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Instructed in S/S of hypoglycemia, including cold sweat, shaking, blurred vision, faintness, hunger, headache, confused thinking and impatience. Instructed if these S/S occur to take fast acting sugar, such as orange juice with sugar or glucose tablets.
Patient was instructed on the importance of skin integrity to avoid future complication. With a good skin care it is possible to prevent most pressure sore (bed sores), that can develop quickly in people who are very thin or obese, or who collect fluids in their tissues, who have poor nutrition, who are elderly.
Patient was instructed on breathing methods. Breathe properly. Lie down on a rug or blanket on the floor with the legs straight and slightly apart, the toes pointed comfortably outwards, arms at the sides not touching the body, the palms up, and the eyes closed. This is called a "relaxed body" position. Take time to relax the body and breathe freely.
Taught that Lyrica works best when the amount of medicine in the body is kept at a constant level; therefore, it is best to take this medication at evenly spaced intervals throughout the day.
Taught that consumption of a heavy meal may constitute as a precipitating factor of Angina Pectoris.
Instructed patient use sugar in moderation. Consider lower sugar options if available, fruits, vegetables, beans and whole grain foods are good sources of fiber, drink plenty of water, use less salt.
SN instructed patient that a seizure can occur at any time and without warning, patient should shower only with someone in attendance. Leave the bathroom door unlocked, use shower chair, take shower rather than tubs baths.
SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.
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 instructs us on different ways to make supplemental drinks taste more appetizing, heating the drink in a mug (hot chocolate or warm vanilla milk) -blending it with ice to make a milkshake -blending the ensure with frozen fruit ( esp. bananas or frozen strawberries ) -making a "latte" by foaming/warming the drink and adding coffee -adding coffee to heated ensure -freezing the ensure and eating it like a slushy -add 2 TB peanut butter, 1 TB cocoa powder. Blend, freeze or heat.