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Instructed patient about dehydration. Common symptoms are: dry mouth, poor skin tugor, dry, flushed skin, decreased urine output, sunken eyes and weak, rapid pulse.
Instructed patient on diagnosis of Myocardial Infarction, which is a prolonged lack of oxygenated blood supply to a portion of the heart muscle, causing pain, and resulting in damage to that area of the heart.
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels. Coordinating the meals with the medications can be a fine balance. Too little insulin in comparison to the medication may result in very low blood sugar (hypoglycemia). Too much food may cause the blood sugar to climb too high (hyperglycemia).
Patient was instructed on how stress can affect blood sugar. Stress can affect blood sugar in two ways: when under heavy stress, it is easy to abandon the usual routine, eating fewer healthy foods, in that sense, stress indirectly causes the blood sugar to rise.
Instructed on the importance of avoiding/reducing exposure to crowds in order to reduce the risk of respiratory infections.
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 hip replacement to get self-help devices to limit hip bending, elevated toilet seat, bath seat, and long-handled grippers. The patient was reviewed to evade putting extra weight on the hip and should use a walker, then crutched and then a cane until totally recuperated. The patient was instructed the importance of joining in physical therapy to recover muscle strength and guarantee adequate upper extremity strength for ambulating with a walker, crutches, or cane. The patient was advised to limit activities to evade loosening or displacing the prosthesis.
Instructed caregiver about checklist for care your skin and catheter: Wash your hands to prevent infections,check the skin around your catheter.
SN advised to patient / caregiver that blood glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
SN Instructed patient on diabetic dinner and snack example: Dinner- 3 ounces meat or protein, such as baked cod or salmon / 2 starches, such as 2/3 cup cooked brown rice, / 2 vegetables, such as 1 cup steamed asparagus and 1/2 cup cooked carrots / 1 fat, such as 1 tsp margarine or 1 tsp olive oil / 1 fruit, such as 3/4 cup fresh pineapple / 1 milk, such as 1 cup skim milk. Evening Snack - 1 bread, such as 3 cups air-popped popcorn / 1 meat or protein, such as 1/4 cup lowfat cottage cheese or 1 ounce turkey breast.