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Instructed in management of chest pain, to sit or lie down and rest immediately at onset of pain, if NTG available to take as instructed and/or call 911.
Patient was instructed on measures to prevent falls when bathing. Install grab handles and nonskid mats inside and outside the shower/tub and near the toilet and sinks. Use shower chair and bath benches.
Instructed patient / caregiver inspect the site daily for any irregularities, such as swelling, redness, leakage or pain. If any irregularities or complications are noted, report them to a healthcare professional immediately.
Instructed patient to avoid foods which might increase acid reflux. Food that is very hot or very cold, fried foods, peppermint, coffee, drinks that contain caffeine, spicy, highly seasoned foods, tomato-based dishes, citrus fruits and juices, chocolate and sweets. If patient any reflux symptoms, instructed on not lie down right after eating and to remain upright for at least 2 hours.
Patient instructed on how Levodopa and Carbidopa are used in combination to treat the symptoms of Parkinson's disease. Carbidopa prevents the breakdown of Levodopa in the bloodstream so more Levodopa can enter the brain. This can reduce some of Levodopa's side effects such as nausea and vomiting, and it may also allow your doctor to increase your Levodopa dose more quickly to find the best dose.
Instructed patient call your doctor if it is does not get better when you treat it.If your stoma is leaking, your skin will get sore, be sure to treat any skin redness or skin changes right away, when the problem is still small. Do not allow the sore area to become larger or more irritated before asking your doctor about it, If your stoma becomes longer than usual (sticks out from the skin more), try a cold compress, like ice wrapped in a towel, to make it go in.
Instructed patient if your trach tube comes out Don’t panic! Stay calm. Your stoma will stay open. If you do not know how to put the tube back in or you can’t get it in, have someone take you to the nearest Emergency Department, or go to your family doctor’s office. Take your extra trach tube with you.
SN instructed patient / caregiver on headache which is a pain in any region of the head. SN instructed patient / caregiver that headache can occur on one or both sides of the head, be isolated to a certain location, radiate across the head from one point, or have a vise -like quality. SN instructed patient / caregiver on that headache may be a sharp pain, throbbing sensation or dull ache. SN instructed patient / caregiver that headache can appear gradually or suddenly. SN instructed patient / caregiver that headache can be triggered by lifestyle factors such alcohol (particularly red wine), certain foods (processed meats that contain nitrates), lack of sleep, poor postures, skipped meals and stress. SN instructed patient / caregiver on emergency preparedness and to encourage to report any new or severe symptoms.
SN instructed patient that steri strips may fall off the skin after 10 days. Leave the steri strips in place until they fall off on their own accord or until your doctor determines it is appropriate to remove them. If the wound has healed and your doctor says you can remove the strips, use lotion or a small amount of water to loosen them from your skin.
SN instructed patient about the Restoril ( temazepam ) is a benzodiazepine. Temazepam affects chemicals in the brain that may be unbalanced in people with sleep problems ( insomnia ). Restoril is used to treat insomnia symptoms, such as trouble falling asleep or staying asleep. Restoril works by slowing down the central nervous system ( brain ), causing drowsiness which helps patients fall asleep.