The nurse reads these notes in the health care record of a patient who has a diagnosis of diabetes and a nursing diagnosis of Altered Skin Integrity. Which outcome would be most appropriate for the nurse to establish with this patient?
1. The patient will bring a caregiver to the next health care appointment.
2. The patient will describe the steps of effective diabetic foot care.
3. The patient will explain why patients with diabetes should not go barefoot.
4. The patient will report obtaining a thermometer for monitoring bath water temperature.
1
Rationale 1: Foot care is a priority in DM management. If the person has visual deficits, is obese, or cannot reach the feet, the caregiver must be taught how to inspect and care for the feet. Feet should be inspected daily.
Rationale 2: Even if the patient can describe the steps of effective foot care, obesity and the inability to see will make it difficult to perform these steps independently.
Rationale 3: It would be very beneficial for the patient to understand this concept, but another outcome goal is more important.
Rationale 4: It is important to prevent scalding injuries, but it is unlikely that this patient can read a thermometer independently.
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