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Instructed patient on important procedures in management of DM such as: follow prescribed diabetic diet, see physician, dentist and eye doctor regularly, take medications as ordered, exercise regularly.
Patient was instructed on tips for fire safety. If an appliance smokes or has an unusual smell, unplug immediately and have it repaired. Replace frayed or cracked electrical cords and don
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.
Taught that difficult or infrequent passage of hard, dry stool may constitute as a sign/symptom of constipation.
Taught that gradually increasing exercise with planned, scheduled rest periods, is a measure aimed to increasing tolerance in response to increased physical activity.
Taught that seeing physician, dentist and eye doctor regularly is a measure aimed to managing/controlling Diabetes Mellitus (DM).
Taught that seizures are uncontrolled electrical impulses of the brain.
SN advised patient to take temperature once a day before bedtime, check for bleeding, pus, hardness, swelling, odor and any color change. If any of these are present, please let your nurse or doctor know as soon as possible. Patient verbalized understanding of instructions given.
Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.
Instructed patient a really important part of planning patients for stomas is to ensure the site is appropriate. Poor siting leads to a stoma which the patient has difficulty in changing and cleaning. This leads to increased risk of skin, and other, complications.