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Instructed in the importance of restricting sodium intake. Advised to use salt substitutes (if permitted by MD) by seasoning food with condiments such as lemon, parsley, cinnamon, etc.
Instructed patient to talk to MD regarding on how to drink alcohol safely, once in a while.
Patient was instructed on Hyperglycemia. This disease causes high blood sugar levels, especially in the morning before breakfast, in people with diabetes. It occurs when: Hormones produced by the body cause the liver to release large amounts of sugar.
Instructed on some signs and/or symptoms of high blood sugar, such as: dizziness, vomiting and abdominal cramps.
Instructed on some measures aimed to controlling/managing constipation, such as: increase fluid intake to at least eight (8) glasses per day, among others.
Instructed on some measures aimed to controlling/managing Angina Pectoris, such as: have blood pressure monitored closely and achieve/maintain ideal weight, among others.
Taught that eating well-balanced meals and avoiding
The patient was instructed in guillaint-barré syndrome in the importance to examine the patient skin daily for signs of irritation or breakdown. The patient was advised to evade persons who have infections. The patient was taught to get any adaptive devices, splints, wheelchairs, walker and its use. The patient was taught in good moving technique from bed to chair and from chair to toilet.
SN instructed patient and caregiver about Lymphedema disease. Lymphedema may be inherited ( primary ) or caused by injury to the lymphatic vessels ( secondary ). It is most frequently seen after lymph node dissection, surgery and/or radiation therapy, in which damage to the lymphatic system is caused during the treatment of cancer, most notably breast cancer. In many patients with cancer, this condition does not develop until months or even years, after therapy has concluded. Lymphedema may also be associated with accidents or certain diseases or problems that may inhibit the lymphatic system from functioning properly. In tropical areas of the world, a common cause of secondary lymphedema is filariasis, a parasitic infection. It can also be caused by a compromising of the lymphatic system resulting from cellulitis. Patient verbalized understanding the teaching.
SN instructed patient / caregiver regarding medication Lantus insulin. SN instructed patient / caregiver that insulin is used by the body to remove and use glucose from the blood and produce energy and that it is used in type 2 diabetes to overcome the resistance of the cells to insulin. SN explained that Lantus insulin starts working after 1 - 2 hours and peaks after 6 hours after injection, and has a duration of 18 - 26 hours. SN informed that hypoglycemia is the most common side effect that may occur during insulin therapy. SN instructed patient / caregiver to rotate insulin injection sites to avoid bruising and injury.