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Instructed in storage and disposal of equipment: check expiration date, keep spare bottle in refrigerator, do not change brand, match syringe type.
Instructed patient to attend all psychiatrist appointments.
Instructed patient about how the body responds to the excess of calories and fat by creating an undesirable increase in blood sugar.
Patient was instructed on the importance of an appropriate nutrition to keep blood sugar levels as near to normal as possible. Read Nutrition Facts on food labels and if the serving has too much carbohydrate, the size of serving will need to be adjusted.
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.
Instructed on the importance of avoiding all respiratory irritants, such as: smoke, dust and air pollution, among others.
The patient was instructed in paget’s disease osteitis deforrmans in the importance to self-inject calcitonin. The patient was advised to take etidronate to program medication doses 2 hours before or after meals. The patient was taught to use ambulatory assist devices and aids like cane, walker.
SN instructed patient about prednisone is a corticosteroid and prevents the release of substances in the body that cause inflammation. It also suppresses the immune system and can make you prone to infections. Long term use may lead to bone loss and you should increase calcium and Vitamin D in your diet. S/E include anxiety, mood changes, irritability, headache, fast heart rate, weight gain, appetite increase, decreased urine.
Instructed patient when to resume usual activities, light housekeeping (dusting, setting the table, washing dishes, folding clothes) light gardening (potting plants, trimming flowers) needlework, reading, cooking meals, climbing stairs, Small mechanical jobs, shopping, attending sports events, church, movies, and restaurants, passenger in car, Walking, treadmill, stationary bike, shampooing hair and playing cards/games.
Instructed patient sterile technique includes: Hand washing, Wearing sterile gloves. Using a new trach tube, inner cannula, and trach tie. Using sterile water (new bottle or bag every 24 hours). Discarding suction catheters after each use.