foot care
Diseases Process
Patient was instructed on wounds contributing facts. In addition to poor circulation, neuropathy, and difficulty moving, factors that contribute to chronic wounds include systemic illness, age and repeated trauma.
Patient was instructed on factors that may contribute to chronic wounds is old age. The skin of older people is more easily damaged, and older cells do not proliferate as fast and may not have an adequate response to stress in terms of gene up regulation of stress related proteins. In older cells, stress response genes are over expressed when the cell is not stressed, but when it is, the expression of these proteins is not regulated by as much as in younger cells.
Patient was instructed on factors that contribute in chronic wounds as repeated trauma. Repeated physical trauma plays a role in chronic wound formation by continually initiating the inflammatory cascade. The trauma occurs by accident, for example when a leg is repeatedly bumped against a wheelchair rest, or it may be due to intentional acts.
Patient was instructed on treating painful wounds. Persistent pain associated with non-healing wounds is caused by tissue or nerve damage and is influenced by dressing changes and chronic inflammation. Chronic wounds take long time to heal and patients can suffer from chronic wounds for many years.
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.
Patient was instructed on pressure ulcer also called decubitus or bed sore. A pressure ulcer is the results of damage caused by pressure over time causing an ischemia of underlying structures. Bony prominences are the most common sites and causes.
Instructed patient about some signs and symptoms of pressure ulcers, such as, skin tissue that feels firm or boggy, local redness, warmth, tenderness or swelling.
Patient was instructed on Hyperglycemia. If dehydrated the body burns protein and fat rather than sugar for energy, causing acids and ketones to build up in your blood. These ketones can be partially released into the urine. If ketoacidosis develops, emergency care is needed immediately to keep the condition from getting worse.
Skilled Nurse instructed caregiver get at least 4 pillows, include one of those long body pillows since you can and place them between the knees, ankles, under the arms and behind the back when the patient is laid on her side.
Instructed on some measures aimed to managing/controlling Emphysema, such as: report immediately to physician, nurse or other health care provider if fever, change in amount or color of sputum and/or increased shortness of breath occur.