| Wound care |
Apply dressing to the skin/wound, if appropriate; |
341 |
14.74 |
| Administer care to skin ulcers, as needed; |
273 |
11.79 |
| Cleanse wound with saline solution or non-toxic product, when appropriate; |
207 |
8.94 |
| Guide the patient or family members regarding wound care procedures; |
146 |
630 |
| Use aseptic procedures during application of dressing, as appropriate; |
47 |
2.03 |
| Measure wound bed, where appropriate; |
30 |
1.29 |
| Encourage liquid intake, as appropriate; |
24 |
1.03 |
| Reinforce bandage, if necessary; |
23 |
0.99 |
| Guide the patient and family on storage and disposal of dressings and materials; |
1 |
0.04 |
| Document wound site, size and aspect. |
1 |
0.04 |
| Wound cleansing |
Wrap wound with the appropriate type of sterilized bandage; |
309 |
13.35 |
| Wash and dry the area around the wound after the procedure. |
1 |
0.04 |
| Topical administration of medications |
Apply debridement agent to the affected area, as appropriate; |
234 |
10.11 |
| Apply topical antibiotic to the affected area, as appropriate; |
43 |
1.85 |
| Apply topical anti-inflammatory agent to the area, as appropriate; |
8 |
0.34 |
| Teach and monitor self-administration of medication; |
2 |
0.08 |
| Apply topical antifungal agent to the affected area, as appropriate. |
1 |
0.04 |
| Skin care: topical treatments |
Clean the skin with antibacterial soap, as appropriate. |
202 |
8.72 |
| Monitoring vital signs |
Monitor blood pressure, pulse, temperature and respiratory pattern, as appropriate. |
139 |
6.00 |
| Control high blood glucose levels |
Monitor blood glucose levels, as indicated. |
55 |
2.37 |
| Bleeding control |
Apply compression bandage, as indicated. |
27 |
1.16 |
| Medication control |
Monitor patient adherence to medication regimen. |
12 |
0.51 |
| Supervision |
Arrange a medical appointment when patient data suggest the need for change in medical therapy. |
11 |
0.47 |
| Nutritional control |
Weigh patient at appropriate intervals. |
2 |
0.08 |
| Teaching: foot care |
Describe the appropriate shoes (i.e., low heels, with mold suitable to the foot shape, appropriate thickness of leather for the upper of the shoe, shock absorbing insole material adjustable closure (shoelaces or no-tie straps), leather made of soft and flexible material that allows perspiration, causes no disturbance in gait and in limb length, with potential for changes, if necessary; |
2 |
0.08 |
| Recommend thorough drying of feet after washing them, especially between the toes; |
2 |
0.08 |
| Instruct the individual to hydrate the skin every day, through short immersions or bathing the feet in water at room temperature, followed by the use of a moisturizer; |
2 |
0.08 |
| Explain the relationship between neuropathy, injury and vascular disease and risk of ulceration and lower extremity amputation in diabetic individuals; |
2 |
0.08 |
| Describe the appropriate socks (i.e., absorbent and comfortable material). |
1 |
0.04 |
| Foot care |
Monitor swelling in legs and feet (edema). |
1 |
0.04 |
| Promotion of physical exercises |
Guide the individuals on the type of physical exercise suitable for their health status, with the physician and/or physiotherapist. |
1 |
0.04 |
