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Instructed in proper skin care, focusing on areas prone to abnormalities.
Instructed patient about the management of infections: bathing everyday with a mild soap and lukewarm water, applying lotion to keep skin moist, wearing gloves when working outside, always wearing shoes and treating injuries promptly by cleaning with soap and water.
Patient was instructed on measures to prevent falls at home such as removing things like thresholds, throw rugs, and clutter. Repairing loose carpet or raised areas in the floor, moving furniture or electrical cords out of the walking paths.
Patient was instructed on diabetes symptoms. The initial symptoms of diabetes are related to high blood glucose levels. These symptoms include excessive urination, thirst and hunger, weight loss, and increased susceptibility to infections, especially of the skin.
Instructed on the importance/need of keeping her medical appointments.
Taught that setting realistic goals and balancing work with rest are measures aimed to preventing/controlling Osteoarthritis.
Instructed patient assess PICC line site, line note any leakage from catheter or around the site. Note any redness, drainage or pain at the site.
Instructed patient/caregiver on general precautions while taking aspirin: take with food, milk, or large glass of water to decrease gastric symptoms. (Enteric coated or buffered may be better tolerated.); avoid alcohol due to possible internal bleeding; only take the recommended amount; use cautiously with Asthma; observe and report s/s of bleeding (easy bruising, bleeding gums, black stools); discard medications if vinegar odor is present; do not take antacids due to decreased effectiveness; avoid chewing or crushing enteric coated.
SN instructed patient about constipation and diarrhea can still occur with a colostomy. Reasons why constipation may occur include certain medications, not drinking enough fluids or eating enough fiber, just like before you had a colostomy.
SN instructed patient / caregiver on factors that increase risk of HTN, such as: age, race, family history, stress, high sodium intake, high cholesterol intake, obesity and sedentary lifestyle. SN instructed patient / caregiver on measures to control/manage HTN, such as: exercise as tolerated, achieve/maintain healthy/ideal weight, decrease sodium intake to decrease fluid retention and the workload of the heart. SN Instructed importance of eating foods rich in calcium, protein and fiber.