including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Patient was instructed on leg edema. Swollen feet and legs, referred to medically as leg edema, occur when fluid is retained in the spaces between body cells. As leg edema typically affects the feet, ankles and lower legs, but can also impact any areas of the body, causing systemic symptoms.
Patient was instructed on Gum disease. Dental plaque can cause many problems if not removed from the teeth with regular brushing and flossing. It hardens under the gum line into a substance called tartar or calculus. Tartar irritates the gums and causes gingivitis. Gum disease is a leading cause of tooth loss.
Patient was instructed on list of precautions regarding medications: Herbal and vitamins supplements and over the counter medications can affect certain medications. Always ask the doctor or nurse about supplements before taking them.
Patient was instructed on how to react at drugs side effects: Avoid hot showers they can cause dizziness. Explained to the patient to weight at least once a week at the same time of the day, (such as the first thing in the morning) and report weight changes of more than 1 to 2 pounds in 1 week.
Patient was instructed on measures to prevent falls at home during daily activities store household items on lower shelves so there is no need to climb or reach high. Or use a reaching device that you can buy at a medical supply store. To climb for something, use a step stool with handrails.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Good lighting throughout the home, especially in stairwells and hallways, Non-slip floors and rugs, Hand rails on stairs, next to the toilet and in the shower and bathtub.
Patient was instructed on depression as a diabetes complication. Treating depression, getting help for depression not only improves a person's quality of life, it also can help people manage their diabetes better by giving them more energy and a more hopeful outlook.
Patient was instructed about how make sure the shoes fit well. Even the slightest rubbing or misfit shoe can cause a blister that turns into a sore that becomes infected and never heals. Buy better-fitting shoes, or try different socks, even at the most minor signs of redness or irritation, since you may not be able to feel when it's getting worse. Before buying or putting on the shoes check your shoes for rough seam, sharp edges or other objects that could hurt your feet. Further teaching is needed.
Patient was instructed about the feet care: always wear shoes or slippers. Always wear socks with the shoes, since leather, plastics, and manmade shoe materials can irritate your skin and quickly bring on blisters. While the Diabetic patient might prefer the look of hose, nylon knee-highs, or thin socks, may find that these doesn't give to the toes or heels enough protection. Wear thicker socks to pad the feet and cushion any calluses or sore spots. Further teaching is needed.
Patient was instructed on skin care. Keep the skin clean and dry. When bathing or showering, use warm water and a mild, moisture-containing soap. After washing, make sure to rinse and dry the body well. (Pat the skin dry, do not rub). Check places where water can collect such as under the arms, between the legs and between the toes.