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Instructed in wound care as ordered by MD such as proper storage of dressing supplies, proper handwashing technique and removal of dressing, proper storage of dressing supplies, cleansing of wound as specifically ordered by MD, proper application of ointments, powders, solutions, etc, if ordered by MD, proper application of specific dressing change if ordered by MD, return demonstration of complete dressing change technique; more than one teaching may be needed.
Instructed in new medication Atenolol to manage hypertension. In addition, warned of possible S/E such as fatigue, lethargy, vertigo, drowsiness, dizziness, fever, bradycardia, hypotension, heart failure, intermittent claudication, nausea, diarrhea, thrombocytopenia, hyperkalemia, hypoglycemia, increased risk of developing type-two diabetes, dyspnea, bronchospasm, rash and leg pain. Instructed to take drug exactly as prescribed at the same time every day. Do not stop drug suddenly but do call prescriber if unpleasant adverse reactions occur. If pulse rate is below 60 beats/minute, stop taking drug and call prescriber. Women: notify prescriber if pregnancy occurs. Drug usage might be discontinued.
Instructed patient to take his/her pills with a full glass of water and drink all the water even if the pill went down with the first swallow.
Instructed patient about the importance of avoiding getting sick. Seasonal viruses such as common cold, flu and other illnesses may cause DM episodes to increase in frequency and severity.
Patient was instructed on oral hygiene tips for seniors. Daily brushing and flossing of the natural teeth is essential to keep them in good health. Plaque can build up quickly on the teeth of older adults, especially if oral hygiene is neglected, and lead to tooth decay and gum disease. Brush at least twice a day with fluoride containing toothpaste. Floss at least once a day. Visit the dentist regularly for cleaning and examination.
Patient was instructed on type II diabetes. Some people with type II diabetes can get blood sugar control through diabetes pills. These people do produce some insulin. But it is not enough to keep their blood sugar under control. Type II diabetes can often be controlled by weight loss, sensitive eating, and pills that improve the insulin supply or help it work better.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if heartburn and/or chest pain occur.
Patient was instructed on new medication Sucralfate take this medication 1 hour before meals and at bedtime. Take sucralfate on an empty stomach, 2 hours after or 1 hour before meals. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take sucralfate exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
SN instructed that the Loss of appetite can be a serious problem; it can lead to malnutrition and severe weight loss. Eating enough of the right kinds of foods can be difficult when you do not feel like eating at all. Here are some tips to help you increase your appetite: Avoid drinking liquids before a meal, because they can fill you up. If you want to drink, then drink juices or milk—something nutritious. Eat with family or friends if possible. Eat a variety of foods. Spice up your food with herbs, spices, and sauces. Use butter, bacon bits, croutons, wine sauces, and marinades to provide taste-pleasing meals. Do not fill up on salads or “diet” foods. Eat vegetables and fruits along with meats, poultry, and fish to make sure you get enough calories and nutrition. Eat smaller meals more often, especially if you fill up before you’ve eaten all your dinner.
Sn instructed patient on managing hyperlipidemia means controlling cholesterol and triglycerides. Read food labels and choose foods with low cholesterol and saturated trans fat. For people who would benefit from lowering their cholesterol, the American Heart Association recommends aiming for a dietary pattern that limits saturated fat to 5 to 6 percent of daily calories and reduces the percent of calories from trans fat.