Nursing care of diabetic patients with foot complication : Case study

Abstract

     The purpose of this study to nursing care of diabetic patients with complications caused by long-term diabetes mellitus.The control of blood sugar levels is not met the criteria. have arteriosclerosis in the feet As a result, the patient has numbness in the feet.When a wound occurs, the wound heals slowly. When the infection is more severe The patient was admitted to the hospital. We recruited patients admitted to the hospital by purposive sampling. by studying the patient's medical records. Assessing health conditions 11 Gordon's schemes and in-depth interviews Data was analyzed with content analysis. Showing the results of study the illness situation according to the 5-step nursing process, from receiving to discharge planning.

     The results of the study showed that the cases of Was diagnosed as a diabetic with foot complications. Found nursing problems, including inflammation and infection on the feet. Inability to control blood sugar levels according to the target criteria Risk of delayed wound healing/foot amputation Due to DM uncontrollable anemia and PAD risk of accidents due to blurred vision, decreased vision Anxiety and fear of amputation have stage 3 chronic kidney failure. And lack of knowledge of proper self-care Lack of ongoing caregiver and a history of hypoglycemia at home because insulin injections do not correlate with meals. Risk of stroke and heart disease due to the additional factor of not receiving treatment continuously according to appointments and was
exposed to secondhand smoke from her husband who smoked every day When the researcher provided nursing care according to the prescribed nursing process in conjunction with DMETHOD distribution planning. Wounds were continuously washed daily, SMBG was performed on some days, and the HbA1C result decreased from 13.9 mg% to 11.2 mg% over the study period. no late night hypoglycemia Practice and exercise your feet every day. Fingernails - short cut nails apply lotion every day Switch from flip-flops to closed-toe shoes. Do not soak your feet in warm water. received treatment for diabetic retinopathy from an ophthalmologist and her husband went outside to smoke. The patients and relatives were satisfied with the nursing process received. resulting in the overall health of the patient with better symptoms Able to return to live happily at home as usual