Diabetic Foot Care Teaching Plan

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SECTION I: Introduction/Assessment Data

Patient Demographic Information and History
Date of admission:9/18/2006Date of Surgery, if applicable:9/25/2006 Date assigned to Patient:9/28/2006

1.Primary medical diagnosis: Diabetes Mellitus Type II

2.Reason for admission—Briefly describe signs, symptoms, and events that led to thishospitalization. Presented to ED with SOB, vomiting, chest pressure, anorexia, and an infected, slow-healing foot wound. Blood glucose was 579 mg/dL and BUN was 21. Was admitted with exacerbation of unmanaged diabetes mellitus, diabetic ketoacidosis, and gastritis r/t excess aspirin intake.

3.Significant Secondary Medical Diagnoses and Past Medical History (include past hospitalizations/surgeries) Medical hx: Essential HTN, hyperlipidemia, hypercholesterolemia, GERD, DVT, & neuralgia. Surgical debridement of foot wound on 9/25. 4.Medications:

NameDoseFrequencyPurpose for taking
Insulin glargine40 units qhsblood glucose management
Novolin-Rsliding scaleac & hsblood glucose management
Avandia4 mgbidblood glucose management
Ampicillin3g q6htx of foot infection
Ceftriaxone1 gq24htx of foot infection
Aspirin81 mgqdprevention of MI
Lipitor10 mgqhslower blood cholesterol
Lovenox40 mgq24hprevent thromboses
Neurontin300 mgq12hrelieve neuralgia
Metoprolol25 mgqdmanage HTN
Valsartan 80 mgqdmanage HTN
Pantoprazole40 mgq24hprevent acid reflux
Tramadol 50 mgqdrelieve pain r/t foot wound
Dilaudid 3 mgq4h prnrelieve pain r/t foot wound
(Deglin et al., 2005)

5.Prescribed diet:1800 calorie diabetic diet

Educational Readiness Assessment

1.What is the patient’s current understanding of the health problem and/or medical diagnosis? He understands the basic pathophysiology of the diabetic disease process. Until this hospitalization, he was unaware of some of the potential complications associated with diabetes...
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