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Instructed patient to choose a diet that emphasizes eating vegetables, fruits and whole grains.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood presence in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
Patient was instructed on the importance of a good foot care. The feet may not get a good blood supply which means that sores won't heal. In addition, damage to the nerves may not allows to feel sores, cuts and other injuries to the feet, that is why it's important to check the feet daily.
Instructed patient that during a hurricane she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to her house. In the event that the patient has no family or friends she should go to the closest shelter for proper assistance.
Taught that Hyzaar is used to treat high blood pressure (hypertension).
Taught that Coronary Artery Disease (CAD) develops very slowly and may be very advanced before symptoms develop.
Instructed patient the stoma is your bowel. It is protected by mucus so stool or urine won’t hurt it. A stoma rarely becomes infected. The most important thing is to protect the skin around your stoma. A correct fitting pouching system is the best way to prevent an infection of your skin. If there is a small leak under my skin barrier, is it okay to patch it with tape or paste: Always change your pouching system at the first signs of leakage.
SN instructed patient and caregiver that Apixaban ( Eliquis ) is a anticoagulant for the treatment of venous thromboembolic events. It is indicated for the following: to lower the risk of stroke and embolism in patients with nonvalvular atrial fibrillation, deep vein thrombosis ( DVT ) prophylaxis. DVT's may lead to pulmonary embolism ( PE ) in knee or hip replacement surgery patients, treatment of both DVT and PE, to reduce the risk of recurrent DVT and PE after initial therapy. Apixaban can increase the risk of bleeding and may cause serious, potentially fatal, bleeding. Concurrent use with drugs affecting hemostasis ( e.g. other anticoagulants, heparin, aspirin and other antiplatelet drugs, selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, and non steroidal anti-inflammatory drugs ( NSAIDs ) can further increase the risk of bleeding.
RN performed supervision with HHA present and reviewed that the HHA Care Plan is followed as ordered. Patient is satisfied with rendered services. RN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid - proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non - slip footwear and not walking in stocking feet. RN also explained that side effects of most medications taking can cause dizziness and advised to immediately report the occurrence of dizziness so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.
SN instructed patient on non pharmacological pain management like massage, a lot of people find relief from gentle massage. Several studies have found that massage is effective in relieving pain and other symptoms for people with serious illness. Relaxation techniques like guided imagery, breathing techniques, and gentle movement like rom exercises. Relaxation techniques are often very effective, particularly when a patient / caregiver is feeling anxious. Physical therapy if a person has been active before and is now confined to bed, even just moving the hands and feet a little bit can help. Pet therapy if you have bouts of pain that last 5, 10, or 15 minutes, trying to find something pleasant like petting an animal soft fur to distract and relax yourself can be helpful. Gel packs, these are simple packs that can be warmed or chilled and used to ease localized pain.