ROLE PLAY SCRIPT FOR DIABETIC FOOT CARE
CHARACTERS: Patient, daughter, doctor, nurse -1, nurse - 2, diabetic counselor, neighbour and colleague.
SCENE I: Home (Mother and Daughter)
Daughter:
Patient:
Daughter:
Patient:
Daughter:
Patient:
Daughter:
Hello mummy what are you doing?
I just came out from the toilet
What happened to you mom? You are so often going to the toilet, I don't know what's wrong with you and also you keep eating
too much nowadays.
Are you serious am I really going to the toilet so often and I am eating so much.
Yes yes. Didn’t you notice but you don't seem to put on weight.
I think I am very thirsty nowadays so that I am drinking more water and going to the restroom often that's it, nothing else.
I don't know maa. Okay come let's go, getting late for work you also have to go I also have to go for work.
Bye bye!! Meet you in the evening.
SCENE II: Office (Colleague, Mother and Daughter)
Colleague :
Hello where are you actually your mum fell sick today at work so I am bring her back home can you come home from your
work take week off or leave ?
Daughter:
Oh my God what happened to my mother what happened?
Colleague:
Don't worry she is fine now we have given the first aid she is better but we have to go to the doctor I think anyways I will
come now.
SCENE III: Home (Neighbour, Mother and Daughter)
Daughter:
Patient:
Daughter:
Patient:
Mom what happened? How are you feeling now?
I am better. I was just feeling giddy, I don't know why I think I am fainted
You fainted!! how come did you ate properly?
I don't know. today is thursday know so was in fasting for the prayer maybe because of that I must have fainted.
Neighbour:
What happens suddenly? why did you faint?
Daughter:
I don't know my mom is not well nowadays. she looks so tired, she is urinating more and yes she is also eating more i don't
know , why she fainted?
Neighbour:
Even previously I had all these symptoms and I went to doctor for my health check up. Then doctor said that my sugar levels
are high and to start with medicines. So we’ll take mom to a doctor.
Daughter:
Okay. Thank you.
SCENE IV: Hospital (Patient, doctor, Neighbour and Daughter)
Patient:
Excuse me, doctor May I come in.
Doctor:
Yes come in take your seat. Tell me what is your problem is.
Daughter:
Doctor:
Doctor my mother is not feeling well nowadays. She feels thirsty and she is often urinating but she eats a lot still she has not
gained weight. In fact she is losing weight and today she fainted at work and her colleague had brought her back to home. I
am very worried doctor could you please explain to me.
I will explain but let me see your mother first.
Hello how are you feeling now! I will check your vital signs that are your temperature, oxygen level, pulse, respiration, BP
and then we will see what has to be done. I will also check your sugar level to find out what has made you faint at work.
Nurse please come and checks the vital signs of this patient and also checks the GRBS.
Nurse I:
Yes doctor I will check.
I’ve checked doctor the vital signs are normal but the sugar is quite high it is 379 mg/dl.
Daughter:
Patient:
Doctor:
Oh my God!! Why is my mother sugar so high I never knew that she would end up being a diabetic?
What!!! Is my sugar high? But I have never had sugar in my life but yes my parents have sugar both of them were diabetic.
Yes!! I think she might be diabetic but with this one value we cannot check so I will write up some blood investigations so
that we can find out the real cause for the high sugar and we will confirm, if your mother is a diabetic and then we will start
her on treatment.
Nurse please collect blood for random blood glucose, hb1c you can eat something and give the blood after 2 hours which is
called postprandial and tomorrow morning you can come and give the fasting blood sugar let’s see when the results are out.
Nurse:
Yes doctor I will do it
Patient:
Oh my God!! Blood test is it going to hurt I am worried I should be fine soon.
Daughter:
Patient:
No mother you should check your blood values we need to start treatment we cannot just leave it like this.
Okay what you say is right we will check the blood
SCENE V: Hospital (Patient, doctor, Neighbour and Daughter)
Meeting the doctor the next day after the blood reports
Patient:
Excuse me, doctor May I come in.
Doctor:
Hello yes. You are back with your blood reports let me check.
Yes as expected you are diabetic your Hb a1c is 13.1 which means for the past 3 months your sugar goes high this is the
average value we have to start you on medicines and if needed on insulin too.
Daughter:
Yes doctor values have come and I checked it to it was quite high please explain about this disease my grandparents were
diabetic but I am not very well aware of the disease condition I have to take care of my mother so please help me.
Doctor:
Yes of course diabetes is a disease condition which can occur due to imbalanced blood sugar this is because of the abnormal
carbohydrate metabolism.
This can happen because of the risk factors such as obesity age above 45 having other co morbidities and hereditary like if
parents have they there is a chance that the children can get
Neighbour:
Doctor:
Okay doctor so this is because of hereditary I think because her grandparents also had sugar.
Yes of course this may be the reason to cause diabetes for your mother.
Neighbour:
Doctor could you please tell me will there be any other issues arise because of sugar.
Doctor:
There is a chance of getting other conditions. If your mother is on regular treatment we can prevent her from complications
like eye, kidney and heart problem but most commonly patients will suffer from foot problem. so we have to be careful.
Daughter:
Foot problem?
