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Colostomy Teaching 1885

SN instructed patient instructed patient caregiver how to do Ostomy Care, as follow: Preparing, Applying, and Removing an Ostomy System to make the process easier and more effective, here are several easy steps you and your patients can follow when applying and removing an ostomy system: Remove Use an Adhesive Remover Wipe, Clean Clean & Dry Clean peristomal skin with non-moisturizing or non-oily soap, rinse well with clean water and pat dry, Measure Measure Stoma Place the stoma measuring guide over the stoma, measuring the stoma at the base., Protect use an Adhesive Remover Wipe, Apply New Pouching System/Skin Barrier. Make sure to have a good seal around the stoma.

Ileostomy Teaching 2251

Instructed patient Be sure to treat any skin redness or skin changes right away, when the problem is still small. Do not 
allow the sore area to become larger or more irritated before asking your doctor about it.

Skin Care Teaching 2496

SN instructed patient and caregiver that the key difference between a suspected deep tissue injury (sDTI) and an unstageable pressure ulcer is that sDTI involves intact skin, whereas an unstageable ulcer involves a breakdown into at least the subcutaneous tissue. An unstageable ulcer is covered with necrotic tissue, such as slough or eschar, formed from remnants of the collagen matrix of subcutaneous tissue. So it’s always a full-thickness ulcer either stage III or stage IV.

Nerves damages Teaching 604

Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Damage to the nerve that control the bladder, digestive tract and reproductive organ is called autonomic neuropathy and it can cause problems with nausea, vomiting, diarrhea and constipation.

Nerves damages Teaching 605

Patient was instructed that neuropathy is a long term complication of diabetes, which means it typically takes many years for it to develop. To prevent and reduce the risk of diabetic neuropathy: blood glucose control, a balanced eating and exercises can help fend off neuropathy.

Depression Teaching 609

Patient was instructed on depression as a diabetes complication. Fatigue and lack of enthusiasm can cause people to withdraw from the things they used to like to do. Emotions become flat and thoughts can turn to sadness or anxiety.

Depression Teaching 610

Patient was instructed on depression as a diabetes complication. It is important recognizing the symptoms of depression to get help that is needed. Feeling sad for a prolonged period of time - feeling restless or anxious for non apparent reason - feeling hopeless, helpless or worthless - not being able to concentrate.

Nerves damages Teaching 626

Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Nerve damage occurs because excess sugar injures the walls of the tiny blood vessels (capillaries) that nourish the nerves.

Nerves damages Teaching 628

Patient was instructed on nerve damage as a cause of diabetes. The pain that begins in the extremities, toes and fingers over a period of months or years gradually it spreads upward. If not treated, it is possible to loose all sense of feeling in the affected area.

Miscellaneous Teaching 967

Instructed on the importance of achieving/maintaining ideal weight as a measure aimed to controlling both hypertension and diabetes mellitus.