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Instructed in factors that contribute to poor skin integrity such as immobilization, poor circulation, moisture, heat, anemia, shearing forces, poor nutritional status.
Instructed in S/S of hypoglycemia, including cold sweat, shaking, blurred vision, faintness, hunger, headache, confused thinking and impatience. Instructed if these S/S occur to take fast acting sugar, such as orange juice with sugar or glucose tablets.
Instructed patient about walking. It is a very good way to get regular exercise. Walking around the block for at least minutes every day is the ideal type of exercise. Always carry a snack.
Patient was instructed on measures to prevent falls when bathing. Install grab handles and nonskid mats inside and outside the shower/tub and near the toilet and sinks. Use shower chair and bath benches.
Patient was instructed on personal hygiene. Hygiene and good habits are commonly understood as prevention methods against infection. Hygiene is the maintenance of health and healthy living. Hygiene involves healthy diet, cleanliness, and mental health.
Instructed on the importance of keeping all passageways uncluttered and adequately illuminated.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if any unusual signs/symptoms occur.
The patient was instructed in fixator devices internal fixator positions a risk for refracture and analysis preventive actions, care in support walking, and no weight manner in anticipation of well-ordered by the doctor. The patient was advised that some nails or large plates may be removed in a year.
SN instructed patient and caregiver to maintain adequate fluid intake and avoid dehydration during drug therapy, as this may increase risk for toxicity. Caregiver verbalized understanding of instructions given.
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.