General

Partient is unable for diabetic care due to multiples functional limitation such as poor vision, poor eyes/ hand coordination. No caregiver available at this time.

Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Protect the Skin 
 patient from injury - Avoid massaging the skin on bony parts of the patient body. Limit pressure
 on bony areas by changing positions frequently. If the patient in a bed, preferably every 2 hours.

Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.

SN stressed importance of daily foot care such as wearing shoes or slippers at all time to prevent foot injury.

SN suggested patient to have nails, calluses and corns trimmed by podiatrist because those with diabetes have poor circulation. A good blood circulation is known to aid your body in all healing processes, so when it becomes sluggish, it takes longer for any injuries to on feet to heal.