T/SRMA 17-2023 Geriatric diabetes patient with illness A rehabilitation nursing

Scope

Scope: This document specifies the rehabilitation care for onychomycosis in elderly diabetic patients, including nursing assessment, nursing measures, and preventive care. This document is applicable to registered nurses in all levels and types of medical institutions. Main technical content: This standard elaborates on three aspects of nursing assessment, nursing measures, and preventive care for onychomycosis in elderly diabetic patients, with the aim of providing scientific and standardized guidance for the prevention and treatment of onychomycosis in elderly diabetic patients, including: ① Nursing assessment of onychomycosis in elderly diabetic patients: overall assessment, foot assessment (foot appearance, toenail appearance, ingrown nail assessment, and onychomycosis assessment), comfort assessment, and foot care ability assessment; ② Nursing measures for onychomycosis in elderly diabetic patients: treatment of ingrown nails (cotton pad packing method, mechanical correction patch method, cannula drainage method, and surgical treatment), treatment of onychomycosis (mechanical treatment, local medication, and systemic treatment), and treatment of other deformed nails, i.e., using separation, decompression, and trimming techniques to treat deformed toenails; ③ Preventive care for onychomycosis in elderly diabetic patients: foot cleaning, toenail trimming, prevention of onychomycosis, and gait correction training.

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