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Instructed patient about S/S of possible urinary tract infection, such as, back pain, burning, oliguria, dysuria, retention, fever, etc.
Taught that a cerebrovascular accident is a loss of brain function resulting from a disruption of blood flow to part of the brain.
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: sedentary life-style and/or prolonged bed rest, among others.
The patient was instructed in carpal tunnel syndrome to avoid activities that increase stress on inflamed tissues, grasping and gripping action of hand and wrist, to keep the wrist in neutral position, to avoid the wrist in a bent flexed, twisted, turned position, and to minimize repetitive movements, including holding an object for extended periods of time. The patient was advised to wear a wrist splint to help keep the wrist in neutral position. The patient was taught on range-of-motion exercises and their importance for strengths of muscles.
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.
SN advised patient and caregiver to report any signs and symptoms of ototoxicity or nephrotoxicity. Caregiver verbalizzed understanding of instructions given.
Patient was educated about potassium 10 meq 1 tablet oral daily and it's side effects such as: confusion, restlessness, weakness, abdominal pain , diarrhea , flatulence , nausea , vomiting, and the importance to notified immediately nurse/ agency/ doctor/ 911 if any of this persist.
SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.
SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.
Instructed patient about vacuum assisted closure ( VAC ) therapy provides intermittent and continuous therapy with integrated patient safety features.