including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes that include: illnesses and other health conditions. Hypoglycemia may occur when other diseases and disorders affect the body's sugar metabolism. These can include disorders of the pancreas and endocrine system; diseases of the liver, adrenal glands (such as Addison's disease), or kidneys; heart failure, whichcan impair liver function; and sepsis. In very rare cases, nonpancreatic tumors cause hypoglycemia.
Taught that Hyzaar can infrequently raise or lower the potassium blood levels, which, in turn, rarely can cause serious side effects such as muscle weakness/cramping and/or very slow heartbeats.
Phlebitis, or an inflammation of the vein, may occur when receiving IV antibiotics whichcan be irritating to smaller veins. Symptoms of phlebitis include redness, tenderness and swelling. Education about recognition of these complications allows the patient to be involved and can help reduce the risk of further complications related to IV therapy.
SN instructed that at the first sign of a migraine, retreat from your usual activities if possible. Instructed on ways to help treat migraine headaches such as, turn off the lights. Migraines often increase sensitivity to light and sound. Relax in a dark, quiet room. Sleep if you can.Try temperature therapy. Apply hot or cold compresses to your head or neck. Ice packs have a numbing effect, which may dull the sensation of pain. Hot packs and heating pads can relax tense muscles; warm showers or baths may have a similar effect. Suggested him to massage painful areas. Apply gentle pressure to your scalp or temples. Alleviate muscle tension with a shoulder or neck massage.
SN instructed patient about how the thyroid hormone helps regulate metabolism. When this hormone is abnormally low the energy production decreases, disrupting many vital functions. This can include skin issues such as: Coldness in the fingers and feet with pale and dry coarse skin, eczema, a yellowish hue to the skin, sparse and brittle hair, which comes out in handfuls, loss of hair in the outer third of eyebrows, slow growing, ridged and brittle nails, edema in face, eyelids, hands and feet, and delayed wound healing. Some of these things can be avoided if you are taking your replacement medication daily as ordered and are getting regular blood work to assure the medication is at the correct dose.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. Patient currently uses cane while ambulating and states that it helps her with her balance. Patient advised that side effects of most medications taking can cause dizziness and to report and dizziness so that it can be addressed by MD. Patient voiced understanding SN will continue to monitor.
RN performed supervision with HHA present and reviewed that the HHA Care Plan is followed as ordered. Patient is satisfied with rendered services. RN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid - proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non - slip footwear and not walking in stocking feet. RN also explained that side effects of most medications taking can cause dizziness and advised to immediately report the occurrence of dizziness so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.
SN educated patient/caregiver about CKD. Chronic kidney disease (CKD) means your kidneys are damaged and can’t filter blood the way they should. The main risk factors for developing kidney disease are diabetes, high blood pressure, heart disease, and a family history of kidney failure. You can take steps to protect your kidneys. The most important step you can take to treat kidney disease is to control your blood pressure. Healthy habits can also help you manage your kidney disease.
Instructed patient about how a stroke can result from the damage that ongoing high blood pressure causes in the body vessels. If the affected vessel stops supplying blood to the brain, as a result a stroke occurs.
Patient was instructed on hypertension. Blood pressure commonly rises as getting older, but this increase occurs more quickly in people who already have high blood pressure. Untreated hypertension candamage the delicate lining of the blood vessels.