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Instructed patient to attend all psychiatrist appointments.
Patient was instructed on list of measures to prevent falls at home: If use a cane put rubber tips on it. Keep the house well lit especially stairways, porches and outside walkways. Use night lights in areas such as hallways and bathroom.
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: morning stiffness, fatigue and weakness, among others.
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: rapid weight gain and loss of appetite, among others.
Taught that eating a well-balanced, low sodium diet is a measure aimed to controlling/managing Congestive Heart Failure (CHF).
SN Instructed patient that should avoid alcohol while on insulin or in any diabetes medications that stimulate the pancreas to produce more insulin, drinking alcohol can cause a dangerous low blood sugar because your liver has to work to remove the alcohol from your blood instead of its main job to regulate your blood sugar.
Instructed patient in new medication side effects; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.
Instructed patient and caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure. That experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain, back pain, numbness/weakness, change in vision, difficulty speaking do not wait to see if your pressure comes down on its own. Seek immediately medical assistance and/or call 9-1-1.
SN instructed patient eat slowly in a relaxed atmosphere. Chew your food thoroughly. Avoid chewing gum, smoking, and drinking from a straw. This will help decrease the amount of air you swallow, which may help reduce gas.
SN instructed patient about Triple antibiotic ointment Neosporin, it is an antibiotic product marketed for the prevention of infections and speeding the healing of wounds. Neosporin is recommended for burns, scratches, and minor cuts. It is most effective when affected area is cleaned before application of ointment. It is for external use only and should not go near mucus membranes such as the eyes or mouth. It is not recommended for children under the age of two. There are no known side effects when using neosporin, however users should immediately seek medical attention when experiencing hives, rashes, or itching. Any skin irritations such as pain, burning, or cracked skin that were not present prior to use of ointment must receive immediate care.