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Patient was instructed on wound healing. Healing time depends on a variety of factors, such as wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care, and what is being applied to the wound. Healing may occur within weeks or require several months.
Patient was instructed about how to check both feet daily looking over them carefully every day, and be sure check between all of the toes. Blisters and infections can start between the toes, and with diabetic neuropathy, may not feel them until they've become irritated or infected. If physical challenges occur, ask a family member to help. Further teaching is needed.
Patient was instructed on irregular breathing. Irregular breathing will hamper the purification process and cause waste products to remain in circulation. Digestion will then become irregular, leaving tissues and organs undernourished. Improper oxygen consumption will thus ultimately lead to fatigue and heightened anxiety states.
Patient was instructed on Hyperglycemia. This disease occurs naturally during times of infections and inflammation. When the body id stressed, endogenous (that are part of the sympathetic nervous system) are released that serve to raise the blood sugar levels.
Taught that Lamictal may be used to help prevent the extreme mood swings of bipolar disorder in people aged 18 and older.
Skilled nurse instructed patient on safety measures to avoid injuries and falls such as keeping adequate lighting during the day and night and was educated on proper use of assistive device to prevent falls.
The patient was advised on factors that initiate asthmatic attacks (food, pollens, animals, dust, weather, etc). The patient was instructed in the correct use of oral inhaler, home oxygen or incentive spirometer as ordered. The patient was reviewed to avoid persons with infections.
The patient was instructed in endoscopy that a sore throat or eructing may continue for 3 days after the practice. The patient was advised throat pills or warm gargles to ease throat pain. The patient was instructed to follow a prescribed diet for the original condition when gag and swallowing reactions coming back, in 2 to 4 hours. The patient was advised to beginning with soft, bland foods until soreness decreases.
Phlebitis, or an inflammation of the vein, may occur when receiving IV antibiotics which can be irritating to smaller veins. Symptoms of phlebitis include redness, tenderness and swelling. Education about recognition of these complications allows the patient to be involved and can help reduce the risk of further complications related to IV therapy.
Skilled nurse performed PICC line dressing change , prepare to change your dressing in a sterile (very clean) way , Remove the dressing and check patient's skin, clean the area and catheter, place a new dressing, Tape the catheter to secure it and write down the date you changed your dressing.