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Nurse Teaching on Causes and Risk Factors for Development and Poor Healing of Diabetic Foot Ulcers

Patient/caregiver were instructed that the following causes and risk factors strongly influence the development and poor healing of diabetic foot ulcers. Poorly controlled diabetes Poorly controlled hypertension Poorly controlled atherosclerosis Peripheral vascular disease Uncontrolled chronic smoking Poor fitting footwear Uncontrolled obesity Chronic severe alcoholism Chronic kidney disease Severe vitamin B-complex deficiency

Pathophysiology of Diabetic Foot Ulcers

Patient/caregiver were instructed on the pathophysiology of diabetic foot ulcers as follows: Nerves, in general, help communicate various signals, such as, touch, pain, changes in temperature, changes in an individual’s position, etc., Poorly controlled blood sugars in diabetic patients over time result in increased production of toxic inflammatory chemicals in the body. Chronic exposure of the nerve tissue to these inflammatory chemicals lead to progressive damage to the nerves. Rich supply of oxygen and nutrients [...]

Precautions to be Exercised while Taking Insulin-6

Patient/caregiver was instructed upon precautions to be observed while taking insulin as follows: Insulin helps to promote shifting of glucose from the blood into the cells of body tissues. This helps with reducing/regulating the blood sugar levels and contributes towards improved blood sugar control. If the blood sugars are being overly corrected with insulin administration, individuals can present with severely low blood sugars (hypoglycemia). Individuals with hypoglycemia can present with symptoms, such as, dizziness, confusion, [...]

Precautions to be Exercised while Taking Insulin-5

Patient/caregiver was instructed upon precautions to be observed while taking insulin as follows: While injecting insulin into the abdominal fat, avoid injecting it into the 5 cm area around the umbilicus, as medication injected here is poorly absorbed, thus compromising the therapeutic benefit. Keep a close watch on the previous skin sites insulin was administered. Note for the development of scar tissue or lumpy masses at these injection sites. Going forward, avoid administering insulin into [...]

Precautions to be Exercised while Taking Insulin-4

Patient/caregiver was instructed upon precautions to be observed while taking insulin as follows: Do not share insulin with your friends and family. There are a variety of insulins available and they differ from each other widely. Insulin prescribed to you could be different from insulin prescribed to friends/family. Insert the needle at 90-degree angle to the skin surface straight down to administer the dose. Lean individuals with poor fat can pinch the skin and insert [...]