diverticulosis-and-diverticulitis
Diseases Process
RN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and may or may not experience one or more of these symptoms: Severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or weakness of extremities, change in vision and difficulty speaking and immediately ask for medical assistance calling 9-1-1. RN instructed patient and caregiver on no-added-salt or salt-controlled diet that can help control high blood pressure. Both patient and caregiver verbalized understanding.
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.
SN instructed patient on Colostomy Care.The patient should limit foods that may cause gas and odor: These include vegetables such as broccoli, cabbage and cauliflower. Beans, eggs and fish may also cause gas and odor. Eat slowly and do not use a straw to drink liquids. Yogurt, buttermilk and fresh parsley may help control odor and gas.
Instructed in measures to prevent foot problem; always wear properly fitted shoes and examine the feet every day for sores and signs of infections. Diabetes, and aging are also contributors to foot problems. Keep feet clean and dry. Visit your doctor for regular foot exams. Before and after physical activity stretch the foot thoroughly and wear supportive shoes. Patient verbalized understanding.
The patient was instructed in cystic fibrosis the importance of breathing exercises, percussion and postural drainage techniques. The patient was taught to use the home nebulizer, metered-dose nebulizer, and other respiratory equipment necessary to release secretions and dilate the bronchi. The patient was reviewed the need to avoid known respiratory irritants such as smoke and air pollutants and persons with upper respiratory infections. The patient was taught on methods of clearing secretions, such as coughing, positioning, or suctioning. The patient was instructed on adaptive breathing techniques to decrease work of breathing. The patient was encouraged to participate in a program of aerobic exercise; swimming helps strengthen the muscles of respiration and promotes good breathing habits.
The patient was instructed in frostbite indicating the application of dry, sterile dressings to small, open areas. The patient was advised the importance of protecting the extremity from temperature extremes and rapid changes in temperature because the tissue is delicate to temperature changes and refreezing causes tissue damage. The patient was explained to elude fitted, constrictive clothing or pressure to an area that might cut circulation. The patient was recommended defensive procedures to avoid future incidents or reinjury of the frostbitten part, protective, multilayered, warm, nonconstrictive clothing avoiding of cold temperatures, exhaustion, and malnutrition. The patient was advised that there may be long-term remaining effects, increased sensitivity to cold, burning and itchy, and increasing sweating. The patient was explained that lower extremities are affected, to avoid weight bearing and offer instruction in the use of ambulatory aids. The patient was taught in the importance of elevating the affected extremity. The patient was advised in range-of-motion exercises to prevent contractures.
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
Instructed the patient/caregiver on important foot care: inspect feet daily, report any foot problems to MD or Podiatrist, wash feet daily with warm soap and water and pat dry especially between toes, clip nails straight across and gently file with an emery board, wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, avoid exposure to extreme temperatures, and avoid tobacco
SN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or severe weakness, change in vision or difficulty speaking. Patient and caregiver were advised to seek immediately medical assistance and/or call 9-1-1 if any of these signs or symptoms appear. Patient and caregiver verbalized understanding. Family is independent with hypertension process.
Sn instructed patient about diabetic wounds / ulcers have poor or delayed healing. Healing problems are caused by the peripheral arterial diseases and peripheral neuropathy that can occur with diabetes, wherein the small blood vessels in different parts of the body, especially in the extremities ( hands and feet ), grow narrower and reduce the blood circulation to those areas. A lack of circulation in the extremities can result in a reduced supply of oxygen and nutrients to the body tissue and nerves, which is necessary for healing. Over time, nerves in these areas may become damaged, decreasing the sensation of pain, temperature and touch, making patients vulnerable to injury.