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Wound Care Teaching 1570

Make sure the skin remains clean and dry. Examine the skin daily. Inspect pressure areas gently. Make sure the bed linens remain dry and free of wrinkles. Pat the skin dry, do not rub

Teaching 1571

Partient is unable for diabetic care due to multiples functional limitation such as poor vision, poor eyes/ hand coordination. No caregiver available at this time.

Lorazepam Teaching 1572

Patient was instructed on Lorazepam a benzodiazepines a medication used to treat anxiety disorder. Patient was instructed to take medication exactly as indicated by physician and to avoid the consumption of alcohol. Patient was instructed on side effects such as: •drowsiness, dizziness, tiredness;blurred vision;sleep problems (insomnia);muscle weakness, lack of balance or coordination;amnesia or forgetfulness, trouble concentrating;nausea, vomiting,constipation;appetite changes; or skin rash. If side effect become persistent or worsen contact physician immediately.

Pacemaker Teaching 1573

Patient instructed to restrict vigorous activity or lifting heavy objects for a week or two. The incision site is usually completely healed after two or three weeks. During this initial period you should watch for signs of bleeding or infection, such as swelling, increased redness or worsening pain, and let your doctor know if any of these signs occur. You will need to have your pacemaker checked periodically to see whether it is functioning normally and to make sure its battery has plenty of energy. Usually, these pacemaker checks are done by telephone every month or two (using a special device your doctor will give you for telephone follow-up), and by visits to your doctor's office once or twice a year.

Hypoglycemia Teaching 1574

Caregiver ALF staff was instructed in the most common side effects of Tradjenta such as stuffy or runny nose and sore throat. Hypoglycemia may occur when linagliptin is combined with insulin or a sulfonylurea-type drug. Allergic reactions and muscle pain also may occur.

Bicalutamide (Casodex) Teaching 1575

Instructed patient in new medication side effects ; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.

Prostatic Hyperplasia (BPH) Teaching 1576

SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.

Teaching 1577

Patient instructed to take Benadril exactly as directed on the package or as directed by your doctor, Take each dose with a full glass of water can be taken with or without food.

Teaching 1578

Patient was instructed that Diabetes Mellitus is a Syndrome in which insulin production is decreased or absent. Lack of insulin leads to elevated blood sugars.

Diabetes Teaching 1579

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.