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Instructed in the importance of including more fiber in diet if not contraindicate. Instructed to take fresh fruit, cooked or stewed fruits, green vegetables, root vegetables and whole grain food.
Patient was instructed that neuropathy is a long term complication of diabetes, which means it typically takes many years for it to develop. To prevent and reduce the risk of diabetic neuropathy: blood glucose control, a balanced eating and exercises can help fend off neuropathy.
Patient was instructed about the feet care: always wear shoes or slippers. Always wear socks with the shoes, since leather, plastics, and manmade shoe materials can irritate your skin and quickly bring on blisters. While the Diabetic patient might prefer the look of hose, nylon knee-highs, or thin socks, may find that these doesn't give to the toes or heels enough protection. Wear thicker socks to pad the feet and cushion any calluses or sore spots. Further teaching is needed.
Instructed on the need/importance of wearing shoes that are clean and fit properly.
Instructed on the importance, when taking Hyzaar, of getting up slowly when rising from a seated or lying position, in order to minimize dizziness and light-headedness.
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: lumps or nodules under the skin and weight loss, among others.
Taught that avoiding
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: increased fatigue and shortness of breath, among others.
Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
SN instructed patient on high risk medication, anticoagulant, warfarin. Use precautions such as, Tell care providers you take warfarin before you have any medical or dental procedures, Avoid situations that increase your risk of injury, Use safer hygiene and grooming products, Consider wearing a bracelet or carrying a card that says you take warfarin. Patient understanding.