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Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Patient was instructed on measures to prevent falls at home during daily activities store household items on lower shelves so there is no need to climb or reach high. Or use a reaching device that you can buy at a medical supply store. To climb for something, use a step stool with handrails.
Patient was instructed on the importance of rotate the site of insulin injection to prevent future complications in that skin area. Injecting in the same place much of the time can cause hard lumps or extra fat deposits to develop.
SN stressed importance of daily foot care such as wearing shoes or slippers at all time to prevent foot injury.
Patient/caregiver was educated about potassium 20 meq 1 tab po daily and it's side effects such as: confusion, restless, weakness, arrhythmias, electrocardiogram changes, diarrhea, vomiting, if any of this appear it is very important to notify nurse/ agency/ md/ 911.
Instructed ALF's staff in new medication Hydralazine in common side effects such as; Headache, anorexia, nausea, vomiting, diarrhea, palpitations, tachycardia, angina pectoris.
SN instructed patient that Zocor( Simvastatin) reduces levels of "bad" cholesterol (low-density lipoprotein, or LDL) and triglycerides in the blood, while increasing levels of "good" cholesterol (high-density lipoprotein, or HDL). Zocor is used to lower cholesterol and triglycerides in the blood. It is also used to lower the risk of stroke, heart attack, and other heart complications in people with diabetes, coronary heart disease, or other risk factors.
Instructed patient how prevent infections: To wash your hands with soap and water: Wet your hands with warm water, avoid hot water, which can cause skin irritation when you wash your hands often. Apply enough soap to cover the entire surface of your hands, including your fingers.
SN instructed that Swelling occurs whenever the organs, skin, or other parts of your body enlarge. It is typically the result of inflammation or a buildup of fluid. Swelling can occur internally (within the body) or it can affect your outer skin and muscles. A range of conditions can cause swelling.
SN instructed patient about on gastric ulcer. Gastric ulcers occur on the inside of the stomach. Pain is the most common symptom. The pain is caused by the ulcer and is aggravated by stomach acid coming in contact with the ulcerated area. The pain typically may: Be felt anywhere from your navel up to your breastbone. Be worse when your stomach is empty. Flare at night. Often be temporarily relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication. Disappear and then return for a few days or weeks. See your doctor: If vomiting of blood — which may appear red or black. Dark blood in stools or stools that are black or tarry. Nausea or vomiting. Unexplained weight loss. Appetite changes.