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Instructed in foods high in cholesterol such as organ meats, red meats, fatty poultry, shrimp, bacon, cold cuts, hot dogs, saturated fats (found in animal fats and coconut oil), palm kernel, cocoa butter, hydrogenated fats, chocolate, margarine, nondairy substitutes, whole milk, egg yolks, fried foods and others.
Instructed patient to refill her/his medication before she/he are completely out of them.
Instructed patient to shake medication for at least one full minute if told to do so.
Instructed patient on how the pacemaker most commonly corrects abnormally slow heartbeat. It achieves that by electrically stimulating the heart to maintain a sufficient predetermined heart rate. On occasions a pacemaker may also be used to correct abnormally rapid heartbeat.
Taught that having his/her blood sugar monitored daily is a measure aimed to managing/controlling Diabetes Mellitus (DM).
SN put on non-sterile gloves. Remove old dressing. Remove gloves and place them in the trash bag, Wash hands and put on a clean pair of gloves. SN cleaned wound with NS solution using gauze pads, checked wound for signs of infection. Then opened new foam sponge dressing, cut it to size, and place it in the wound. Open the drape package. Cut the drape to the size needed. Place the drape over the wound site. Smooth the drape as you stick it around the wound to prevent any wrinkle that may leak. Connect the tubing to the sponge dressing and the tubing to the pump unit. Open the clamp on the tubing. Turn on the VAC pump. Listen and watch for leaks.
The patient was instructed in choleclithiasis, cholecystitis in catheter care. The patient was taught how to empty the bag. The patient was encouraged the need to decrease dietary fat and cholesterol.
The patient was instructed in hemorrhoid the necessity to eat a diet high in fiber to encourage regular bowel movements and soft seats. The patient was advised to drink sufficiently of fluids. The patient was reviewed to use chair softeners and unpackaged laxatives to prevent constipation. The patient was recommended to do daily minor exercise to improve peristalsis and help elimination. The patient was encouraged to defecate on time after the impulse so that compression in the rectum will be prevented. The patient was taught to evade long sitting, squatting, or standing. The patient was instructed to evade pulling during defecation. The patient was advised to sit on thick foam pillows or pads. The patient was taught to use warm place bath for short-lived periods to evade hypotension secondary and vasodilation of pelvic blood vessels. The patient was encouraged the importance of perianal hygiene at all times. The patient was instructed to wipe softly after a bowel movements. The patient was taught to use warm bandages to encourage circulation.
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 instructed patient about Lymphedema disease. Lymphedema is the buildup of fluid in soft body tissues when the lymph system is damaged or blocked. When the lymph system is working as it should, lymph flows through the body and is returned to the bloodstream. Other conditions may cause the same symptoms. A doctor should be consulted if any of the following problems occur: Swelling of an arm or leg; which may include fingers and toes; a full or heavy feeling in an arm or leg; a tight feeling in the skin. Patient verbalized understanding the teaching.