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Instructed in the importance of bathing to preserve personal hygiene and skin integrity. Instructed to keep skin clean and dry.
Patient was instructed on some precautions to prevent diabetes complications. Elevate lower extremities whenever sitting or lying to promote venous return and this decrease and prevent edema.
Taught that Lamictal may be used to help prevent the extreme mood swings of bipolar disorder in people aged 18 and older.
Instructed on some measures aimed to controlling/managing Coronary Artery Disease (CAD), such as: avoid/decrease cholesterol intake and avoid/decrease stress, among others.
Taught that avoiding
Instructed on potential complications of Rheumatoid Arthritis, such as: deformity and disability, infections and osteoporosis, among others.
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: pain and tenderness of joint and swelling, among others.
Isosorbide is used to prevent chest pain (angina) and reduce strain on the heart in patients with heart disease (coronary artery disease). Isosorbide mononitrate relaxes and widens blood vessels so blood can flow more easily. This medication will not relieve chest pain once it occurs. This medication may also be used in addition to other drugs to improve the symptoms of congestive heart failure (e.g., trouble breathing).
The patient was instructed in emphysemathe importance of avoiding bronchopulmonary irritants such as cigarettes smoking, industrial air pollutants, dust, powders, perfumes, aerosol sprays. The patient was encouraged to use of bronchodilator nebulizers. The patient was taught in adaptive breathing techniques such as deep-breathing exercises, coughing techniques, pursed-lip breathing, and abdominal breathing. The patient was reviewed to avoid persons with infections, especially upper respiratory tract infections. The patient was advised the importance of taking vaccines for influenza and pneumococcal pneumonia. The patient was recommended on cleaning of all home respiratory equipment. The patient was taught in the importance of environmental control, avoid dry air, avoid going out in cold temperatures.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.