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Instructed in that collection devices help when treatments to management incontinence fails. There are many types: liners, drips collectors, condoms, pads, guards, undergarments, briefs and bed pads. Device should be comfortable and discreet and should keep skin, clothes and furniture dry. Overpadding damages skin and reduces leakage awareness.
Patient was instructed on appropriate nutrition. Choose liquid oils for cooking instead of solids fats that can be high in saturated trans fats. Remember that fasts are high in calories.
Patient was instructed on hypoglycemia symptoms, such as shaking or physical tremor. Tremors are the involuntary trembling of the body often it affects the fingers or hands. Another sign is the palpitations. Abnormality of the heart beat that a person slurred speech or difficulty articulating words.
Patient was instructed on prevention to avoid hyperglycemia: take the medication as directed. Eat less. Sometimes it helps to eat less and avoid sugary beverages. Responding in changes in blood sugar can help in the prevention of long-term complications of diabetes.
SN instructed patient and caregiver that myocardial infarction and angina pectoris are potential complications of Coronary Artery Disease (CAD). Symptoms for myocardial infarction tightness or pain in the chest, neck, back, or arms. Angina symptoms squeezing, pressure, heaviness, tightness, or pain in the chest. Call your doctor immediately for any symptoms. Both patient and caregiver verbalized understanding.
The patient was instructed in pneumonia and pneumonitis in the importance of evading spread of disease, rotating head away when coughing, and cover mouth with tissue. The patient was reviewed to evade persons with infections. The patient was taught in the importance of postural drainage and profound breathing exercises. The patient was reviewed in the need to use a vaporizer or humidifier at home. The patient was instructed on procedures of clearing secretions like coughing, positioning, splinting chest wall, or suctioning. The patient was instructed on adaptive breathing methods to decline work of breathing. The patient was recommended to stop smoking.
Instructed patient caregiver knowledge of maintenance and care of PICC lines insures long term use. Problems, detected early, greatly decrease any complications that might be associated with this line.
SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.
SN instructed caregiver about Hydrocodone. Hydrocodone is used to treat moderate to severe pain and as an antitussive to treat cough. Common side effects of hydrocodone may include, nausea, vomiting, constipation, drowsiness, dizziness, lightheadedness, fuzzy thinking, anxiety, abnormally happy or sad mood, dry throat, difficulty urinating, rash, itching, and narrowing of the pupils. Serious side effects include slowed or irregular breathing and chest tightness. Symptoms of hydrocodone overdose include narrowed or widened pupils, slow, shallow, or stopped breathing, slowed or stopped heartbeat, cold, clammy, or blue skin, excessive sleepiness, loss of consciousness, seizures, or death. Hydrocodone can be habit-forming, causing physical and psychological dependence.
SN instructed patient that to drink plenty of fluids ( fever, which may be related to the flu, can cause dehydration ). It is important to maintain hydration. Take acetaminophen ( but do not take aspirin unless your doctor tells ). SN instructed patient to get a flu shot each year and decrease the exposure to the flu.