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Mouth care Teaching 571

Patient was instructed on a healthy mouth. Tooth damage. An invisible film of bacteria, saliva and food particles (dental plaque) normally cover teeth. The bacteria feed on the sugars and starches in the foods and beverages consumed and produce acids that damage the hard enamel coating the teeth. Damage from this acid increases the risk of tooth decay (cavities).

Mouth care Teaching 576

Patient was instructed on oral hygiene tips for seniors. Daily brushing and flossing of the natural teeth is essential to keep them in good health. Plaque can build up quickly on the teeth of older adults, especially if oral hygiene is neglected, and lead to tooth decay and gum disease. Brush at least twice a day with fluoride containing toothpaste. Floss at least once a day. Visit the dentist regularly for cleaning and examination.

Mouth care Teaching 569

Patient was instructed that diabetes can damage many parts of the body, including the mouth and teeth. Diabetes increases the risk of gum disease, cavities and tooth loss, dry mouth and a variety of oral infections.

Mouth care Teaching 572

Patient was instructed on Gum disease. Dental plaque can cause many problems if not removed from the teeth with regular brushing and flossing. It hardens under the gum line into a substance called tartar or calculus. Tartar irritates the gums and causes gingivitis. Gum disease is a leading cause of tooth loss.

Mouth care Teaching 573

Patient was instructed on Darkened teeth. It is caused by changes in dentin

Exercises Teaching 1601

Perform stretching and relaxation exercises before getting out of bed. Use a tub seat and handheld showerhead when bathing when bathing. Rest before difficult tasks. Take frequent rest periods during the activity. Pace activities, and do not rush. Plan trips before going up and down stairs. Roll, push, or pull instead of lifting. Sit to perform an activity instead of standing, when possible. Hold objects close to you instead of away from your body. Use arm supports to perform an activity (i.e., resting elbows on table while shaving, brushing teeth, and eating). Limit activity on days of high air pollution.

Foot care Teaching 621

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.

Foot care Teaching 622

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.

Foot care Teaching 632

If your big toe slants sharply in toward your other toes, with a big bump on the knuckle of your big toe, you've got a classic bunion. Corns are spots of thick, rough skin, where the tissue builds up on toes constantly barraged by too much rubbing or pressure. A buckled-under toe, called a hammertoe, can result from muscle weakness caused by diabetic nerve damage. All of these make it hard to fit shoes comfortably. But a good podiatrist can help you fix these problems and take better care of your feet.

Skin Care Teaching 633

Patient was instructed on the importance of a good skin care which can prevent most pressure sores (bedsores) which develop in people who have already skin damage, who are mentally confused, who are bed bound or cannot turn side to side.