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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Insulin Dependent Diabetic, Skin Tears, Dementia, Taking Fentanyl For Arthritis. More Input On Careplan

I have a patient who is insulin dependent diabetic, who has sustained lots of skin tears as he is hoisted. His dementia is now getting worst. Now I have to redo his careplans and basically start from scratch as everything has changed, his nutrition, his mobility ( he is now wheelchair bound), he is also on fentanyl patches 12.5 mcg for pain due to arthritis on both knees. aside from what i have already written before, may i pls have more input that I can include in his careplan. Thanks. Lucila
posted on Mon, 25 Jun 2012
Twitter Tue, 11 Jun 2013 Answered on
Twitter Tue, 11 Jun 2013 Last reviewed on
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Pathologist and Microbiologist,  's  Response
Hello,

As for this diabetic management

His activities are reduced and he is bound to the wheelchair.
So may be feeding very little.
His insulin dose as to be adjusted according to the blood sugar.
Prevent the development of any bedsore.
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Insulin Dependent Diabetic, Skin Tears, Dementia, Taking Fentanyl For Arthritis. More Input On Careplan

Hello, As for this diabetic management His activities are reduced and he is bound to the wheelchair. So may be feeding very little. His insulin dose as to be adjusted according to the blood sugar. Prevent the development of any bedsore.