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Instructed patient about common risk factors associated with heart disease such as: smoking, family history, hypertension, stress and diet.
Patient was instructed on measures to prevent falls when bathing. Get into the shower/tub by putting the weaker leg in first. Get out of the tub / shower with the strong side first. Use a long handle brush or mittens with straps to help with bathing.
Patient was instructed on depression as a complication of diabetes. Feeling down once in a while is normal. But some people feel a sadness that just won
Instructed patient in the importance to use the ambulatory aids to prevent accidental falls.
Taught that effectively controlling high blood sugar levels help prevent heart disease, kidney disease and strokes, among others.
SN instructed patient and caregiver that Plavix is used to prevent heart attacks and strokes in persons with heart disease. Avoid alcohol as very serious interactions can occur. To take this medication regularly with or without food. Patient and caregiver verbalized understanding.
Taught that excess insulin and unusual exercise may lead to low blood sugar levels (hypoglycemia).
Encouraged patient the necessity to maintain good oral and eye hygiene. Advised patient the need for oral suctioning as the disease progresses.
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.
Instructed patient about his social life he will be able to resume your social activities. Your colostomy should not interfere. You will gain confidence and security with the pouch remaining intact. You will be able to be independent in emptying and changing the pouch.