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Patient was instructed on the difference between a cold and the flu. With a cold, there is poor probably to have much of one headache but with the flu, the headache will be prominent. Of course, we're talking about colds here and not sinus infections, which can cause headaches too.
Patient was instructed on diabetes symptoms. People with diabetes who have had high blood sugar levels for long periods of time can develop complications, including: Damage to the eyes (retinopathy) which can lead to blindness. Damage to the nerves (neuropathy), which can lead to numbness, tingling or pain in the legs and arms. Damage to the kidneys (nephropathy), which can result in kidney failure.
Taught that Levothyroxine is a hormone used as a replacement or substitution therapy in diminished or absent thyroid function of many causes.
Instructed on the importance of having her feet inspected on a daily basis, as directed by MD.
Taught that difficult or infrequent passage of hard, dry stool may constitute as a sign/symptom of constipation.
Taught that avoiding situations that may cause stress is a measure aimed to preventing/controlling Osteoarthritis.
Instructed patient Call your doctor if the skin around your stoma: Pulls back, Is red or raw, has a rash, is dry, hurts or burns, swells or pushes out.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. Patient currently uses cane while ambulating and states that it helps her with her balance. Patient advised that side effects of most medications taking can cause dizziness and to report and dizziness so that it can be addressed by MD. Patient voiced understanding SN will continue to monitor.
Instructed patient check your skin where the catheter enters it every day. Look for signs of infection and other problems. Instructed patient call your health care provider if you: Have bleeding, redness or swelling at the PICC line or Midline site, have pain near the site or in your arm, have signs of infection (fever, chills), are short of breath.
RN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and may or may not experience one or more of these symptoms: Severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or weakness of extremities, change in vision and difficulty speaking and immediately ask for medical assistance calling 9-1-1. RN instructed patient and caregiver on no-added-salt or salt-controlled diet that can help control high blood pressure. Both patient and caregiver verbalized understanding.