foot care
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.
Instructed patient to never go barefoot or wear thigh garters. Do not wear thigh worn boots for long periods of times. Never let feet get dry and cracked, severe infections may develop. Do not use hot water pads, iodine, hot water bottles or rubbing alcohol. Never use razors, knives or corn remedies.
Instructed patient to wash feet daily and dry them carefully, especially between toes.
Instructed patient to check feet by looking between toes use a mirror if necessary or have a friend or relative to check them daily. Look for blisters, redness, cuts, breaks, and scratches and report immediately if any of these occur.
Instructed patient to check feet's temperature. If they feel cold or hot, something could be wrong.
Instructed patient to avoid soaking feet into hot water (Test water before use).
Instructed patient about the importance of proper foot care. This includes wearing properly fitting shoes and socks, correct trimming of toenails, and avoidance of injuries on the legs and/or feet.
Patient was instructed how to reduce friction and shear. Use draw sheet for repositioning, encourage use of trapeze if possible, keep head of bed elevated (if tolerated), elevate foot of bed slightly (if condition permits), use pillow or wedge to support hip (side lying, lateral position), utilize lifts and transfer devices.
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.