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Instructed in the necessity of having an emergency evacuation plan, and available community resources if required.
Patient was instructed on diabetes symptoms. People with diabetes also are at increased risk of cardiovascular disease caused by atherosclerosis (thickening and hardening of the artery). Atherosclerosis can involve the heart (coronary heart disease), with symptoms of chest pain or heart attack. Brain (cerebrovascular disease), causing stroke. Arteries supplying the legs (peripheral vascular disease), causing leg pain while walking or exercising that stops quickly with rest.
Taught that avoiding excess sugar and salt intake is a measure aimed to controlling/managing Rheumatoid Arthritis.
Taught that Osteoporosis is a metabolic bone disorder in which there is an imbalance between bone formation and bone re-absorption.
Taught that anemia and obesity are factors that may increase the risk of developing/exacerbating Congestive Heart Failure (CHF).
Taught that following prescribed diabetic diet is a measure aimed to managing/controlling Diabetes Mellitus (DM).
The patient was advised in pain management in arthritis applying heat or cold to a painful joint for temporary relief avoiding temperatures extremes. The patient was recommended to maintain a regular exercise program that provides stretching and joint mobility. The patient was encouraged to coordinate pain medication with activities. The patient was recommended to use assistive and/or protective devices, as needed, to support affected joints. The patient was advised in the importance of maintaining a safe home environment to prevent falls (removal of small rugs, handrails in showers, tubs, or toilets etc. The patient was encouraged that eating well-balanced diet.
The patient was instructed in nephrectomy on caring for the incision and changing dressing. The patient was advised to wash hands, examine the incision, clean the part with Betadine, cover the incision with sterile gauze, if there are not drainage leave the place open to the air. The patient was taught how to care for nephrostomy tube.
The patient was instructed in saphenous vein ligation and stripping in the need to wear support stockings. The patient was advised to wear constrictive clothing and knee-high stockings. The patient was advised to take discomfort medications. The patient was advised to take recurrent relaxation periods during the day and raise the legs above the heart while sitting for at least 6 weeks. The patient was recommended to avoid long periods of sitting and standing.
SN instructed patient and caregiver about Fentanyl Patch. This medication is used to help relieve severe ongoing pain. Fentanyl belongs to a class of drugs known as narcotic ( opiate ) analgesics. It works in the brain to change how your body feels and responds to pain. Use this medication on a regular schedule as directed by your doctor, not as needed for sudden ( breakthrough) pain. Apply this medication to the skin as directed by your doctor. Do not apply on burns, cuts, irritated skin, or skin that has been exposed to radiation ( x-ray treatment ). Select a dry, non - hairy area on a flat part of your body, such as the chest, sides, back, or upper arms. To avoid irritation, apply to a different area each time. Be sure to remove the old patch before applying a new patch. The used patch still contains enough fentanyl to cause serious harm, even kill a child or pet, so fold it in half with the sticky sides together and discard properly. Some side effects are nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Mild irritation, itching, or redness at the application site may also occur. Some of these side effects may decrease after you have been using this medication for a while. If any of these effects persist or worsen, tell your doctor. To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise. Ask your pharmacist for help in selecting a laxative ( such as a stimulant type with stool softener ).