care-teeth
Others
Patient was instructed on a healthy mouth. Poor oral mouth can make diabetes more difficult to control. Infections may cause the blood sugar to rise and require more insulin to keep it under control. In addition diabetes can diminish the ability to taste sweets influencing and changing food choices in favor of additional sweeter tasting foods, thereby affecting the dental health.
Patient was instructed on Dry mouth. That is caused by reduced saliva flow, which can be a result of medications. While advancing age impairs the sense of taste, diseases, medications and dentures can diminishes sense of taste.
Patient was instructed on Root decay (cavities). That is caused by exposure of the tooth to decay-causing acids. The tooth roots become exposed as gum tissue recedes from tooth.
Patient was instructed on depression as a diabetes complication. Depression can color everything in a person's life. The ability to do everyday activities can become overwhelming, and this includes taking care of diabetes, such as taking medications, eating right and exercising.
Your feet are your source of independence - or at least its foundation. Give your feet a little tenderness, a little loving care, each day. And be sure to have your doctor take a good look at your feet during each of your diabetes checkups, in case you missed anything.
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 on the importance of skin integrity to prevent future complication: Massage reddened skin gently al least 3 or 4 times daily. Keep the skin clean and dry and after use a protective ointment or spray.
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
Patient was instructed on measures to protect the skin, such as, keeping the skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible caking and irritation.
