including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Diseases Process
Patient was instructed on hyperglycemia. It is important to know that glucose levels vary before and after meals, and at various times of the day. Sustained high levels of blood sugar cause damage to the blood vessels and to the organs they supply, leading to the complications of diabetes.
Taught that lack of oxygen may cause damage to the heart.
Taught that Angina Pectoris is a temporary pain without damage to the heart.
Instructed on some potential complications of hypertension, such as: retinal damage (causing visual changes) and heart disease, among others.
Instructed on some potential complications of Congestive Heart Failure (CHF), such as: damage to such organs as liver, kidney and/or brain, among others.
The patient was instructed in frostbite indicating the application of dry, sterile dressings to small, open areas. The patient was advised the importance of protecting the extremity from temperature extremes and rapid changes in temperature because the tissue is delicate to temperature changes and refreezing causes tissue damage. The patient was explained to elude fitted, constrictive clothing or pressure to an area that might cut circulation. The patient was recommended defensive procedures to avoid future incidents or reinjury of the frostbitten part, protective, multilayered, warm, nonconstrictive clothing avoiding of cold temperatures, exhaustion, and malnutrition. The patient was advised that there may be long-term remaining effects, increased sensitivity to cold, burning and itchy, and increasing sweating. The patient was explained that lower extremities are affected, to avoid weight bearing and offer instruction in the use of ambulatory aids. The patient was taught in the importance of elevating the affected extremity. The patient was advised in range-of-motion exercises to prevent contractures.
Patient was instructed on some potential complications of hypertension, such as: retinal damage , cerebrovascular accident (CVA) or stroke and kidney failure. Also the patient was instructed on some measures aimed to managing/controlling hypertension, such as: exercise regularly and have regular check-ups, achieve and/or maintain ideal weight, and decrease sodium intake to decrease retention of fluid and the workload of the heart as directed by MD. Patient understood instructions given.
SN to instruct patient on lifestyle and home remedies like stopping alcohol driving if applicable, avoiding medication that may cause liver damage, help prevent other from coming in contact with infected blood. SN to instruct patient and caregiver on emergency preparedness and when to notify the doctor with new symptoms and/or concerns.
SN instructed patient about the risks of having a Jackson Pratt drain. The JP drain site may be painful. You may have trouble lying on the side with your JP drain. Your JP drain site may leak. The JP drain may be pulled out by accident. The tubing may get blocked, crack, or break. The tubing may damage your tissue. You may have a scar. The JP drain site may get infected. This infection could spread inside your body.
SN instructed patient on wound care. Keep a clean dressing on your wound, dressings keep out germs and protect the wound from injury.
They also help absorb fluid that drains from the wound and could damage the skin around it. Try to drink six to eight cups of water daily. Hydration is essential for healthy skin.