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Instructed in management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Patient was instructed on diabetes symptoms. People with diabetes also are at increased risk of cardiovascular disease caused by atherosclerosis (thickening and hardening of the artery). Atherosclerosis can involve the heart (coronary heart disease), with symptoms of chest pain or heart attack. Brain (cerebrovascular disease), causing stroke. Arteries supplying the legs (peripheral vascular disease), causing leg pain while walking or exercising that stops quickly with rest.
Instructed on the importance of staying fully upright (sitting, standing or walking) for at least 30 minutes after taking Fosamax; also, advised patient not to lie down until after his/her first food of the day after its intake.
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: sedentary life-style and/or prolonged bed rest, among others.
SN explained to patient/caregiver some risk factors of cellulites such as: cracks or peeling skin between toes, history of PVD, ulcers from blockage in the blood supply (ischemia), among others. Patient verbalized understanding of instructions given.
The patient was instructed in burns and its classification. The patient was advised that the curative process with new skin progress is expected in 6 weeks with mature healing within 6 to 12 months, depending on the extended of injury. The patient was taught to care of healed burns, avoiding exposure to direct sunlight, harsh detergent, fabric softeners etc., avoid contact with persons with infections especially upper respiratory infections. The patient was recommended to obtain medical supplies for dressing and any special assistive devices for home care management. The patient was encouraged in the importance of physiotherapy to assist in the exercise regimen and water exercises to maintain limb mobility.
Patient instructed LOVENOX®, like all medications, may have side effects. The most common include mild reactions or irritation, pain, bruising, and redness of the skin where you have the injection.
The patient was instructed in dilated cardiomyopathy to take and record the pulse. The patient was taught to weigh daily at the same time using the same scale. The patient was advised to avoid hot, humid weather. The patient was instructed for home oxygen therapy.
SN instructed patient about on gastric ulcer. Gastric ulcers occur on the inside of the stomach. Pain is the most common symptom. The pain is caused by the ulcer and is aggravated by stomach acid coming in contact with the ulcerated area. The pain typically may: Be felt anywhere from your navel up to your breastbone. Be worse when your stomach is empty. Flare at night. Often be temporarily relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication. Disappear and then return for a few days or weeks. See your doctor: If vomiting of blood — which may appear red or black. Dark blood in stools or stools that are black or tarry. Nausea or vomiting. Unexplained weight loss. Appetite changes.
SN instructed that it is tempting to stop taking an antibiotic as soon as you feel better. But the full treatment is necessary to kill the disease-causing bacteria. Failure to do so can result in the need to resume treatment later and may promote the spread of antibiotic - resistant properties among harmful bacteria. Patient verbalizes understanding.