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Instructed in possible adverse reactions to Potassium including nausea, vomiting, abdominal pain and diarrhea. Instructed to always take with a full glass of liquid, and with food to prevent GI upset.
Instructed patient on diagnosis of Congestive Heart Failure (CHF), which occurs when the heart is unable to expel the blood from the ventricle, causing congestion.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if bone, joint or muscle pain occur.
Taught that achieving and/or maintaining ideal weight is a measure aimed to managing/controlling Diabetes Mellitus (DM).
The patient was instructed in cervical cancer explaining of type of cancer and the therapeutic or surgical procedures to be performed. Patient Undergoing Surgery, the patient was reviewed avoid coitus and douching for 2 to 6 weeks after surgery, avoid heavy lifting and vigorous activities. Patient Undergoing Cryosurgery/Laser Therapy , the patient was taught that perineal drainage is clear and watery initially progressing to a foul-smelling discharge that contains dead cells, reviewed perineal care and hygiene, recommended need for regular Papanicolaou and pelvic examinations. Patient Undergoing Pelvic Exenteration, the patient was instructed to obtain appropriate supplies for ostomy care, the patient was taught on perineal care explaining the drainage may continue for several month, the patient was reviewed in wound irrigation procedures and application of sanitary pads, avoid prolonged sitting.
The patient was instructed in cirrhosis to avoid using soap. The patient was advised to use moisturizers and antipruritic lotions. The patient was reviewed to minimize the risk of bleeding by not straining during defecation, blowing the nose forcefully, or using razor blades or hard-bristled toothbrushes. The patient was recommended the importance of abstaining from alcohol.
The patient was instructed in gastrointestinal bleeding in how to observer stools for blood and show stool occult blood test. The patient was instructed the status of smoking termination and complete abstinence from alcohol. The patient was advised to evade coughing, sneezing, lifting, straining during defecation, or vomiting. The patient was reviewed whether medicines should be taken with food or require an empty stomach. The patient was advised to evade use of aspirin having medications like ibuprofen and other nonsteroidal anti-inflammatory medicines. The patient was taught to design a diet high in vitamin K. The patient was instructed to eat small, frequent meals, to chew food well, and to eat slowly. The patient was instructed to drink water with meals. The patient was taught with a list of irritating foods and drugs to evade like coffee, tea, caffeine, spicy foods, rough foods, citric acid juices, hot foods. The patient was advised to evade milk because it occasionally gives to increase gastric acid secretion.
The patient was instructed in head trauma in the importance of the wound/incision care in any laceration or medical cut. The patient was advised that possible remaining effects like dizziness, headaches, memory loss can be continue for up to 3 to 4 months after trauma. The patient was reviewed that may experience variations in character, inappropriate social behavior, hallucinations. The patient was taught in finding assistive devices for ambulation. The patient was reviewed in concussion to evade Valsalva maneuvers like pulling during defecation, coughing, nose blowing, sneezing.
SN advised patient and caregiver to report the development of a late skin rash with symptoms of fever, fatique, and sore throat. Caregiver verbalized understanding of instructions given.
SN instructed the reason it is important to help or use proper turning techniques to prevent friction and shearing of skin. Friction usually, but not always, accompanies shear. Friction is the force of rubbing two surfaces against one another. Shear is the result of gravity pushing down on the patient's body and the resistance between the patient and the chair or bed. When combined with gravity/force (pressure), friction causes shear, and the outcome can be more devastating than pressure alone.
