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Instructed in measures to prevent foot problem; always wear properly fitted shoes and examine the feet every day for sores and signs of infections. Diabetes, and aging are also contributors to foot problems. Keep feet clean and dry. Visit your doctor for regular foot exams. Before and after physical activity stretch the foot thoroughly and wear supportive shoes. Patient verbalized understanding.
Instructed on diagnosis of Pulmonary Edema. This occurs when there is an accumulation of fluid in the lung, causing difficult breathing.
Patient was instructed on passive range of motion exercises, also called ROM exercises. ROM exercises can be active o passive. Active ROM is done when a person can do the exercises by himself. Active-assisted ROM is done by a person and a helper. Passive ROM exercises are done for a person by a helper. The helper does the ROM because the person cannot do them by himself.
Patient was instructed on hyperglycemia what to watch for: Paying attention to the early signs and symptoms of hyperglycemia can help in the treatment of this condition promptly. Watch for: Frequent urination, increased thirst, dry mouth, blurred vision, fatigue and nausea.
Instructed on the importance of taking Levothyroxine at the same time each day, as directed by MD, in order to get the most benefit from it.
Taught that controlling weight to prevent increased pressure on the joints is a measure aimed to preventing/controlling Osteoarthritis.
Instructed in possible cause of hyperglycemia such as too little insulin, too much or wrong kind of food, infection, injury, illness, decreased activity.
The patient was instructed to develop skills need to self-care and improve independence with blindness (visual impairment). The patient was reviewed to explore furniture, steps, and doorways in his/her home through guidance and touch. When walking alone use cane or walking stick to identify obstacles. The patient was taught on caring for the eyes. The patient was reviewing the method of administering eyes drops or ointment.
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.
SN instructed patient / caregiver that Percocet is used to treat moderate to moderately severe pain - containing two drugs: acetaminophen and oxycodone. Explained that Acetaminophen is used to reduce both pain and fever & Oxycodone is used for its calming effect and for pain. Explained that the common side effects include dizziness, light - headedness, nausea, sedation, vomiting. SN instructed that side effects may be alleviated by lying down and if they persist or worsen to notify Physician. SN instructed to call physician immediately if the patient experiences slow / irregular breathing, slow / irregular heartbeat, change in the amount of urine or any allergic reactions. SN instructed patient to drink at least 8 glasses of water and eat foods that are high in fiber such as apples, peaches, oranges and oats if constipation is experienced.