including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Patient was instructed to help your ulcer heal more quickly, follow the advice below: try to keep active by walking regularly, whenever you're sitting or lying down, keep your affected leg elevated with your toes level with your eyes.
SN instructed patient and caregiver on importance wash your hands often with soap and water for at least 20 seconds, avoid touching your eyes, nose, mouth to prevent spread COVID-19.
Instructed patient on medication Amiodarone. This medication is used to stabilize the rhythm of your heart. Amiodarone is used to treat ventricular tachycardia or ventricular fibrillation. Take this medication at the same time daily as directed. May take with or without food. Avoid grapefruit, St. John's wort, & sunlight or tanning beds. common side effects include: nausea, vomiting, loss of appetite; or constipation. Call your doctor or get medical help at once if you have: chest pain, fast or pounding heartbeats, trouble breathing, vision problems, upper stomach pain, vomiting, dark urine, jaundice (yellowing of the skin or eyes), or if you cough up blood. Tell your doctor if you have signs of a thyroid problem, such as weight changes, extreme tiredness, dry skin, thinning hair, feeling too hot or too cold, irregular menstrual periods, or swelling in your neck (goiter).
SN instructed patient on diabetic diet:it is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrates (carbs) for that meal or snack is consistent.Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carbs, the blood sugar levels will go up.
SN educated patient about Neutropenia. Neutropenia is an abnormally low count of neutrophils, which is a type of white blood cell. Neutrophils are made in the bone marrow, so anything that inhibits or disrupts that process can result in neutropenia. Instructed patient to prevent infection; Promote oral care, Promote hygiene, Prevent skin breakdown, Promote nutrition and ensure food is prepared and stored appropriately. Educated on signs and symptoms of infection; which include fever, Red, swollen, warm, or painful skin areas or wounds, An area of orange, bumpy skin with blisters, Cough, chest pain, or trouble breathing, Burning feeling while you urinate. Patient verbalized understanding.
Instructed in possible complications of diabetes such as kidney disease. The early kidney damage has no symptoms. However, a blood test is now available to detect diabetic kidney damage at an early stage when it is still reversible. This is called the microalbumin test.
Instructed diabetic patient about the possible complications of kidney disease. Even though early kidney damage has no symptoms; there is a blood test called Microalbumin now available to detect early diabetic kidney damage while still reversible.
Patient was instructed on what cause leg edema. It can be caused by a serious condition of the kidney, heart, liver or blood vessels, but many other factors can contribute to its onset, including: abusing drugs, sodium retention, varicose veins and history of phlebitis, allergic reactions, neuromuscular disorders, trauma.
SN instructed that a healthy diet is a major factor in reducing your risk of heart disease. A healthy diet and lifestyle can reduce your risk of heart disease, heart attacks, and stroke. Most fruits and vegetables are part of a heart-healthy diet. They are good sources of fiber, vitamins, and minerals. Most are low in fat, calories, sodium, and cholesterol. Eat five or more servings of fruits and vegetables per day. Choose whole grain foods (such as bread, cereal, crackers, and pasta) for at least half of your daily grain intake. Grain products provide fiber, vitamins, minerals, and complex carbohydrates. Eating too many grains, especially refined grain foods (such as white bread, pasta, and baked goods) can cause weight gain. Avoid high-fat baked goods such as butter rolls, cheese crackers, and croissants and cream sauces for pasta. Lean proteins, poultry, seafood, dried peas, lentils, nuts, and eggs are good sources of protein, B vitamins, iron, and other vitamins and minerals. Avoid foods with a lot of saturated fats including animal products such as butter, cheese, whole milk, ice cream, sour cream, lard, and fatty meats such as bacon.
Patient was instructed on traumatic wounds. Contusions are caused by more extensive tissue trauma after severe blunt or blast trauma. The overlying skin may seem to be intact but later become non-viable. Extensive contusion may lead to infection.