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Patient was instructed on depression as a diabetes complication. It is often a vicious cycle. Depression can get worse as the complications of diabetes get worse, and being depressed can stop people from managing their diabetes as effectively as they need to, which can lead to increased incidence of long-term complications of diabetes as neuropathy or nephropathy.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). The symptoms depend on which nerves are affected. Most often, diabetes can cause tingling, numbness, or pain that usually begins at the tips of the toes or fingers.
SN instructed patient you can do many things to help knee pain, whether it's due to a recent injury or arthritis you've had for years. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knee. Do exercise, don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. Curb your risk of falling by making sure your home is well lit, using handrails on staircases, and using a sturdy ladder or foot stool if you need to reach something from a high shelf.
Patient was instructed on proper skin care after bathing. Do not put oils or creams between the toes. The extra moisture can lead to infection. Also don't soak the feet that can dry the skin.
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 on the importance of a good foot care. Check the feet every day, redness, pain that won't go away, numbness, or tingling.
Monitor circulation r/t compression dressing. Report if dressing is tight and constricting esp. in back of leg. Check color of feet and report if bluish or purple in color. Report any c/o numbness or tingling. Dressing should be removed immediately if any s/s occur. and notify doctor or nurse.
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.
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.
Patient was instructed on irregular breathing. Irregular breathing will hamper the purification process and cause waste products to remain in circulation. Digestion will then become irregular, leaving tissues and organs undernourished. Improper oxygen consumption will thus ultimately lead to fatigue and heightened anxiety states.