catheter-teaching-guide
Foot care
Patient was instructed about foot care, trying non-impact exercise such as swimming, cycling, yoga, and tai chi are increasingly popular ways to exercise - with minimal impact on the feet. Talk with the doctor before starting an exercise program. Further teaching is needed.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
Patient was instructed about to tell the doctor about any changes in sensation in the toes, feet, or legs. Speak up if note pain, tingling, a pins-and-needles feeling, numbness, or any other unusual signs - even if it seems trivial to the patient. Further teaching is needed.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
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.
Patient was instructed about how make sure the shoes fit well. Even the slightest rubbing or misfit shoe can cause a blister that turns into a sore that becomes infected and never heals. Buy better-fitting shoes, or try different socks, even at the most minor signs of redness or irritation, since you may not be able to feel when it's getting worse. Before buying or putting on the shoes check your shoes for rough seam, sharp edges or other objects that could hurt your feet. Further teaching is needed.
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.
Instructed in measures to prevent foot problem; always wear properly fitted shoes and examine the feet every day for sores and signs of infections. Diabetes, and aging are also contributors to foot problems. Keep feet clean and dry. Visit your doctor for regular foot exams. Before and after physical activity stretch the foot thoroughly and wear supportive shoes. Patient verbalized understanding.
Instructed in measures important in foot care of the diabetic: wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, etc.
Instructed in the importance of proper foot care, including the wearing of properly fitting shoes and socks, correct trimming of the toe nails, and avoidance of injury to the legs and feet.