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Instructed in measures important in foot care of the diabetic: wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, etc.
Instructed patient to contact physician or go to an emergency room if symptoms of high blood sugar occur.
Patient was instructed on appropriate nutrition. Cut back on high calorie snack foods and desserts like chips, cookies, cakes, and full fat ice cream. Eating too much of even healthful foods can lead to weight gain. Watch the portion sizes.
Patient was instructed on measures for fire safety: Do not overload circuits. Turn off all appliances before leaving the home. i.e., iron, oven, curling iron etc.... install a smoke detector on each floor and always check batteries.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if rash, itching and/or swelling occur.
Taught that lack of oxygen may cause damage to the heart.
Taught that blood pressure readings for people age 18-49 should not exceed 140/90.
Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)
SN instructed that the dementia symptoms vary depending on the cause, but common signs and symptoms include: Cognitive changes: Memory loss, difficulty communicating or finding words, difficulty with complex tasks, difficulty with planning and organizing, difficulty with coordination and motor functions, problems with disorientation, such as getting lost. Psychological changes like personality changes, inability to reason, inappropriate behavior, paranoia, agitation, hallucinations. Memantine (Namenda) works by regulating the activity of glutamate. Glutamate is another chemical messenger involved in brain functions, such as learning and memory. A common side effect of memantine is dizziness.
SN instructed patient to contact your primary healthcare provider if: you drain less than 30 milliliters ( 2 tablespoons ) in 24 hours. This may mean your drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than 101.5°f ( 38.6°c ). You have increased pain, redness, or swelling around the drain site. You have questions about your JP drain care.