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Patient was instructed on Root decay (cavities). That is caused by exposure of the tooth to decay-causing acids. The tooth roots become exposed as gum tissue recedes from tooth.
Patient was instructed on depression as a diabetes complication. It is often a vicious cycle. Depression can get worse as the complications of diabetes get worse, and being depressed can stop people from managing their diabetes as effectively as they need to, which can lead to increased incidence of long-term complications of diabetes as neuropathy or nephropathy.
Patient was instructed about to tell the doctor about any changes in sensation in the toes, feet, or legs. Speak up if note pain, tingling, a pins-and-needles feeling, numbness, or any other unusual signs - even if it seems trivial to the patient. Further teaching is needed.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
The patient was instructed in bone marrow suppression that will be more susceptible to infection, bleeding, and anemia. The patient was encouraged in the prevention of the infection by eating healthy meals, keep mouth, teeth and gums clean, avoid people who are sick. The patient was encouraged in the prevention of the bleeding avoiding physical activities that could cause injuries. The patient was encouraged in the prevention in the anemia by eating a high-protein diet, and multivitamin supplement with minerals.
The patient was instructed in hemorrhoidectomy the necessity to use rectal packing or perianal dressings. The patient was instructed to get appropriate supplies like dressings and perineal pads to protect clothing from post-operative discharge. The patient was advised to sit on thick foam pillows or pads. The patient was encouraged the importance of perianal hygiene at all times. The patient was encouraged that proper hygiene helps prevent infection. The patient was instructed to wipe moderately after a bowel movement.
The patient was instructed in ruptured disk in the use and request of the back brace, support, or belt. The patient was advised in the need for complete bed rest to reduction inflammatory answers and to reduce stress in the spine. The patient was advised to use a urinal, bedpan, or bedside commode during the period of bed rest to evade walking.
Instructed patient in new medication side effects; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.
Caregiver ALF staff was instructed in the most common side effects of Tradjenta such as stuffy or runny nose and sore throat. Hypoglycemia may occur when linagliptin is combined with insulin or a sulfonylurea-type drug. Allergic reactions and muscle pain also may occur.
SN instructed patient on liver failure. The early symptoms of liver failure are similar to symptoms of many other conditions. Because of this, liver failure may initially difficult to diagnose. Some of the most common initial symptoms of liver failure are: Nausea, Loss of appetite, fatigue, diarrhea. As liver failure progresses, the symptoms become more serious. The most common symptoms of advanced liver failure include: Skin itchiness, jaundice, bleeding easily, bruising easily, swollen abdomen, mental disorientation or confusion, sweet or foul smelling breath, sleepiness, coma. Educated patient that the liver filters the Ammonia out the blood and that liver failure causes Ammonia levels to increase, which cause change of mental status, confusion, and sleepiness or fatigue.