including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Diseases Process
Patient was instructed on some precautions to prevent diabetes complications, such as, to follow a therapeutic diet, including adequate fluid intake to ensure proper nutrition and hydration. Drink fluids often. Drink about half a cup of water, tea or broth every hour.
Instructed patient about S/S complications associated with CHF, including bounding pulse, decreased urinary output, increased SOB, increased edema and sudden weight gain.
Advised hypertensive patients to keep blood pressure under control and alleviate excessive pressure on the vessels, including the site of repair the aortic aneurysm.
The patient was instructed in cushing’s disease and cushing’s syndrome to organize and obtain an emergency kit including alcohol and prefilled syringes hydrocortisone for episodes of severe adrenal insufficiency. The patient was advised to self-monitor laboratory values and identify personal baseline levels. The patient was advised the need to prevent injury associated with osteoporosis. The patient was recommended to use ambulatory aids such as walker, cane as necessary.
The patient was instructed in carpal tunnel syndrome to avoid activities that increase stress on inflamed tissues, grasping and gripping action of hand and wrist, to keep the wrist in neutral position, to avoid the wrist in a bent flexed, twisted, turned position, and to minimize repetitive movements, including holding an object for extended periods of time. The patient was advised to wear a wrist splint to help keep the wrist in neutral position. The patient was taught on range-of-motion exercises and their importance for strengths of muscles.
The patient was instructed in endometrial cancer uterine cancer the importance of applies pain management techniques. The patient was instructed to care for the incision with general sanitation and daily bathing. The patient was taught in radiation therapy the need to prevent infection by evading large multitudes and persons with upper respiratory infections. The patient was advised in skin care including maintenance of colorant markings and the need to evade use of soap and other ointments. The patient was taught the importance of oral hygiene; elude tight or constricting clothing around the radiation site.
The patient was instructed in lung cancer the importance of evading persons with higher respiratory area infections. The patient was advised that after release should evade heavy lifting. The patient was instructed in examine radiation places daily. The patient was advised in skin precaution, including care of color markings and the need to evade use of soap and other ointments. The patient was instructed to evade close-fitting or compressing clothing around the radiation place. The patient was advised that weakness and other side effects begin during the first week of therapy and slowly disappear 2 to 4 weeks after therapy ends.
SN instructed that Breo Ellipta is used regularly as a long term (maintenance) treatment to prevent or decrease wheezing and trouble breathing caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Instructed that common side effects include, Headache, dry/irritated throat, hoarseness, runny nose, and coughing may occur as your body adjusts to the medication.
SN instructed patient about ways to relieve muscle stiffness such as performing exercises including gentle muscle stretching as tolerated, obtaining adequate rest or uninterrupted sleep in order to reduce stress, massaging affected body parts if not contraindicated and to avoid lifting heavy objects. Instructed to inform doctor or skilled nurse if discomfort progress or when severe or unexplained pain is felt.
SN instructed patient to take pain medication before pain becomes severe to achieve better pain control. Always refill your meds before you run out of them. SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, positioning ,etc. SN instructed to report to physician if experiencing pain level not acceptable , pain level greater than 6/10, pain medications not effective, unable to tolerate pain medications, and pain affecting ability to perform normal activities