MELAKSANAKAN PELATIHAN PERAWATAN PALIATIF TENTANG PENCEGAHAN DIABETES MELITUS (DM) DI KELURAHAN BAGAN DELI, KECAMATAN MEDAN BELAWAN

Abstract

Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. Foot exercise is an activity or exercise performed by patients with diabetes mellitus to prevent injuries and help improve blood circulation in the legs. Foot exercises can help improve blood circulation and strengthen the small muscles of the feet and prevent foot deformities. Besides that, it can increase the strength of the calf muscles, thigh muscles and overcome the limitations of joint movement. A diabetic sufferer will be at risk of experiencing a foot injury by 15-20 % with a recurrence rate of 50-70 % within 5 years, where 85 % of patients who experience a foot injury will undergo an amputation. So far, diabetes mellitus patients rarely do foot exercises, because the family is busy at work, they are not used to doing sports or perhaps the facilities are inadequate. A person with diabetes mellitus must always pay attetion to and maintain foot hygiene, train them well even though complications have not occurred. If it is not treated or therapy such as foot exercises is carried out, it is feared that one day the patient’s feet will experience circulatory disorders and nerve damage which causes reduced sensitivity to pain, so that the patients is easily injured without him knowing it. Blood glucose levels are always high and pain is almost not felt, so a small wound that does not get attention will quickly become a big wound.