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Instructed patient on how the pacemaker most commonly corrects abnormally slow heartbeat. It achieves that by electrically stimulating the heart to maintain a sufficient predetermined heart rate. On occasions a pacemaker may also be used to correct abnormally rapid heartbeat.
Instructed patient on diagnosis of ASHD/CAD, which occurs when there is a narrowing of the blood vessels supplying the heart muscle, restricting blood flow.
Instructed patient on management of chest pain. These steps are to be followed in case of occurrences: sit or lie down and rest immediately at onset of pain, if NTG available take as instructed and/or call 911.
Patient was instructed on relieving and preventing leg edema. The first line of defense is: leg elevation. Elevate legs above the level of the heart which puts minimal pressure on the back of the knees and thighs and lower back. Other help to decrease swelling is limiting salt intake, drink plenty of water, avoid sitting with the feet dependent. Do not abuse diuretics and laxatives.
Patient instructed to contact primary physician if current pain treatment stops working or pain begins to get worse over time.
Encouraged patient the importance of evading allergens by food or insect venom. Advised patient for early and late symptoms.
Instructed patient untreated high blood pressure can lead to a greater risk for stroke, heart attack, or other.
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.
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.
SN instructed patient and caregiver about Lymphedema disease, also known as lymphatic obstruction. Is a condition of localized fluid retention and tissue swelling caused by a compromised lymphatic system, which normally returns interstitial fluid to the thoracic duct and then the bloodstream. The condition can be inherited or can be caused by a birth defect, though it is frequently caused by cancer treatments, and by parasitic infections. Though incurable and progressive, a number of treatments can ameliorate symptoms. Tissues with lymphedema are at high risk of infection. Symptoms may include a feeling of heaviness or fullness, edema and ( occasionally ) aching pain in the affected area. In advanced lymphedema, there may be the presence of skin changes such as discoloration, verrucous ( wart-like ) hyperplasia, hyperkeratosis, and papillomatosis; and eventually deformity ( elephantiasis ). Patient verbalized understanding the teaching.