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Patient was instructed about to tell the doctor about any changes in sensation in the toes, feet, or legs. Speak up if note pain, tingling, a pins-and-needles feeling, numbness, or any other unusual signs - even if it seems trivial to the patient. Further teaching is needed.
Patient was instructed on hyperglycemia disease. Hyperglycemia one of the classic symptoms excessive urination. But also feeling ill, nausea, with vomiting, stomach pain, dehydration (dry mouth and skin) fruity acetone breath, deep rapid breathing, drowsiness and mental illness are other hyperglycemia symptoms.
Instructed on the importance of taking Labetalol regularly, at the same time each day and as directed by MD, in order to get the most benefit from it.
Skilled nurse advised patient to avoid abrupt discontinuation of alprazolam after prolonged use
Instructed the importance of adopting a lifestyle that controls an episode of Abdominal Aneurysm. Taught the patient how to care for the incision and instruct in case of any sign of infection, severe pain in the abdomen providing the name and telephone number of a physician or nurse.
The patient was instructed in carotid endarterectomy about daily care of the surgical incision and dressing changes. The patient was advised the atherosclerotic process and explain the importance of risk factor modification to reduce the chance of future plaque buildup in the carotid and other arteries. The patient was encouraged to avoid bending from the waist or lifting and straining.
The patient was instructed in carpal tunnel release on care of the hands and dressings, to keep the arm and hand elevated above heart level to reduce swelling and healing. The patient was reviewed to check the dressing daily for signs of bleeding or drainage, when bathing are permitted the patient should be shower with the dressing covered by a plastic bag. The patient was recommended to follow prescribed exercises to maintain circulation and improve range of motion such as sponge squeezing.
Patient was instructed that Diabetes Mellitus is a Syndrome in which insulin production is decreased or absent. Lack of insulin leads to elevated blood sugar levels.
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.
Sn teaching patient to take pain medication before pain becomes severe to achieve better pain control and decreases the amount of pain medication that is required. SN instructed patient on pain relief measures, including relaxation techniques, massage, stretching, positioning, and / or hot / cold packs.