VIEW COMPLETED NOTE

SN to instruct Patient/Caregiver on all aspects of diabetic management to include disease process, foot assessments, signs and symptoms of hypo/hyperglycemia, glucometer use and preparation and administration of diabetic medications ordered by physician., SN to instruct Patient/Caregiver to inspect patient’s feet daily and report any skin or nail problems to SN or MD., SN to instruct Patient/Caregiver to wash patient’s feet in warm (not hot) water. Wash feet gently and pat dry thoroughly making sure to dry between toes., SN to instruct Patient/Caregiver to use moisturizer daily but avoid getting between toes., SN to instruct patient to wear clean, dry, properly-fitted socks and change them every day., SN to instruct Patient/Caregiver on appropriate nail care as follows: trim nails straight across and file rough edges with nail file., SN to instruct Patient/Caregiver that patient should never walk barefoot., SN to instruct Patient/Caregiver that patient should elevate feet when sitting., SN to instruct Patient/Caregiver to protect patient’s feet from extreme heat or cold., SN to instruct Patient/Caregiver never to try to cut off corns, calluses, or any other lesions from lower extremities., SN to perform finger stick for fasting blood sugar/random blood sugar during visit if it has not been done or if patient reports signs and symptoms of hypo/hyperglycemia., SN to give patient 4 oz of fruit juice or 1 tablespoon of sugar in H2O if blood sugar is mg/dl or below, and recheck blood sugar in 15 to 20 minutes., SN to prepare and administer insulin as medical orders., SN to assess blood sugar via finger stick every visit prior to insulin administration., SN to perform inspection of patient’s lower extremities every visit and report any alteration in skin integrity to physician., SN educate Patient/Caregiver on the correct rotation of injection sites when administering insulin.