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Patient was instructed on Osteoporosis. As you make changes, continue with your food diary. Set a weekly goal as you add or change what you are eating. For example, this week make it your goal to order a salad instead of french fries, add vegetables to your pizza, or bring a yogurt to work every day.
Taught that, when taking Levothyroxine, dose should be withheld and physician or other health care provider notified if resting pulse is over 100 beats per minute.
Instructed on the importance of do not stop taking Crestor even if feeling well, unless otherwise directed by MD.
Taught that never exercising a hot, inflamed joint is a measure aimed to controlling/managing Rheumatoid Arthritis.
SN instructed patient to try eating the main dinner meal at noon and a smaller meal in the evening. This helps to reduce the stool output at night.
The patient was instructed in sarcoidosis in the need of chest physiotherapy as prophylaxis or treatment. The patient was advised to evade large multitudes and persons who are known to have active infections. The patient was advised to weigh daily to detect stable weight loss.
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
Instructed caregiver clean patient's skin daily: Clean the patient's skin around your tube 1 to 2 times each day.
Instructed caregiver reducing additional risk factors, such as , high cholesterol, and elevated blood glucose, are important in prevention and treatment of a diabetic foot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks. the patient podiatrist can provide guidance in selecting the proper shoes.
Instructed patient when you have a stoma that drains urine or loose stool you may want to consider using an extended wear skin barrier because it will give your skin added protection. Itching or burning under the skin barrier may indicate that you have leakage, a skin rash, or a skin infection. You need to remove your pouching system as soon as possible to check your skin for any irritation.