including damage eyes retinopathy which can lead blindness damage nerves neuropathy
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which
and can
turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can
help bring ones body temperature up. If frost bit occurs, one can
warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
SN instructed patient / caregiver on headache which
is a pain in any region of the head. SN instructed patient / caregiver that headache can
occur on one or both sides of the head, be isolated to a certain location, radiate across the head from one point, or have a vise -like quality. SN instructed patient / caregiver on that headache may be a sharp pain, throbbing sensation or dull ache. SN instructed patient / caregiver that headache can
appear gradually or suddenly. SN instructed patient / caregiver that headache can
be triggered by lifestyle factors such alcohol (particularly red wine), certain foods (processed meats that contain nitrates), lack of sleep, poor postures, skipped meals and stress. SN instructed patient / caregiver on emergency preparedness and to encourage to report any new or severe symptoms.
SN instructed patient and caregiver about Lymphedema disease, also known as lymphatic obstruction. Is a condition of localized fluid retention and tissue swelling caused by a compromised lymphatic system, which
normally returns interstitial fluid to the thoracic duct and then the bloodstream. The condition can
be inherited or can
be caused by a birth defect, though it is frequently caused by can
cer treatments, and by parasitic infections. Though incurable and progressive, a number of treatments can
ameliorate symptoms. Tissues with lymphedema are at high risk of infection. Symptoms may include a feeling of heaviness or fullness, edema and ( occasionally ) aching pain in the affected area. In advanced lymphedema, there may be the presence of skin changes such as discoloration, verrucous ( wart-like ) hyperplasia, hyperkeratosis, and papillomatosis; and eventually deformity ( elephantiasis ). Patient verbalized understanding the teaching.
SN explain that Heart failure is a condition in which
the heart can
not pump the amount of blood the body needs. Heart failure does not mean that the heart has stopped or is about to stop working. It indicates that the heart can
not pump blood the way it should. It can
affect one or both sides of the heart the weakening of the pumping capacity of the heart causes: Accumulation of blood and fluid in the lungs Accumulation of fluid in the feet, ankles and legs called edema Tiredness and shortness of breath The most common causes of heart failure are coronary artery disease, high blood pressure and diabetes. It is most common in people over 65, African
- American
s, overweight people, and people who have already had a heart attack. Men are at greater risk than women.
SN instructed caregivers/patient on hyponatremia, which
means your blood level of sodium (salt) is too low. Salt is needed for the body and brain to work. Very low blood levels of sodium can
be fatal. Symptoms can
include headache, confusion, fatigue, muscle cramps, hallucinations, seizures, and coma. To help prevent hyponatremia, take all medicines exactly as directed. Certain medicines can
lower blood sodium levels. Have your sodium levels checked often. This is vital if you take a diuretic (medicine that helps your body get rid of water). Call your provider right away if you have any of the following: Severe tiredness, Fainting, Dizziness, Loss of appetite, Nausea or vomiting, Confusion or forgetfulness, Muscle spasms, cramping, twitching Seizures, or Gait disturbances. Caregiver voiced understanding.
Instructed patient on diagnosis of Myocardial Infarction, which
is a prolonged lack of oxygenated blood supply to a portion of the heart muscle, causing pain, and resulting in damage
to that area of the heart.
Patient was instructed on another lead
ing type of chronic wounds is pressure ulcers. That occurs when pressure on the tissue is grater than the pressure in capillaries, and thus restricts blood flow into the area. Muscle tissues, which
needs more oxygen and nutrients than skin does, show the worst effects from prolonged pressure. As in other chronic ulcers, reperfusion injury damage
tissue.
Instructed patients on important routines regarding diabetic foot care, such as: always wear shoes which
offer good foot support and fit properly, wear clean socks which
also fit properly and avoid going barefooted.
Instructed on some measures aimed to managing/controlling Emphysema, such as: avoid/decrease exposure to excessive heat (which
increases oxygen requirements) and avoid/decrease exposure to excessive cold (which
increases possibility of bronchospasm), among others.
SN instructed that the ibuprofen at low doses it does not appear to increase the risk of myocardial infarction; however, at higher doses it may. It may result in worsened asthma. Like other NSAIDs it works by inhibiting the synthesis of prostaglandins, which
are fat-like molecules that are derived from the omega-6 fatty acid, arachidonic acid, which
are involved in mediating inflammation, pain and fever. Patient verbalized understanding of given information.