diverticulosis-and-diverticulitis
Diseases Process
SN instructed that should be call your doctor right away if you notice any of the following signs and symptoms of an infection: Fever ( this is sometimes the only sign of an infection ), chills and sweats, change in cough or a new cough, sore throat or new mouth sore, shortness of breath, nasal congestion, stiff neck, burning or pain with urination, unusual vaginal discharge or irritation, increased urination, redness, soreness, or swelling in any area, including surgical wounds and ports, diarrhea, vomiting, pain in the abdomen or rectum, new onset of pain.
SN instructed patient on arthropathy: Encouraged frequent changes of position. Assisted patient to move in bed, supporting affected joints above and below, instructed her to avoid jerky movements. Recommend that patient take warm bath or shower upon arising or at bedtime. Apply warm, moist compresses to affected joints several times a day. Monitor water temperature of compress, baths, and so on. Encouraged patient on stress management techniques such as progressive relaxation, biofeedback, visualization, guided imagery, self-hypnosis, and controlled breathing.Verbalized understanding.
SN instructed in possible complication of PVD such as ulcers, cellulites, gangrene, thrombophlebitis, etc. SN instructed patient to walk for at least 15 minutes three to four times per day, gradually increasing her pace and duration of exercise. It is recommended not to cross the legs, which may interfere with blood flow; manage swelling by elevating the feet at rest. Vasodilation can be achieved by providing warmth to the affected extremity and preventing long periods of exposure to cold; maintain a warm environment at home and wear socks or insulated shoes at all times. Never apply direct heat to the limbs, such as with the use of a heating pad or extremely hot water to reduce the risk of burns. Verbalized understanding.
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 instructed about managing Hyperlipidemia such as: Limit your intake of red meat and dairy products made with whole milk to reduce your saturated and trans fat. Choose skim milk, lowfat or fat - free dairy products. Limit fried food, and use healthy oils in cooking, such as vegetable oil.
SN explain about a couple of things going on that make your glucose rise in the morning. One of these is insulin resistance, a condition that means your body's muscle and fat cells are unable to use insulin effectively to lower blood glucose. However, insulin resistance also affects how your liver processes, stores, and releases sugar, particularly at night. The liver is supposed to release small amounts of glucose when you're not eating. But in type 2 diabetes, the liver dumps more glucose than is needed into the bloodstream, especially at night. So, while your hormones are causing a natural rise in blood glucose, your liver is releasing even more sugar into your system. Because your insulin resistance prevents your muscle and fat cells from using the sugar, your blood glucose level rises.
SN explained that the Chronic venous insufficiency ( CVI ) can’t be cured, but you can control leg swelling to reduce the likelihood of ulcers ( sores ). Recognizing the symptoms Be aware of the following: If you stand or sit with your feet down for long periods, your legs may ache or feel heavy. Swollen ankles are possibly the most common symptom of Chronic venous insufficiency ( CVI ). As swelling increases, the skin over your ankles may show red spots or a brownish tinge. The skin may feel leathery or scaly, and may start to itch. If swelling is not controlled, an ulcer ( open wound ) may form. What you can do Reduce your risk of developing ulcers by doing the following: Increase blood flow back to your heart by elevating your legs, exercising daily, and wearing elastic stockings. Boost blood flow in your legs by losing excess weight. If you must stand or sit in one place for a period of time, keep your blood moving by wiggling your toes, shifting your body position, and rising up on the balls of your feet. Pt verbalizes understanding.
Patient was instructed to drink adequate amounts of fluids to prevent dehydration. Sports drinks and fruit juices are helpful too, but they don't provide the ideal balance of water, sugar, and salt. However, drinking more fluid than your body can process can reduce the amount of sodium (salt) in your blood. In the elderly, your body's fluid reserve becomes smaller, your ability to conserve water is reduced and your thirst sense becomes less acute. Symptoms are: extreme thirst, less frequent urination, dark-colored urine, fatigue, dizziness, confusion, patient verbalized understanding.
SN taught patient that learning what affects your blood glucose levels and what to do when they are higher or lower than desired takes practice. Looking for patterns and trends can help you determine what is causing the blood glucose levels to go high or low, and can help you target what might need some adjusting.
SN instructed patient that having diabetes means you often need to make decisions about your care. The more you know about diabetes and how your daily activities affect your blood glucose levels, the easier it is to make wise decisions. Testing your blood glucose and keeping good track of your readings is essential to know how different activities, food, medication and stress levels affect your blood glucose readings.