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Instructed patient to check feet by looking between toes use a mirror if necessary or have a friend or relative to check them daily. Look for blisters, redness, cuts, breaks, and scratches and report immediately if any of these occur.
Patient was instructed on leg edema. The body needs the right amount of blood flow to keep the heart pumping, the legs moving and the brain functioning. Blood circulation, the movement of blood throughout the body, is clearly crucial to the existence, and poor leg circulation can cause many problems, such as leg edema or leg swelling.
Patient was instructed on Insulin. Insulin is a hormone released from the pancreas. A hormone is a chemical messenger secreted by a gland that then travels in the blood to act on other parts of the body. Insulin is the primary substance responsible for maintaining appropriate blood sugar levels. Insulin allows sugar to be transported into cells so that they can produce energy or store the glucose until it is needed.
Patient was instructed on how to avoid hypoglycemia. Start off every day with a healthy breakfast containing fruits, vegetables and high fiber foods such as oatmeal. Eat frequent small meals (rich in complex carbs, protein and fiber) throughout the day.
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: increased shortness of breath and edema (fluid retention), among others.
Instructed patient how to change the dressings and how to care for the tubes and drains. Recommend to splint the abdomen when coughing or sneezing.
The patient was instructed in steroid therapy corticosteroid therapy in the need to fill-up medicines prescriptions 1 to 2 weeks before the supply runs out and to store medicine in a cool place. The patient was instructed to take oral steroids with milk or antiacids to reduction gastric irritation. The patient was taught that the oral method of the medicine comes in various dosages.
Instructed patient if your trach tube comes out Don’t panic! Stay calm. Your stoma will stay open. If you do not know how to put the tube back in or you can’t get it in, have someone take you to the nearest Emergency Department, or go to your family doctor’s office. Take your extra trach tube with you.
SN instructed caregiver that symptoms of low blood pressure may include: blurry vision, confusion, dizziness, fainting (syncope), lightheadedness, nausea or vomiting, sleepiness, weakness. Treatment depends on the cause of your low blood pressure and your symptoms. If any symptoms from a drop in blood pressure, lie patient down right away, then raise patient's feet above heart level.
SN instructed patient on importance of protecting skin by: keeping your skin moist with lotions or ointments to prevent cracking, wearing shoes that fit well and provide enough room for your feet, learning how to trim your nails to avoid harming the skin around them, wearing appropriate protective equipment when participating in work or sports.