SN completed patient cardiovascular and pulmonary assessment. Medication reviewed and administered. Educated staff on monitoring patient for mood changes, aggressive episodes, anxiety, and agitation related to medication SEs. Staff instructed to monitor environmental hazards to prevent falls and injuries. Staff was also encourages to encourage patient to rise slowly to prevent syncope and dizziness.
SN instructed patient and caregiver on some measures aimed to controlling/managing constipation, such as: establish regular times for evacuations usually after a meal and drink a warm liquid one-half hour before breakfast to stimulate bowel movement, avoid laxative and enema abuse. Instructed on some potential complications of constipation, such as: stool impaction bowel blockage, liquid bowel movement may ooze around hard stool in the colon, pain, valsalva maneuver may be caused by straining, causing a slowed pulse, decreased blood return and increased venous pressure, rectal bleeding and rectal pain.
SN instructed patient and caregiver on measures to prevent constipation: increasing fluids (prefer approx. 8 glasses of water daily) eating a diet high in fiber, and avoiding foods with sugars (pasta, pastries, cheese, rice, etc.), exercise regularly at a slow, steady pace, as directed by md if you are able. Both parties verbalized understanding.
SN instructed that infrequent passage of hard, dry stool, low back pain, abdominal fullness and/or abdominal discomfort, decreased appetite, nausea and/or vomiting, and rectal pressure may constitute as signs/symptoms of constipation. Patient verbalized understanding.
Instructed caregiver increase the patient's water intake. An increase in fluids can help flush out the urinary tract and put you on the road to recovery. Just make sure you're drinking wanter and avoid any sugary or caffeinated drinks. Patient verbalized.
Instructed caregiver you can take these steps to reduce the patient's risk of urinary tract infections: drink plenty of liquids, especially water. Drinking water helps dilute your urine and ensures that you'll urinate more frequently allowing bacteria to be flushed from your urinary tract before an infection can begin.
Instructed caregiver you can take these steps to reduce patient's risks of urinary tract infections: wipe from front to back. Doing so after urinating and after a patient's bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra. Caregiver verbalized.
Instructed caregiver about certain foods and beverages might irritate the patient's bladder, including: coffee, tea and carbonated drinks, even without caffeine. Caregiver verbalized.
SN instructed patient on importance of hand washing before and after eating, after using the bathroom , after blowing your nose, coughing, or sneezing, after being outside , in order to prevent spread of germs.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood present in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.