SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.
SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.
SN educated caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure an that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain, back pain, numbness/weakness, change in vision, difficulty speaking do not wait to see if your pressure comes down on its own. SN advised caregiver to seek immediately medical assistance and/or call 9-1-1 if listed above occurs or worsen with patient. Caregiver verbalized understanding of all teachings during visit.
Instructed patient while your body adjusts, it's a good idea to avoid high-fat foods for a few weeks after having gallbladder surgery.High-fat foods include: foods that are fried, like French fries and potato chips, high-fat meats, such as bacon, bologna, sausage, ground beef, and ribs high-fat dairy products, such as cheese, ice cream, cream, whole milk, and sour cream.
Instructed patient It can take a few weeks for your body to get used to this change, and you may experience bloating, diarrhea, and gas after eating fatty foods during this time. Instructed patient if you feel ready and are not nauseated, you can slowly begin introducing solid foods back into your diet as you start feeling better. But you may need to avoid certain types of foods for a while.
Instructed patient high-fiber and gas-producing foods can also cause some people discomfort after gallbladder surgery, so you may want to introduce them slowly back into your diet. These include: Brussels sprouts, Broccoli, Cauliflower and Cabbage.
Instructed patient high-fiber and gas-producing foods can also cause some people discomfort after gallbladder surgery, so you may want to introduce them slowly back into your diet. These include: Cereals, whole-grain breads, nuts, seeds and legumes.
Instructed patient while your body adjusts, it's a good idea to avoid high-fat foods for a few weeks after having gallbladder surgery.High-fat foods include: Pizza, foods made with lard or butter, creamy soups or sauces, meat gravies Chocolate, oils, such as palm and coconut oil, skin of chicken or turkey
SN instructed patient/PCG on aspiration as the most common complication related to tube feeding. SN explained that this occurs when food is actually inhaled into the lungs (can lead to pneumonia), but if patient is kept upright during feeding, this complication can be greatly minimized.
Instructed patient when to call your doctor although it's common to have some food-related symptoms after surgery, it is important to contact your surgeon if you experience the following symptoms, since they may be symptoms of a serious complication: No bowel movement for more than three days after surgery, inability to pass gas for more than three days after surgery, frequent diarrhea that lasts for more than three days after surgery.