Doctor:
Yes. I’ll tell diabetic counselor to educate you regarding foot care and you can come for next review
SCENE VI: Hospital (Patient, Diabetic counselor, Neighbour and Daughter)
Nurse 2:
D. counselor:
Excuse me Ma’am. this is Mrs.-------, she is newly diagnosed with diabetes mellitus. So doctor adviced to educate about the foot
care.
Welcome Mrs. ------. please take your seat.
Nurse can you please tell her HbA1c value
Nurse 2:
Daughter:
D. counselor:
Neighbour:
D .counselor:
Yes Ma’am. it’s 13
Yes Ma’am. could you please educate us regarding foot care
Diabetic foot care is essential as diabetes can be dangerous to your feet—even a small cut can produce serious consequences.
Diabetes may cause nerve damage that takes away the feeling in your feet. Diabetes may also reduce blood flow to the feet,
making it harder to heal an injury or resist infection. Because of these problems, you may not notice a foreign object in your
shoe. As a result, you could develop a blister or a sore. This could lead to an infection or a non healing wound that could put
you at risk for an amputation.
So how can we prevent this?
To avoid serious foot problems that could result in losing a toe, foot or leg, follow these guidelines.
Inspect your feet daily. Check for cuts, blisters, redness, swelling or nail problems. Use a magnifying hand mirror to look at
the bottom of your feet. Call your doctor if you notice anything.
Bath feet in lukewarm, don’t use hot water. Keep your feet clean by washing them daily. Use only lukewarm water.
Daughter:
D. counselor:
Is there any particular temperature?
The temperature you would use on a newborn baby.
Be gentle when bathing your feet. Wash them using a soft washcloth or sponge. Dry by blotting or patting and carefully dry
between the toes.
Moisturize your feet but not between your toes. Use a moisturizer daily to keep dry skin from itching or cracking. But
don't moisturize between the toes—that could encourage a fungal infection.
Cut nails carefully. Cut them straight across and file the edges. Don’t cut nails too short, as this could lead to ingrown
toenails. If you have concerns about your nails, consult your doctor.
Never treat corns or calluses yourself. No “bathroom surgery” or medicated pads. Visit your doctor for appropriate
treatment.
Wear clean, dry socks. Change them daily.
Consider socks made specifically for patients living with diabetes. These socks have extra cushioning, do not have elastic
tops, are higher than the ankle and are made from fibers that wick moisture away from the skin.
Wear socks to bed. If your feet get cold at night, wear socks. Never use a heating pad or a hot water bottle.
Shake out your shoes before wearing. Remember, your feet may not be able to feel a pebble or other foreign object, so
always inspect your shoes before putting them on.
Keep your feet warm and dry. Don’t let your feet get wet in snow or rain. Wear warm socks and shoes in winter.
Consider using an antiperspirant on the soles of your feet. This is helpful if you have excessive sweating of the feet.
Never walk barefoot. Not even at home! Always wear shoes or slippers. You could step on something and get a scratch or
cut.
Daughter:
D.counselor:
Ma’am I knew that there’s a slipper for diabetic patients. Shall we use those slippers?
Yes of course!! You can use it. It is available in our hospital itself.
Take care of your diabetes. Keep your blood sugar levels under control.
Do not smoke. If you have smoking habit it will restricts blood flow in your feet.
Get periodic foot exams. Seeing your foot and ankle surgeon on a regular basis can help prevent the foot complications of
diabetes.
This is all about how to take care of your foot when your diabetic.If you have any doubts you can directly approach me.
Daughter:
Thank you Ma’am. This is very useful and we will definitely follow all these guidelines.
Neighbour:
Ok -------- so we have to takecare of your mother.
D.counselor:
You may feel difficult in following these practices in the beginning Later you will get use to it. So take care of your health.
SCENE VII: Home (Patient, Colleague and Daughter):
Colleague:
Patient:
Colleague:
Hai ---- are you feeling good now?
Yes I am feeling better now. What I did I have become a burden to my daughter.
Not like that ------ we all are here to take care of you. Don’t worry, if anything else don’t hestitate to ask me.
Daughter:
Thank you for your concern. I am happy with your words. My mother will not tell anything openly so please take care of my
mother in office.
Colleague:
Sure, I will take care of her.
SCENE VIII: Hospital (Patient, doctor and daughter)
Patient:
Excuse me, Doctor May I come in.
Doctor:
Yes come in .You are back. have you given your fasting blood sample.
Patient:
Yes doctor.
Doctor:
Ok I will check the report now.
Good. Your sugar level is reduced from 13 to 8. Follow this regularly and keep your sugar levels in control. Don’t be
lethargic.
Patient:
Okay doctor. I will follow this doctor. Thank you doctor.
CONCLUSION: The overall goal for people with diabetes is to try to keep daily blood glucose levels and HbA1c within the recommended
target range without frequent hypoglycemia (lows).
ROLE PLAY SCRIPT
ON
DIABETIC FOOT CARE
Submitted to:
Submitted by:
Mrs. Hema D
Assumpta Johncy M.
Assist. Professors
PSG CON
P.H. Evangeline Jennifer
Irin Dorathy
N. Alli
S. Sathiya Priya
Sangeetha C.
P. Vijayalakshmi
L. Yuvarani
I yr M.Sc. Nursing
PSG CON