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Wound Care Teaching 565

Patient was instructed on treating painful wounds. Persistent pain associated with non-healing wounds is caused by tissue or nerve damage and is influenced by dressing changes and chronic inflammation. Chronic wounds take long time to heal and patients can suffer from chronic wounds for many years.

Wound Care Teaching 566

Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.

Wound Care Teaching 567

Patient was instructed on pressure ulcer also called decubitus or bed sore. A pressure ulcer is the results of damage caused by pressure over time causing an ischemia of underlying structures. Bony prominences are the most common sites and causes.

Wound Care Teaching 568

Instructed patient about some signs and symptoms of pressure ulcers, such as, skin tissue that feels firm or boggy, local redness, warmth, tenderness or swelling.

Mouth care Teaching 570

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.

Mouth care Teaching 574

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.

Mouth care Teaching 575

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.

Depression Teaching 608

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.

Diabetes Teaching 624

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.

Foot care Teaching 630

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.