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Instructed patient that when using Atenolol he/she should be aware of symptoms of CHF and report inmediately if they appear, for example: difficulty breathing, specially when lying down, night cough, swelling of extremities, dizziness, confusion, depression, fever.
Patient was instructed on nerve damage as a cause of diabetes. The pain that begins in the extremities, toes and fingers over a period of months or years gradually it spreads upward. If not treated, it is possible to loose all sense of feeling in the affected area.
Patient was instructed on taking insulin on sick day. If having trouble eating solid food, drink fruit juices, non diet soft drinks, or clear soups, or eat small amounts of bland foods. The body needs to have its usual insulin dose especially if having nausea or vomiting. If having severe or prolonged vomiting check with the doctor or nurse. Even when starting feeling better let the doctor to know about it.
Taught that excess insulin and unusual exercise may lead to low blood sugar levels (hypoglycemia).
Instructed on potential complications of Rheumatoid Arthritis, such as: deformity and disability, infections and osteoporosis, among others.
Taught that obesity may constitute as a precipitating factor of Angina Pectoris.
The patient was instructed in carotid endarterectomy about daily care of the surgical incision and dressing changes. The patient was advised the atherosclerotic process and explain the importance of risk factor modification to reduce the chance of future plaque buildup in the carotid and other arteries. The patient was encouraged to avoid bending from the waist or lifting and straining.
SN instructed patient and caregiver on how to change the colostomy bag. SN instructed how to properly closes the bag and explains that there are different types; do not expect to see the same bag always. SN instructed that patient and caregiver have to wash their hands and always use gloves before working on the colostomy area.
Patient and caregiver taught on discharge planning, to follow up with PCP with any new changes, to continue with care as instructed and/or taught by nurse.
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.