chest pain
Diseases Process
Avoid any head, chest
or abdominal trauma, to avoid any falls, to avoid sharp objects such as razor, scissors, and nail clippers. You may carefully use an electric razor. Blow your nose gently and avoid forceful blowing of the nose. Do not take rectal temperature. Do not strain for bowel movements. Consider using stool softeners or laxatives if you are straining during bowel movements. Do not use any rectal suppositories or enemas. Avoid tight clothing such as girdles and tight undergarments or pants.
COPD Instructed patient about effective coughing by following these steps: While sitting in a chair, take several deep breaths as like for diaphragmatic breathing. Placing the hand over their stomach while breathing normally. Tightening up the stomach and chest
muscles with the mouth open. Forcing air out while whispering the word "huff."
SN instructed about the Lifevest wearable defibrillator . Is a treatment option for sudden cardiac arrest that offers patients advanced protection and monitoring as well as improved quality of life. The Lifevest is the first wearable defibrillator. Unlike an implantable cardioverter defibrillator ( ICD ), the Lifevest is worn outside the body rather than implanted in the chest
. This device continuously monitors the patient's heart with dry, non-adhesive sensing electrodes to detect life - threatening abnormal heart rhythms. If a life - threatening rhythm is detected, the device alerts the patient prior to delivering a treatment shock, and thus allows a conscious patient to delay the treatment shock. If the patient becomes unconscious, the device releases a Blue™ gel over the therapy electrodes and delivers an electrical shock to restore normal rhythm.
SN instruct the patient the following symptoms could be signs of a heart attack: chest
discomfort, discomfort in one or both arms, back, neck, jaw, stomach, shortness of breath, cold sweat, nausea, or dizziness. Call 911 for emergent care if you experience any of these s / s ( symptoms / signs ).
Patient was instructed on HTN and how it affects the heart and it's function. Over time HTN if uncontrolled can damage the vessels of the heart, leaving it unable to pump blood efficiently. This causes what is known as heart failure. Symptoms you may experience and should report to your MD are swelling in your feet or hands, crackles in your chest
when breathing, increased shortness of breath.
Instructed patient/caregiver about some things you can do to help move things through your ostomy: Sometimes changing
your position, such as drawing your knees up to your chest
, may help move along the food in your gut.
Instructed what can you do to manage shortness of breath (SOB) do things in ways that use less energy sit down when doing chores and getting dressed. Rest as much as you need to. Avoid heavy lifting. Carry things at your waist or hold them close to your chest
. Use a backpack to carry things and only fill bags half-way. Keep your phone close by and stop to catch your breath when you are having a conversation. A standing or sitting position may be more comfortable during sexual activity with your partner.
Instructed in various factors that help alleviate pain
without, or in addition to, analgesics such as frequent position changes, relaxation techniques, heat or cold, regular rest periods, pillows to support pain
ful area, etc.
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain
may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain
.
The patient was advised in pain
management in arthritis applying heat or cold to a pain
ful joint for temporary relief avoiding temperatures extremes. The patient was recommended to maintain a regular exercise program that provides stretching and joint mobility. The patient was encouraged to coordinate pain
medication with activities. The patient was recommended to use assistive and/or protective devices, as needed, to support affected joints. The patient was advised in the importance of maintaining a safe home environment to prevent falls (removal of small rugs, handrails in showers, tubs, or toilets etc. The patient was encouraged that eating well-balanced diet.