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Instructed in that collection devices help when treatments to management incontinence fails. There are many types: liners, drips collectors, condoms, pads, guards, undergarments, briefs and bed pads. Device should be comfortable and discreet and should keep skin, clothes and furniture dry. Overpadding damages skin and reduces leakage awareness.
Patient was instructed on Osteoporosis. It is possible to make a few small changes toward healthier eating habits. For example, simply adding a yogurt as a snack might be enough to meet your milk servings. Adding a sliced banana to your cereal will take care of a fruit serving.
Patient was instructed on breathing methods. They are useful to settle the body and mind and induce a heightened sense of awareness. Breathing exercises have been practiced for thousands of years. Breathing exercises can be helpful for reducing anger, anxiety, depression, fatigue, irritability, muscular tension and stress.
Instructed on the importance of exercising regularly, as directed by MD, as a measure aimed to developing high-density bones.
Encouraged patient the necessity to maintain good oral and eye hygiene. Advised patient the need for oral suctioning as the disease progresses.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, side effects may include: fatigue headache, weakness, blurred vision, yellow vision, ARRHYTHMIAS , bradycardia, anorexia , nausea , vomiting , diarrhea, this medication has an action time of 30-120 min, the peak time is about 206 hr and the duration is about 2-4 days.
SN complete assessment done on all body systems, checked vital signs, blood sugar monitoring, hydration, nutrition intake, and medication compliance. SN refilled patient’s medication box for daily routine. Taught patient to carefully manage her blood sugar with diet, physical activity, and medication to prevent diabetes complication and avoid hypo/hyperglycemia.
SN instructed patient and family on how to change the colostomy bag. Patient also educated on to drink more water and fruit juices, up to six to eight glasses per day. Include fresh fruits and vegetables in your diet, as well as fibrous foods such as whole-grain breads and cereals to prevent constipation
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
Instructed patient when you have a stoma that drains urine or loose stool you may want to consider using an extended wear skin barrier because it will give your skin added protection. Itching or burning under the skin barrier may indicate that you have leakage, a skin rash, or a skin infection. You need to remove your pouching system as soon as possible to check your skin for any irritation.