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Instructed in new medication Actos to improve glycemic control. In addition, warned of possible S/E such as headache, edema, heart failure, sinusitis, pharyngitis, tooth disorder, anemia, hypoglycemia (with combination therapy), aggravated diabetes mellitus, weight gain, myalgia and upper respiratory tract infection.
Instructed patient on Diabetes diagnosis, which occurs when the pancreas has partial or total lack of insulin production.
Patient was instructed on breathing methods. They are useful to settle the body and mind and induce a heightened sense of awareness. Breathing exercises have been practiced for thousands of years. Breathing exercises can be helpful for reducing anger, anxiety, depression, fatigue, irritability, muscular tension and stress.
Instructed on some measures aimed to controlling/managing Angina Pectoris, such as: eat a diet high in fiber, exercise regularly (as directed by MD) and take stool softeners, as needed.
The patient was instructed in paget’s disease osteitis deforrmans in the importance to self-inject calcitonin. The patient was advised to take etidronate to program medication doses 2 hours before or after meals. The patient was taught to use ambulatory assist devices and aids like cane, walker.
Instructed patient assess PICC line site, line note any leakage from catheter or around the site. Note any redness, drainage or pain at the site.
Instructed the patient/caregiver on important foot care: inspect feet daily, report any foot problems to MD or Podiatrist, wash feet daily with warm soap and water and pat dry especially between toes, clip nails straight across and gently file with an emery board, wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, avoid exposure to extreme temperatures, and avoid tobacco
SN instructed patient on new medication Namenda. SN instructed patient that namenda extended-release capsules are approved for the treatment of moderate to severe Alzheimer's disease, and that the most common side effects associated with namenda treatment are headache, diarrhea, and dizziness. Understanding was verbalized
RN instructed patient and caregiver on balance in order to avoid fall that can produce complications in musculoskeletal system. RN explained that with age, a combination of factors decreases balance and the nerve endings in our feet don't detect impulses as readily and the balance control centers in our brain and our ears operate more slowly so age - related changes in vision and hearing, even when subtle, also contribute to the decline in balance and could increase the risk of falls. Patient and caregiver voiced understanding of all instructions given.
SN instructed patient / caregiver on medication Azor. Explained that azor is a medication used to lower blood pressure. Explained that it is a combination medication of Amlodipine and Olmesartan and it works by dilating the blood vessels causing a decrease in blood pressure. Explained that the side effects include edema, orthostatic hypotension, rash, itching, palpitation and nocturia. SN instructed patient / caregiver to notify physician ( MD ) if experiencing headache, dizziness or flushing.