DSA: anticipatory guidance and documentation

Question 1

what side of the finger should you poke to get blood?

Answer 1

the side, less nerve

Question 2

if you can’t get enough blood, you should…?

Answer 2

lower your hand below the heart and warm them

Question 3

as a diabetic pt, you should always wear…?

Answer 3

shoe

Question 4

diabetic pt’s shoes should always be …?

Answer 4

fit snugly, if not, could lead to poor circulation

Question 5

diabetic foot care guidelines

Answer 5

1. check feet daily
2. nails should b trimmed
3. look for maceration(breakdown of skin)
4. calluses(means shoes is tight)
5. feet should be warm(circulation)
   
   1. check for hair, no hair means poor circulation
      6.

Question 6

steps for a diabetic exam

Answer 6

1. inspection
2. monofilament w/ eye closed, name the location
3. pulses at the dorsalis pedis and posterior tibia
4. reflexes

Question 7

where should you should include self care portion of the SOAP note?

Answer 7

in the Plan

Question 8

who should be involved in the care of diabetic pt?

Answer 8

podiatrist, wound care, dietician