wear socks with the shoes, since leather, plastics, and manmade shoe materials can irritate your skin and quickly bring on blisters. While the Diabetic patient might prefer the look of hose, nylon knee-highs, or thin socks, may find that these doesn't give to the toes or heels enough protection. Wear thicker socks to pad the feet and cushion any calluses or sore spots. Further teaching is needed.
Patient was instructed on the several structures involved in pain transmission, such as nerve ending: located throughout the body, externally in the skin and internally in the body
Patient was instructed on complications of diabetes such as nerve damage. One of the most common complications of diabetes is diabetic neuropathy. Neuropathy means damage to the nerves that run throughout the body, connecting the spinal cord to muscles, skin, blood vessels and other organs.
Patient was instructed on personal hygiene. Soap and water are essential for keeping the skin clean. A mild soap will do the job adequately. Use a bath sponge for scrubbing but do not use abrasive material. Wash off well after soaping. Drying with a clean towel is very important. Avoid sharing soaps and towels.
Patient was instructed on tips for a good personal hygiene such as, Keep the skin clean. People who live in warm climates or tend to sweat need to take extra care. Do not re-wear the clothes without washing them.
Patient was instructed on supplies that will use for blood glucose meter - reads blood sugar Test strip - collects blood sample. Lancet or small needle -fits into lancing device, pricks finger, and provides small drop of blood for glucose strip. Lancing device - pricks finger when button is pressed. Most devices have dials to select how deep the needle goes into the skin. Start with middle depth. If get more blood than needed, dial the number down so the lancet does not go as deep. If get less blood, dial the number up so lancet goes deeper. Alcohol wipes or soap and water - to clean fingers or other testing site.
Patient was instructed on the importance of rotate the site of insulin injection to prevent future complications in that skin area. Injecting in the same place much of the time can cause hard lumps or extra fat deposits to develop.
Caregiver was instructed on injecting at the proper depth is an important part of good injection technique. Insulin be injected in the subcutaneous fat, which is the layer of fat just below the skin. If injected too deep, the insulin could go into muscle, where it's absorbed faster but might not last so long.
Patient was instructed on Hyperglycemia. The following symptoms may be associated with acute or chronic hyperglycemia: blurred vision, fatigue, poor wound healing, dry mouth, dry or itchy skin, frequent hunger, thirst and urination.