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Instructed in proper disposal of soiled dressing materials in biohazardous waste container provided.
Instructed in proper skin care, focusing on areas prone to abnormalities.
Patient was instructed checking the blood sugar is a simple process using a lancing device, lancet, test strip and a meter. The following are general instructions for using a blood glucose meter.Wash the hands or clean finger or other site with alcohol. If are using alcohol, let it dry before prick the finger,Prick the site with a lancing device,Put a little drop of blood on a test strip.Insert the test strip into the blood glucose meter,In seconds, the blood glucose meter reads the blood sugar level.
SN instructed patient and caregiver that a sudden physical exertion may constitute as a precipitating factor of Angina Pectoris. Angina occurs when one or more of the coronary arteries become narrowed or blocked. Not be discouraged from exercising, but start slowly and do it regularly. Both patient and caregiver verbalized understanding.
Taught that stopping exercise, if pain occurs, is a measure aimed to preventing/controlling Osteoarthritis.
Patient was instructed on hypertension . Hypertension, or high blood pressure, stems from narrow arteries and causes a build up in blood pressure within the arteries.
The patient was instructed in pneumonia and pneumonitis in the importance of evading spread of disease, rotating head away when coughing, and cover mouth with tissue. The patient was reviewed to evade persons with infections. The patient was taught in the importance of postural drainage and profound breathing exercises. The patient was reviewed in the need to use a vaporizer or humidifier at home. The patient was instructed on procedures of clearing secretions like coughing, positioning, splinting chest wall, or suctioning. The patient was instructed on adaptive breathing methods to decline work of breathing. The patient was recommended to stop smoking.
Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
Instructed patient if you have fever, chills, tenderness, redness, or pus at the catheter site or swollen arm,check your child’s temperature, and all the doctor right away.
SN instructed patient on high carbohydrate foods. SN instructed avoiding large quantities of carbohydrates for main foods: Potatoes, rice, pasta, bread, desserts, sugary drinks. SN instructed that these items should be no more than a palm full and main food should be meat and vegetables at meals.