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Instructed in measures to control or to live with Parkinson's disease such as exercising daily with regular rest periods, learning walking techniques, following safety precautions, obtaining adequate nutrition, obtaining emotional support, taking medication as ordered, getting help as needed, wearing an identification bracelet, etc.
Instructed patient on never walking barefoot to prevent cuts and burns and also to wear sleepers at night when getting up.
Patient was instructed on Darkened teeth. It is caused by changes in dentin
Patient was instructed on factors that contributes to poor skin integrity, such as, immobilization, poor circulation, moisture, heat, anemia, shearing forces poor nutritional status, etc.
Patient was instructed on hypoglycemia. Insulin, glucagon and other hormone levels rise and fall to keep blood sugar in a normal range. Too little or too much of these hormones can cause blood sugar levels to fall too low (hypoglycemia) or rise too high (hyperglycemia).
Taught that never exercising a hot, inflamed joint is a measure aimed to controlling/managing Rheumatoid Arthritis.
Instructed on some measures aimed to managing/controlling Emphysema, such as: avoid/decrease exposure to excessive heat (which increases oxygen requirements) and avoid/decrease exposure to excessive cold (which increases possibility of bronchospasm), among others.
The patient was instructed in bone marrow suppression that will be more susceptible to infection, bleeding, and anemia. The patient was encouraged in the prevention of the infection by eating healthy meals, keep mouth, teeth and gums clean, avoid people who are sick. The patient was encouraged in the prevention of the bleeding avoiding physical activities that could cause injuries. The patient was encouraged in the prevention in the anemia by eating a high-protein diet, and multivitamin supplement with minerals.
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.
SN instructed patient to perform daily meticulous foot care, to be sure to dry feet completely after a bath, checking for any sores, cuts or scrapes and to report any wounds as soon as they appear to SN or MD. Also have a podiatrist cut toenails regularly to prevent ingrown toenails and other complications.