catheter-teaching-guide
General
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.
SN stressed importance of daily foot care such as wearing shoes or slippers at all time to prevent foot injury.
Instructed to don't take medications unless you understand instructions for using them safely.
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.
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.
SN assessment done on all body systems. Checked blood sugar daily monitoring on patient's log book, hydration, dietary, and medication compliance. Instructed patient on keeping blood glucose within normal range and preventing the development of long-term complication. Careful monitoring of diet, exercise and blood sugar levels are as important as the use of oral medications in preventing complications of diabetes. Also taught infection control, safety/fall precautions and preventions, and to contact MD for any emergency and/or medical concerns and changes.
SN complete assessment done on all body systems, checked vital signs, blood sugar monitoring, hydration, nutrition intake, and medication compliance. SN refilled patient’s medication box for daily routine. Taught patient to carefully manage her blood sugar with diet, physical activity, and medication to prevent diabetes complication and avoid hypo/hyperglycemia.
Instructed patient a clean, dry work area should be identified to complete medication preparations and perform dressing changes.
Instructed caregiver clean patient's skin daily: Clean the patient's skin around your tube 1 to 2 times each day.
SN instructed patient in energy conservation techniques that are ways to modify activities to prevent exhaustion, also explain that using these strategies to do the things you have to do may help you to have energy left over to do the things you want to do.