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Instructed in measures to control rheumatoid arthritis such as adequate exercise, proper diet, stress control, pain control, physical or occupational therapy, self-help devices, emotional support and others.
Instructed in S/S of hypertension such as blurred vision, nouse bloods, dizziness, headache, palpitations, etc.
Patient was instructed on passive range of motion exercises, also called ROM exercises. ROM exercises can be active o passive. Active ROM is done when a person can do the exercises by himself. Active-assisted ROM is done by a person and a helper. Passive ROM exercises are done for a person by a helper. The helper does the ROM because the person cannot do them by himself.
Instructed on the importance of having both her blood sugar level and blood pressure monitored on a daily basis, as directed by MD.
Instructed on some signs/symptoms of Diabetes Mellitus (DM), such as: itching, changes in vision and weight loss.
The patient was instructed in COPD: Chronic Obstructive Pulmonary Disease or Chronic Obstructive Lung Disease the importance of avoiding bronchopulmonary irritants such as cigarettes smoking, industrial air pollutants, dust, powders, perfumes, aerosol sprays. The patient was encouraged to use of bronchodilator nebulizers. The patient was taught in adaptive breathing techniques such as deep-breathing exercises, coughing techniques, pursed-lip breathing, and abdominal breathing. The patient was reviewed to avoid persons with infections, especially upper respiratory tract infections. The patient was advised the importance of taking vaccines for influenza and pneumococcal pneumonia. The patient was recommended on cleaning of all home respiratory equipment. The patient was taught in the importance of environmental control, avoid dry air, avoid going out in cold temperatures.
The patient was instructed in muscular dystrophy in locating correct devices like aids for ambulation and self-care activities. The patient was advised to recognize variations in the home location like bed trapezes, handrails, railed toilet seats, and ramps for wheelchairs. The patient was taught in the good skin care and placing using a bed or a wheelchair. The patient was reviewed in pain controlling methods to deal with chronic pain.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent with overall goals of care.
Instructed patient use sugar in moderation. Consider lower sugar options if available, fruits, vegetables, beans and whole grain foods are good sources of fiber, drink plenty of water, use less salt.
SN instructed patient / caregiver regarding medication Glimepiride. SN instructed patient / caregiver that Glimepiride is a antidiabetic medication that lowers blood sugar level. SN instructed patient / caregiver to check blood sugar before taking the medication to avoid hypoglycemia. SN explained to patient / caregiver that low blood sugar ( hypoglycemia ) can occur during glimepiride therapy. SN explained that the symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, cold temperature, excessive yawning, irritability, confusion, or loss of consciousness. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of these side effects.