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Patient was instructed about the swine flu. Spread of this swine influenza A (H1N1) virus is thought to spread in the same way as the seasonal flu virus. Flu viruses are spread mainly from person to person through coughing or sneezing of people with influenza. Sometimes a person may become infected by touching something with flu viruses on it and then touching their mouth or nose.
Taught that Fosamax is to be taken by mouth, after getting up for the day and before taking his/her first food, beverage or other medication.
Instructed on the importance of keeping all passageways uncluttered and adequately illuminated.
Instructed on some signs/symptoms of depression, such as: decreased ability to concentrate and physical complaints, among others.
Taught that controlling weight to prevent increased pressure on the joints is a measure aimed to controlling/managing Rheumatoid Arthritis.
Taught that nicotine inhaling may constitute as a precipitating factor of Angina Pectoris.
Taught that, in Angina Pectoris, pain is caused by insufficient oxygen to meet the demands of the heart.
Instructed patient/caregiver on general precautions while taking aspirin: take with food, milk, or large glass of water to decrease gastric symptoms. (Enteric coated or buffered may be better tolerated.); avoid alcohol due to possible internal bleeding; only take the recommended amount; use cautiously with Asthma; observe and report s/s of bleeding (easy bruising, bleeding gums, black stools); discard medications if vinegar odor is present; do not take antacids due to decreased effectiveness; avoid chewing or crushing enteric coated.
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.
SN instructed patient that phantom pain is very real but not everyone who has an amputation has phantom pain. The pain may feel like cramping, burning, stabbing or shooting pain. Some things that can make the pain feel worse are being too tired, too much pressure on the amputated arm or leg, changes in the weather, stress and infection.