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Instructed in the assessment of their chest pain, including amount, frequency, location, duration and any associated symptoms. Instructed to report these to the health care professional.
Instructed patient not to go outside during hurricane conditions. If a safe place to stay is not available consider going to a shelter in advance.
Instructed patient to always keep supplies at your patient's bedside for suctioning; tube and stoma care; delivery of oxygen, heat, and humidity; tracheostomy tube replacement; and artificial ventilation.
Patient was instructed on tips for fire safety. If an appliance smokes or has an unusual smell, unplug immediately and have it repaired. Replace frayed or cracked electrical cords and don
Instructed on some signs/symptoms of Rheumatoid Arthritis, such as: loss of appetite and low-grade fever, among others.
The patient was taught in hypertension in what way and at what time to take blood pressure measurements using home monitoring equipment. The patient was instructed to take blood pressure at the same time each day, have a record of blood pressure readings. The patient was encouraged the importance of evading all tobacco products. The patient was advised the need to stop obesity.
Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)
SN instructed patient on signs of central catheter problems. The signs of catheter infection and problems are similar for all types of central venous catheters. If you have any sign of infection or catheter problem, call your doctor immediately. In addition signs of infection, clotting, or other problems include: Redness, tenderness, drainage, warmth, or odor around the catheter site Fever of 100.5F (38 C) or greater, or chills, swelling of the face, neck, chest, or arm on the side where your catheter is inserted, leakage of blood or fluid at the catheter site or the cap, inability to flush the catheter, or resistance to flushing the catheter, displacement or lengthening of the catheter. Patient verbalized understanding
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 / caregiver on medication Avandaryl. Explained that it is a medication indicated for Diabetes Mellitus ( DM ) type II to decrease the blood sugar by stimulating the production of insulin and increasing receptor site sensitivity. SN explained to patient / caregiver that the side effects include dizziness, photosensitivity, low blood sugar, constipation, nausea and vomiting. SN instructed patient / caregiver to monitor blood sugar daily and to not skip or double doses. SN instructed patient / caregiver to notify physician ( MD ) if experiencing unusual weight gain, swelling of ankles, drowsiness, dyspnea ( SOB ), muscle cramps, weakness, sore throat, rash, unusual bleeding or if bruising occurs.