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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 peripheral arterial disease that is a hardening of the arteries that prevents proper blood flow. The improper flow is one of the risk factors for foot ulcers, which can lead to amputation.
Instructed on the importance of avoiding excess sugar and salt.
Instructed on some measures aimed to managing/controlling hypertension, such as: exercise regularly and have regular check-ups, as directed by MD.
The patient was advised to avoid lifting/stooping in order to decrease back pain. The patient was encouraged to avoid or stop smoking (nicotine decreases diskal circulation).
The patient was instructed in chest trauma flail chest how to splint the chest when coughing to avoid pain. The patient was encouraged to review upper respiratory infection, shortness of breath, persistent cough, and persistent chest pain.
Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.
Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure the trach is getting enough humidity. Humidity will keep the mucus loose and decrease the chances of a mucus plug. If you hear a whistling sound from the trach, this might mean that the airway is dry. Always make sure the trach ties are securely fastened and are tight enough around the neck.
SN instructed that the Lithium is used to treat the manic episodes of manic depression. Manic symptoms include hyperactivity, rushed speech, poor judgment, reduced need for sleep, aggression, and anger. It also helps to prevent or lessen the intensity of manic episodes. Drink extra fluids each day to keep from getting dehydrated while you are taking lithium. Tell your doctor if you have been sweating excessively, or if you are sick with fever, vomiting, or diarrhea for more than a few hours.
SN instructed patient regarding medication Ciprofloxacin which is the antibiotic prescribed by patient's physician for UTI. SN instructed patient that the medication's common side effects include nausea, vomiting, diarrhea and abdominal pain. SN Instructed patient to notify physician if any of these symptoms persist or worsen. Emphasized to patient the importance of completing the full course of the antibiotic regimen as prescribed to achieve the maximum therapeutic effect of the medication.