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Patient was instructed how to reduce friction and shear. Use draw sheet for repositioning, encourage use of trapeze if possible, keep head of bed elevated (if tolerated), elevate foot of bed slightly (if condition permits), use pillow or wedge to support hip (side lying, lateral position), utilize lifts and transfer devices.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet.
Patient was instructed on balance. With age, a combination of factors decreases balance. The nerve endings in our feet don't detect impulses as readily and the balance control centers in our brain and our ears operate more slowly. Age-related changes in vision and hearing, even when subtle, also contribute to the decline in balance.
Instructed on the importance of avoiding/reducing exposure to crowds in order to reduce the risk of respiratory infections.
Instructed on some factors that may increase the risk of developing/exacerbating Osteoporosis, such as: decreased estrogen levels in post-menopausal women.
Instructed on some signs/symptoms of Osteoarthritis, such as: aching pain that increases with activity and is usually relieved with rest.
Instructed in factors that increase the risk of COPD such as respiratory infections, respiratory irritants (dust, smoking, cold, damp air, etc), possible family history, and poor defense system.
Symptoms of a Actonel overdose may include nausea, heartburn, stomach pain, diarrhea, muscle cramps, numbness or tingling, tight muscles in your face, seizure (convulsions), irritability, and unusual thoughts or behavior.
SN advised patient and caregiver to report the development of a late skin rash with symptoms of fever, fatique, and sore throat. Caregiver verbalized understanding of instructions given.
SN instructed pt on medication Lisinopril 20mg PO daily for HTN. Side effects include: dizziness due to a drop in blood pressure. Lisinopril can cause nausea, headaches, anxiety, insomnia, drowsiness, nasal congestion, and sexual dysfunction, and Severe allergic reactions (anaphylaxis) and hives may result. Contact the MD as soon as the above signs/symptoms occur.