diverticulosis-and-diverticulitis
Diseases Process
Patient was instructed on the optimization of wound environment. Adequate nutrition and hydration, remove nonviable tissue, maintain moisture balance, protect the wound and peri-wound skin, eliminate or minimize pain, cleanse, prevent and manage infection, control odor.
Patient was instructed on treating painful wounds. Persistent pain associated with non-healing wounds is caused by tissue or nerve damage and is influenced by dressing changes and chronic inflammation. Chronic wounds take long time to heal and patients can suffer from chronic wounds for many years.
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels. Food is the major culprit in altering the blood sugar level. The blood is at its highest an hour or two after eaten, and then it starts to fall. What eaten, when and how much all affect blood sugar levels.
Caregiver was instructed that most people pinch up a fold of skin and insert the needle at aangle to the skin fold. To pinch the skin properly, follow these steps: Squeeze a couple of inches of skin between the thumb and two fingers, pulling the skin and fat away from the underlying muscle. (If use a 5 millimeter mini-pen needle to inject, you don't have to pinch up the skin when injecting at aangle; with this shorter needle, you don't have to worry about injecting into muscle.)" Insert the needle, Hold the pinch so the needle doesn't go into the muscle, Push the plunger, "release the grip on the skin fold. Remove the needle from the skin.
Patient was instructed on Hyperglycemia. Drink plenty of liquids. If the blood sugar levels are above the target range, drink extra liquids to replace the fluids lost through the urine. Waters and diet drinks are best. Avoid caffeinated drinks, alcohol, and soda pop and other liquids that contain a lot of sugar.
Patient was instructed on hyperglycemia. It is important to know that glucose levels vary before and after meals, and at various times of the day. Sustained high levels of blood sugar cause damage to the blood vessels and to the organs they supply, leading to the complications of diabetes.
SN instructed patient and caregiver that myocardial infarction and angina pectoris are potential complications of Coronary Artery Disease (CAD). Symptoms for myocardial infarction tightness or pain in the chest, neck, back, or arms. Angina symptoms squeezing, pressure, heaviness, tightness, or pain in the chest. Call your doctor immediately for any symptoms. Both patient and caregiver verbalized understanding.
SN instructed patient and caregiver that a sudden physical exertion may constitute as a precipitating factor of Angina Pectoris. Angina occurs when one or more of the coronary arteries become narrowed or blocked. Not be discouraged from exercising, but start slowly and do it regularly. Both patient and caregiver verbalized understanding.
Patient was instructed on respiratory infection. Sometimes accompanied by 'pink eye', muscle aches, fatigue, malaise, headaches, muscle weakness, uncontrollable shivering, and loss of appetite, fever and extreme exhaustion are rare during a cold and are more usual in influenza. The symptoms of a cold usually resolve after about one week, but can last up to two.
Encouraged patient verbalization regarding fears and concerns about disease and prognosis. Taught patient how to help with reality orientation and stimulation.