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Instructed in measures to prevent foot problem; always wear properly fitted shoes and examine the feet every day for sores and signs of infections. Diabetes, and aging are also contributors to foot problems. Keep feet clean and dry. Visit your doctor for regular foot exams. Before and after physical activity stretch the foot thoroughly and wear supportive shoes. Patient verbalized understanding.
Instructed in new medication Vioxx to manage osteoarthritis. In addition, warned of possible S/E such as headache, asthenia, fatigue, dizziness, aseptic meningitis, hypertension, lower-extremity edema, sinusitis, diarrhea, dyspepsia, epigastric discomfort, heartburn, nausea, abdominal pain, GI bleeding, urinary tract infection, hyponatremia, back pain, bronchitis, upper respiratory tract infection, pulmonary edema and flu-like syndrome. Patient may experience signs and symptoms of GI bleeding, including bloody vomitus, blood in urine and stool and black, tarry stools. Advised to call MD if he experiences these signs or symptoms. Report rash, unexplained weight gain or edema. Avoid aspirin and products containing aspirin unless prescriber has instructed otherwise. Avoid OTC anti-inflammatories such as ibuprofen (Advil) unless prescriber has instructed it. All NSAIDs including Rofecoxib may adversely affect the liver. Signs and symptoms of liver toxicity include nausea, fatigue, lethargy, itching, jaundice, right upper quadrant tenderness and flu-like syndrome. Instructed to stop therapy and call MD immediately if patient experiences these signs or symptoms. Women must inform MD if they become pregnant, or they are planning on becoming pregnant while taking drugs. This drug may be taken without regard to food although taking it with food may decrease GI distress. The most common adverse effects of this drug are dyspepsia, epigastric discomfort, heartburn and nausea. Taking drug with food may help minimize these effects.
Instructed in possible effects of a stroke such as paralysis or weakness on one side of the body, difficulty with speech and language, urine and fecal incontinence, visual deficits, emotional lability.
Patient was instructed on Osteoporosis fractures. The hip fractures are most common in older women and often caused by a fall. After a hip fracture, many older people have medical complications such as blood clots, pressure sores, or pneumonia. Compression fractures of the spine can result in back pain, stooped posture, loss of height, and a curved upper back.
Instructed on some factors that may increase the risk of developing/exacerbating hypertension, such as: age, race and family history.
Instructed on some factors that may increase the risk of developing/exacerbating Emphysema, such as: advanced age and continual exposure to harmful irritants (e.g., occupational hazards, air pollution and cigarette smoking), among others.
Instructed on some factors that may increase the risk of exacerbating Epilepsy, such as: drug and alcohol intoxication, among others.
Instructed on the importance of using a firm, supportive mattress as a measure aimed to managing/controlling Osteoporosis.
Instructed patient you can do many things to help control your blood pressure at home, including: Eat a heart-healthy diet, including potassium and fiber, and drink plenty of water, exercise regularly at least 30 minutes of aerobic exercise a day, limit the amount of sodium (salt) you eat and aim for less than 1,500 mg per day. Reduce stress by trying to avoid things that cause you stress.
SN instructed patient on Colostomy Care.The patient should limit foods that may cause gas and odor: These include vegetables such as broccoli, cabbage and cauliflower. Beans, eggs and fish may also cause gas and odor. Eat slowly and do not use a straw to drink liquids. Yogurt, buttermilk and fresh parsley may help control odor and gas.