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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 a safe, hazard free enviroment, to keep clear pathways, remove scatter rugs, and provide adequate lighting.
Instructed on some techniques aimed to performing effective coughing.
Taught that, when taking Levothyroxine, if more than 2-3 doses are missed, physician and/or other health care provider should be notified about it.
Instructed on the importance of avoiding exposing feet to extreme temperatures.
Patient was instructed in a list measures to meet diet requirements to avoid constipation such as: increase fiber foods (grains, vegetables, legumes) and increase sugar free liquids, avoid prolonged sitting or bed to promote bowel movement, also take medication as order, Docusate Ca 240 mg 1 tab PO PRN for constipation
SN advised patient most common side effects from the use of Lovenox are mild pain, irritation, bruising, or redness of the skin at the site of injection. Other common side effects include bleeding, anemia, diarrhea, and nausea.
SN instructed patient and/or caregiver on importance to follow medication regimen exactly as ordered by Md without skipping any doses, nor sharing with others.
Instructed caregiver reducing additional risk factors, such as , high cholesterol, and elevated blood glucose, are important in prevention and treatment of a diabetic foot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks. the patient podiatrist can provide guidance in selecting the proper shoes.
SN instructed patient / caregiver regarding medication Labetalol. SN explained to patient / caregiver that Labetalol is an anti - hypertensive medication. SN explained that the side effects of this medication includes fatigue, weakness, anxiety, bradycardia and orthostatic hypotension. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence or worsening of side effects.