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Instructed patient about S/S of osteoarthritis, such as, aching pain which increases with activity and is usually relieved with rest, stiffness upon rising, fatigue, decreased exercise tolerance, crepitus, restriction of joint movement and others.
Instructed that a tracheostomy is used to bypass an upper airway obstruction, prevent aspiration, manage tracheobronchial secretions, or allow for prolonged mechanical ventilation.
Patient was instructed on the importance of a proper nutrition. Read the nutrition facts on food labels. Food labels for fruits may contain the words:
Taught that, in Angina Pectoris, pain may occur in the inner aspects of arms, upper abdomen and shoulders.
Instructed on the importance of do not stop taking Crestor even if feeling well, unless otherwise directed by MD.
Taught that lack of dopamine causes the symptoms of Parkinson
The patient was instructed in carpal tunnel release on care of the hands and dressings, to keep the arm and hand elevated above heart level to reduce swelling and healing. The patient was reviewed to check the dressing daily for signs of bleeding or drainage, when bathing are permitted the patient should be shower with the dressing covered by a plastic bag. The patient was recommended to follow prescribed exercises to maintain circulation and improve range of motion such as sponge squeezing.
Instructed caregiver to call patient's doctor if patient have: fever or chills, redness, swelling, or pain that is getting worse. Bleeding or drainage from the hole.
SN instructed patient about suprapubic catheter care, always wash your hands with soap and water before and after handling your catheter, make sure that the catheter tubing does not get twisted or kinked, and that urine is flowing out of the catheter into the urine collection bag, keep the urine collection bag below the level of your bladder, make sure that the urine collection bag does not drag and pull on the catheter, you can shower with your catheter and urine collection bag in place unless you have been told not to, clean the bag every day after removing it from the catheter. Use another container while you clean the bag. To clean the bag, fill it with 2 parts vinegar to 3 parts water and let it stand for 20 minutes. Then empty it out, and let it air-dry.
SN instructed patient / caregiver about the medication Isosorbide. SN explained that Isosorbide is a medication given to reduce the blood pressure and that it also reduces the heart rate. SN explained that the side effects of this medication includes fatigue, anxiety, weakness, dizziness, tachycardia, pulmonary edema, constipation and dry mouth. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if experiencing blurred vision, difficulty breathing, wheezing, dizziness, light - headedness, confusion, depression or dry mouth.