know any good pneumonics for DM and HTN follow up? - docvee

[ArchivalUser]

hey just looking for a a good pneumonic for these 2 types of pts....i know there is one for DM...it is DIABETIC....but i cant remember what all the letters mean...anyone remember???

[ArchivalUser]

OTC (Over the Counter) SELMA WEST

O
Onset of the problem -When did this problem start?
T
Today feeling
-How do you feel today?
Treatment
-Do you have any Treatment for this condition?
-YES: What medications are you are taking?
C
Compliance with Rx
-Are you taking these medications as prescribed by your Dr?
S
Side effects
-Do you know if these medications are causing you any adverse effect? Like racing heart, tremors, problems in sexual performance, muscle cramps, stomach pain?
E
Effectiveness
-Did you notice if these medications are controlling your symptoms?
L
Last Check up
-When was your LAST medical check up?
M
Monitoring at home
-Do you monitor your BP or your BS at home?
-The last reading of BP? BS? Last HbA1C

A

Assoc. symptoms:
ROS -Gral: Fever, Shaking ?, fatigue or tiredness, skin changes
-CV: palpitations (racing heart), chest pain
“Resp : SOB, cough ?
-Neuro: Dizziness, weakness, numbness (feet in DM)
-Uri: polyuria (how often do you urinate?) Pain in urinartion? Strain, Urgency, stream weak or strong
-GI: Nausea? Vomiting? Diarrhea? Constipation?
W
Weight
Appetite
Diet
-Any change in your WT?
-Any change in your Appetite?
-Do you follow any DIET for this condition?

E
Exercises -Do you practice regular exercises?
EYE complaints
EYE check ups-Do you have regular Eye check ups?
-Do you have any visual problem, like blurred vision? Any vision loss?
S
Stress
Support systems
-Are you currently under any stressful situation?
-Is anyone helping you with the daily care of your condition?
T
Trauma
DM: foot/trauma
-Have you had any recent injury or accident?
-Have you had any lesion or ulcer in your feet?

♥Closure: I think that so far, BESIDE YOUR PRESENT CONDITION, another problems can be affecting you as a result of one complication of your previous disease [or due to a Medication side effect]. You can have______
-But first I need to Run some tests to confirm the diagnosis like: Blood tests, urine tests, stool, XR, MRI, etc
♥ If you need to do a genital, rectal exam:
-And I need your consent to do a rectal, genital exam, OK?
♥Also; Let me give you important recommendations for your condition:

MED CT
Diabetes Mellitus
M:
Monitor systematically your BS levels at home 2 times/day
E:
Exercise systematically 3 “ 5 times/wk
D:
Diet: Follow a special Diet for Diabetes Low fat and low sugar (we have a expert Dietician ready to give you a professional orientation about this)
C:
Check ups (General medical check ups and eye check ups)
T:
Treatment compliance: please be compliant with medication as prescribed
And Foot Care: its very important the Systematic Foot check up and care: the use of soft padded foot ware to avoid injuries in your feet
HTN:
Monitor systematically your BP levels at home 3 times/day
Exercise systematically 3 “ 5 times/wk
Diet: You need to Follow a special Diet for high BP
Low in salt and fats
Check ups (General medical check ups and eye check ups)
T: Treatment compliance:
-You need to be compliant with the medication as prescribed to avoid any compliaction from your previous condition

[ArchivalUser]

Fixing:
What medications are you taking?

[ArchivalUser]

D--> how long have u been diagnosed with ---

I-->INSULIN-->r u taking any medications for it--> r u taking it regularly-->any SE

A-->Hb A1c-->do u get ur diabetes checked regularly -->watsthe usual range

B-->BLURRED VISION-->have u noticed any changes in ur vision

E-->EXTREMITY-->do u have foot ulcers

T-->TINGLING-->do u have tingling sensation anywhere-->do u have any weaknesses

I-->INFECTION-->do u have cough -->chest pain -->sob -->palpitation -->abd.pain --> N/V -->change in bowel habits-->change in urinary habits

C-->CARDIAC-->ever had any heart problem-->stroke-->htn

[ArchivalUser]

thanks for all your responses guys...

[ArchivalUser]

very useful. thanks sooooooooo muchhhhhhhh