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P.J. (Primary Medical Diagnosis: Type 2 DM (Clinical Manifestations
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P.J.
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Nursing Diagnosis: impaired tissue integrity as evidenced by two dime ulcers on the right foot with yellow/black toes
("NANDA Nursing Diagnosis List 2018-2020")
Nursing Inteventions
Educate the patient on management of type 2 DM [] #
Educate the patient on glucometer usage #
Educate the patient on the effects smoking has on the body, especially regarding type 2 diabetes #
Educate the patient on how and how often to assess skin for damage #
Ensure adequate nutrition #
Protein for tissue repair #
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Ensure patient is getting micronutrients #
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Monitor intake and output #
Mobilization
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Provide assistive device if needed #
Reposition every 2 hours #
Limit risk for infection #
Regular cleaning of wounds and dressing changes #
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Outcomes
The patient will demonstrate skin assessment by observing signs and symptoms of healing or infection twice daily until further evaluation by provider # #
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