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Instructed patient on how important is to understand that a diabetic diet is not a restrictive diet, on the contrary it is a healthy, nutrient enriched diet, low in calories and fat.
Instructed patient on possible adverse reactions to insulin, which include hypoglycemia, hyperglycemia, and skin rash and local reaction at injection site.
Patient was instructed about how to get a balanced diet: choose a variety of nutrient-dense foods and beverages among the basic food groups, balance calories from foods and beverages with physical activity to manage body weight, choose fiber-rich fruits, vegetables, and whole grains often, eat 2 cups of fruit and 2 1/2 cups of vegetables daily (for someone eating 2,000 calories) and other way to get the goals will be explained in next teaching. Further teaching is needed.
Patient was instructed on Hyperglycemia. The way diabetes is managed changes with age. Insulin production decrease because of age-related impairment of pancreatic beta cells. Additionally insulin resistance increase because of the loss of lean tissue and the accumulation of fat, particularly intra-abdominal fat, and the decreased tissue sensitivity to insulin.
Taught that observing joint protection principles is a measure aimed to controlling/managing Rheumatoid Arthritis.
Instructed on some measures aimed to managing/controlling hypertension, such as: exercise regularly and have regular check-ups, as directed by MD.
Instructed on the importance of reporting any foot problems to podiatrist or physician.
Instructed to don't take medications unless you understand instructions for using them safely.
The patient was instructed in cushing’s disease and cushing’s syndrome to organize and obtain an emergency kit including alcohol and prefilled syringes hydrocortisone for episodes of severe adrenal insufficiency. The patient was advised to self-monitor laboratory values and identify personal baseline levels. The patient was advised the need to prevent injury associated with osteoporosis. The patient was recommended to use ambulatory aids such as walker, cane as necessary.
The patient was instructed in buerger’s disease in the role nicotine plays in advancing the disease. The patient was advised on daily foot care, wear well-fitted shoes, avoiding going barefoot, use cotton or wool socks.