1. DIABETIC TEACHING VERMALYNPAULETTEMICHELLEEDWARD

2. EDUCATION/PREVENTIO N Our goal is to prevent the next generation of diabetics stemming from this population, by educating and motivating this generation of diabetics.

3. WHO IS AT RISK If person or family member is 45 years old, particularly for those who are obese (body mass index greater than 25 kg/m2). Younger obese individuals also may warrant testing, particularly if they have a blood relative with DM, are physically inactive, are in a high-risk ethnic group (e.g. Latino, Native American, African American Asian American, or pacific islander), are hypertensive (blood pressure [BP] greater than 130/80mm Hg), have a high- density lipoprotein (HDL) cholesterol of less than 35 mg/dl or triglyceride more than 250 mg/dl, have a history of vascular disease or other diseases associated with hyperglycemia.

4. Diabetes causes more deaths a year than breast cancer and AIDS combined.

5. DIABETIC LAB GLUCOSE LEVELS IF THE DIAGNOSIS OF DIABETES MELLITUS IS MADE CHECK FOR THE FOLLOWING: Fasting lipid profile: if total and low density lipoprotein (LDL) cholesterol values are elevated, triglyceride value is elevated, or HDL cholesterol level is decreased, the patient is at high risk for developing cardiovascular disease. Urinalysis test for presence of microalbuminuria, ketones, protein, and sediment: if present may indicate early renal disease caused by hyperglycemia.

6. DIABETIC WOUNDS TAKE LONGER TO HEAL DIABETIC WOUNDS TAKE LONGER TO HEAL

7. HAND WASHING

8. Wound Care INSTRUCTION Hand washing is the most important first and last step to wound care. Hand washing insures that germs do not get a free ride to or from the wound. importance of using sterile technique's to prevent infection from occurring.

9. Make a list for wound care

10. SUPPLIES TRASH BAG NEW GLOVES 4X4 DSD GAUZE KERLIXTAPE ANTIBIOTIC OINTMENT

11. STEP BY STEP Wash your hands before the procedure, gather all the supplies, put on gloves and remove the soiled old dressing, remove the soiled gloves and place into trash. The patient will put on new gloves, cleanse the wound area with normal saline, pat dry the area, apply the antibiotic ointment, then apply 4x4 DSD gauze, wrap with Kerlix and secure with tape.

12. FOLLOW UP it is also important to follow up with the wound care specialist as ordered for wound care evaluation and for further doctor’s orders. The following symptoms could mean that your wound is infected and you need to contact your healthcare provider: Increased pain at the wound site Redness or swelling around or spreading out from the wound site The wound site or surrounding area feels warm to the touch Foul odor coming from the wound after the wound has been cleaned Any change in color or amount of drainage from the wound Fever or chills, nausea or vomiting

13. REFERENCES CRITICAL THINKING IMAGE http://ts1.mm.bing.net/th?&id=JN.BXwYlqysjx7rnq5efEasDA&w=300&h=300&c=0&pid =1.9&rs=0&p=0 http://ts1.mm.bing.net/th?&id=JN.BXwYlqysjx7rnq5efEasDA&w=300&h=300&c=0&pid =1.9&rs=0&p=0 GOOD BAD IMAGE http://ts1.mm.bing.net/th?&id=JN.mse9Mxmxx2SGvRS99IEHRw&w=300&h=300&c=0& pid=1.9&rs=0&p=0 http://ts1.mm.bing.net/th?&id=JN.mse9Mxmxx2SGvRS99IEHRw&w=300&h=300&c=0& pid=1.9&rs=0&p=0 IDEA COGNITION http//ts1.mm.bing.net/th?&id=JN.O8zKZQAm9A0wwVSxqtx%2bHg&w=300&h=300&c= 0&pid=1.9&rs=0&p=0http//ts1.mm.bing.net/th?&id=JN.O8zKZQAm9A0wwVSxqtx%2bHg&w=300&h=300&c= 0&pid=1.9&rs=0&p=0 http//ts1.mm.bing.net/th?&id=JN.O8zKZQAm9A0wwVSxqtx%2bHg&w=300&h=300&c= 0&pid=1.9&rs=0&p=0 http//ts1.mm.bing.net/th?&id=JN.O8zKZQAm9A0wwVSxqtx%2bHg&w=300&h=300&c= 0&pid=1.9&rs=0&p=0 MEDICAL SUPPIIES http://tse4.mm.bing.net/th?id=JN.FU7bamCsVTS79QGLu5IawQ&w=78&h=78&c=7&pid =1.1 http://tse4.mm.bing.net/th?id=JN.FU7bamCsVTS79QGLu5IawQ&w=78&h=78&c=7&pid =1.1

14. HAND WASHING IMAGE http://ts1.mm.bing.net/th?&id=JN.HZDXxdFz6GGtJ5n37N7DtQ&w=300&h=300&c=0&pid=1.9&rs=0& p=0 http://ts1.mm.bing.net/th?&id=JN.HZDXxdFz6GGtJ5n37N7DtQ&w=300&h=300&c=0&pid=1.9&rs=0& p=0 DIABETIC SUPPLIE IMAGE http://ts1.mm.bing.net/th?&id=JN.Y4PqUOPw9lqJAmb9sAKYdQ&w=300&h=300&c=0&pid=1.9&rs=0 &p=0 http://ts1.mm.bing.net/th?&id=JN.Y4PqUOPw9lqJAmb9sAKYdQ&w=300&h=300&c=0&pid=1.9&rs=0 &p=0 MALE NURSE IMAGE http://ts1.mm.bing.net/th?&id=JN.rGwYahFSAlQRt/8ehUO3TQ&w=300&h=300&c=0&pid=1.9&rs=0& p=0http://ts1.mm.bing.net/th?&id=JN.rGwYahFSAlQRt/8ehUO3TQ&w=300&h=300&c=0&pid=1.9&rs=0& p=0 http://ts1.mm.bing.net/th?&id=JN.rGwYahFSAlQRt/8ehUO3TQ&w=300&h=300&c=0&pid=1.9&rs=0& p=0 http://ts1.mm.bing.net/th?&id=JN.rGwYahFSAlQRt/8ehUO3TQ&w=300&h=300&c=0&pid=1.9&rs=0& p=0 GROUP IMAGE http://ts1.mm.bing.net/th?&id=JN.l4/sWoTtcu%2b%2bwAP4XF7ujQ&w=300&h=300&c=0&pid=1.9&rs= 0&p=0http://ts1.mm.bing.net/th?&id=JN.l4/sWoTtcu%2b%2bwAP4XF7ujQ&w=300&h=300&c=0&pid=1.9&rs= 0&p=0 http://ts1.mm.bing.net/th?&id=JN.l4/sWoTtcu%2b%2bwAP4XF7ujQ&w=300&h=300&c=0&pid=1.9&rs= 0&p=0 http://ts1.mm.bing.net/th?&id=JN.l4/sWoTtcu%2b%2bwAP4XF7ujQ&w=300&h=300&c=0&pid=1.9&rs= 0&p=0 DIABETIC FOOT http://www.bing.com/images/search/?q=Diabetic+Foot+Ulcers+Treatment&id=21D2EC69B7231C20D FE0E50018A13744F1F486DF&FORM=BRQONH http://www.bing.com/images/search/?q=Diabetic+Foot+Ulcers+Treatment&id=21D2EC69B7231C20D FE0E50018A13744F1F486DF&FORM=BRQONH

15. REFERENCES https://intermountainhealthcare.org/ext/Dcmnt?ncid =520684503