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Instructed patient about Atenolol and why it should be stored away from light, moisture and should be placed in a cool enviroment.
Instructed patient in measures to prevent falls using a cane support during ambulation and transfers.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
Patient was instructed on skin care. Treat cuts right away. Wash them with soap and water. Avoid antiseptics, iodine or alcohol to clean cuts, because they are too harsh. It is recommended to put antibiotic cream or ointment on minor cuts.
Patient was instructed on tips for a good personal hygiene. Have clean bed linen. Change them once a week and wash them well before using them again. It is important to air out the bedding regularly.
Patient was instructed on Hyperglycemia. The way diabetes is managed changes with age. Insulin production decrease because of age-related impairment of pancreatic beta cells. Additionally insulin resistance increase because of the loss of lean tissue and the accumulation of fat, particularly intra-abdominal fat, and the decreased tissue sensitivity to insulin.
Instructed on some measures aimed to controlling/managing Coronary Artery Disease (CAD), such as: avoid/decrease intake of foods and drinks containing caffeine, among others.
Skilled nurse advised patient to avoid abrupt discontinuation of alprazolam after prolonged use
SN instructed patient that a seizure can occur at any time and without warning, patient should shower only with someone in attendance. Leave the bathroom door unlocked, use shower chair, take shower rather than tubs baths.
Instructed patient call doctor if increase pain in the abdomen or the incision,fever, redness or drainage of the incision, irritation, or redness , or drainage of the incision, change bowel habits, such as:diarrhea, or constipation or skin irritation.