Wound care assessment
Instructed patient on measures to protect skin, such as, keeping skin clean and dry, assessing frequently for skin breakdown, avoiding powder due to possible craking and irritation, etc.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood presence in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
Instructed patient about not using OTC chemicals on corns, calluses or warts since they are often too strong to use in diabetics.
Instructed patient to avoid cutting corn or calluses.
Instructed patient to wear flat; comfortable walking shoes as much as possible and select adequate socks.
Instructed patient on never walking barefoot to prevent cuts and burns and also to wear sleepers at night when getting up.
Instructed patient to cut the toenails straight across and file the edges, don't rip off hangnails.
Instructed patient about basic tips to help prevent infections in people with diabetes: wear shoes or slippers at all times, wear comfortable shoes; get used to new shoes slowly and always wear 'heavy' soft cotton socks.
Instructed patient to keep feet dry, especially between toes, to use lotion to keep skin soft and moist and to keep feet clean. Wash daily with lukewarm water.
Instructed patient to cut toenails straight across. This will help to avoid ingrown toenails. Also instructed to avoid letting somebody else to cut the toenails.