You are a visiting nurse assigned to check on Mr. Green, a widower who lives by himself in a two-story house. Mr. Green is a 66-year-old man who has been an uncontrolled diabetic for the past 15 years. His wife used to provide nutritious meals and help him test his blood sugar levels, as well as observe his skin for any lesions. Since she passed away of cancer 1 year ago, he has been isolated at home and is having trouble taking care of himself. His physician initiated the visiting nurse referral after he missed two appointments. He is alert and oriented but appears depressed to you. He reports that he had a callous on his left heel that was thick and bothersome, so he tried to break it down with a callous file, but it began bleeding about 3 weeks ago. Mr. Green states, “It is hard for me to really check my skin because my eyesight is so poor.” He states that it is hard for him to walk anywhere because he has mild discomfort walking on the left foot. He also states, “My groin is itchy and red.” You start with some focused questions.

What are the questions in the following that should be asked to the patient described above:

  • “Have you ever had a foot or leg ulcer?”
  • “Does your abdomen hurt?”
  • “Is there any drainage from your foot?”
  • “Do you feel any burning on urination?”
  • “Are you using any creams or powders on your skin?”
  • “Do you examine your skin regularly?”
  • “Are you feeling very anxious?”
  • “Have you noticed if your skin is dry, itchy, scaly, flaky, or rough?”
  • “Do you wear sunscreen when you are in the sun?”
  • “What medications are you taking