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Instructed in safe transfers, using proper body mechanics to avoid injury.
Instructed patient on how to recognize S/S of DM such as: excessive thirst, fatigue, increased urination, increased appetite, slow healing wounds, itching, changes in vision and weight loss.
Patient was instructed on Osteoporosis. It's common for a person's diet to supply only half the calcium the bones need, so you probably need to take supplements. Your bones need vitamin D to absorb calcium. One study showed that vitamin D may reduce an older person's risk of falling by 22%.
Patient was instructed how to reduce friction and shear. Use draw sheet for repositioning, encourage use of trapeze if possible, keep head of bed elevated (if tolerated), elevate foot of bed slightly (if condition permits), use pillow or wedge to support hip (side lying, lateral position), utilize lifts and transfer devices.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). The symptoms depend on which nerves are affected. Most often, diabetes can cause tingling, numbness, or pain that usually begins at the tips of the toes or fingers.
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 to develop skills need to self-care and improve independence with blindness (visual impairment). The patient was reviewed to explore furniture, steps, and doorways in his/her home through guidance and touch. When walking alone use cane or walking stick to identify obstacles. The patient was taught on caring for the eyes. The patient was reviewing the method of administering eyes drops or ointment.
The patient was instructed in ovarian cancer in the need to care for the incision with general hygiene and daily bathing. The patient was advised to evade constipation by taking mild laxatives and stool softeners. The patient was taught to care of the suprapubic catheter. The patient was reviewed that no interaction tampons, douching, or tub baths. The patient was explained that menstruation will no longer happen.
SN instructed patient psychological stresses such as difficulties with relationships, job pressures, financial strain, and even concerns about self-worth can contribute to hyperglycemia. If these issues become overwhelming, decreased attention to the diabetes treatment plan may also contribute to hyperglycemia.
SN instructed patient about Vicodin, it is indicated for relief of moderate to moderately severe pain of acute, chronic or postoperative types. Possible side effect / adverse reaction of narcotic analgesics are nausea, vomiting, constipation, and dry mouth.