Patient Education Summary

According to Kozier et al (2014), client education is a professional nursing responsibility that can foster empowerment, improve health outcomes, and enhance the nurse-client therapeutic relationship. The goal of this teaching assignment is to provide Mrs. X with education about prevention of foot complications as well as diabetic diet. We decided to do this teaching because of three findings. Upon assessing him it was noted that he walks around his room with bare feet and he stated, “I always walk barefoot at home”. During a family visit, it was noted that his family brought him home cooked meals as well as snacks such as chips and chocolate milk, which he had eaten. He also stated “I never check my feet – what am I checking for?” His blood glucose levels have been consistently high since admission (between 9.0-12.8 mmol/L) and he stated that his blood sugars are always high at home. Mr. X has verbalized and demonstrated a lack of knowledge about foot care and dietary management for diabetics. Additionally, upon asking him if he would like some education about diabetes management, he expressed that he …show more content…
He has a past medical history of hypertension, COPD, and Type II Diabetes Mellitus. His baseline vital signs are a temperature of 36.8 degrees Celsius, a blood pressure (BP) of 127/79, a respiratory rate of 18 while resting and 24RR while ambulating, a heart rate of 89 and an oxygen saturation rate of 93% on room air. His current random blood glucose level is 10.5 mmol/L, potassium is 3.8mmol/L, sodium is 142 mmol/L, albumin 30g/L, hemoglobin 129 g/L, creatinine is 62 umol/L and blood urea nitrogen is 4.6 mmol/L. His current medications include Amlodipine 10mg PO daily, Insulin regular [humulin R] q6h SC as per sliding scale, Metformin 1000mg PO BID, Budesonide-formotemol 200mcg–600mcg dose inhaler (puffer) before meal and qhs, Ethambutol 400 mg PO daily, and Tiotropium Br capsule for inhalation 18mg