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Instructed that insulin/oral diabetic agents, are used to relieve the symptoms and not to cure the disease.
Instructed patient about how the thyroid hormone helps regulate metabolism. When this hormone is abnormally low the energy production decreases, disrupting many vital functions.
Instructed patient to perform daily exercises as taught by physical therapist to prevent muscles atrophy, decrease joint contractures and improve circulation.
Instructed patient on how the microwave ovens do not pose danger to people with pacemakers, nor do cellular phones if kept at more than 6 inches away from the pacemaker.
Instructed patient on how to properly use testing strips: wash hands with lukewarm water and mild soap, stick side of finger (not the tip), dry finger well before procedure, change fingers every test, and use the thinnest lancet, as that will give you the best drop of blood.
The patient was instructed in cushing’s disease and cushing’s syndrome to organize and obtain an emergency kit including alcohol and prefilled syringes hydrocortisone for episodes of severe adrenal insufficiency. The patient was advised to self-monitor laboratory values and identify personal baseline levels. The patient was advised the need to prevent injury associated with osteoporosis. The patient was recommended to use ambulatory aids such as walker, cane as necessary.
Instructed to help you prevent or manage high blood pressure: Start with understanding your condition, eat well to feel better, moderate exercise and stress-relieving techniques.
SN instructed that if you have diabetes, your body cannot make or properly use insulin. This leads to high blood glucose, or blood sugar, levels. Healthy eating helps keep your blood sugar in your target range. It is a critical part of managing your diabetes, because controlling your blood sugar can prevent the complications of diabetes.
SN instructed patient / caregiver on Xanax / Alprazolam Which is a medication in the class of benzodiazepines. Explained that this medication is indicated in the management of anxiety and panic attacks and that it works by acting on the CNS to decrease anxiety. Explained to patient that the side effects include: dizziness, drowsiness, lethargy, headache, rashes, nausea, vomiting. Explained that abrupt discontinuation of this medication can cause withdrawal symptoms such as: sweating, nausea, vomiting, muscle cramps, tremors and seizures. Instructed patient to avoid ETOH, CNS depressants, and grapefruit juice while taking Xanax. Instructed to notify Physician if experiencing unrelieved anxiety or if experiencing persistence or worsening of medication side effects
SN instructed patient about that swelling of ankle or hands or increased dyspnea ( SOB ) or moist coughing is a sign of congestive heart failure ( CHF ) and contact with physician is needed reporting symptoms. Patient was able to be taught back.