diverticulosis-and-diverticulitis
Diseases Process
SN reviewed HTN disease process with the patient and possible signs and symptoms of HTN. Inform patient that HTN often times does not have any signs or symptoms and this is why it is referred to as the silent killer. Patient and caregiver instructed on the importance of medication compliance and checking/logging vital signs 1-2 times a day, verbalized understanding
Alzheimer's Instructed caregiver managing behavioral symptoms Behavioral and psychological symptoms of dementia (BPSD), especially agitation, aggression, depression and psychosis, are the leading causes for assisted living or nursing facility placement. Early recognition and treatment can reduce the costs of caring for these patients and improve the quality of life of the patient and caregiver. Caregiver verbalized.
SN to instruct patient/caregiver regarding self-management of atrial fibrillation, is an irregular and often rapid heart rate that can increase your risk of strokes, heart failure and other heart-related complications, to prevent atrial fibrillation, it's important to live a heart-healthy lifestyle to reduce your risk of heart disease. A healthy lifestyle may include:eating a heart-healthy diet, increasing your physical activity, avoiding smoking, maintaining a healthy weight, limiting or avoiding caffeine and alcohol, reducing stress, as intense stress and anger can cause heart rhythm problems, using over-the-counter medications with caution, as some cold and cough medications contain stimulants that may trigger a rapid heartbeat. Patient verbalized.
Instructed in complications of diabetes such as frequent infections. Instructed to manage frequent infections, to learn to spot the first signs of infections and what to do about them, bathe every day with mild soap and lukewarm water. Lotion may be applied to keep skin moist. Wear gloves when working outside. Always wear shoes and treat injuies promptly by cleansing with soap and water.
Patient instructed that Anemia is a condition characterized by an inadequate amount of red blood cells, which are produced in your bone marrow. Red blood cells contain hemoglobin, a substance that picks up oxygen from your lungs, carries it throughout your body, and gives it to your cells. Your cells need oxygen to perform the basic functions that generate energy and keep you alive. In addition, hemoglobin picks up some of the carbon dioxide given off by your cells and returns it to the lungs, where it is exhaled when you breathe out. Without enough red blood cells to transport oxygen to your cells and carbon dioxide away from your cells, your body functions at a less than optimal level.
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes that include: illnesses and other health conditions. Hypoglycemia may occur when other diseases and disorders affect the body's sugar metabolism. These can include disorders of the pancreas and endocrine system; diseases of the liver, adrenal glands (such as Addison's disease), or kidneys; heart failure, which can impair liver function; and sepsis. In very rare cases, nonpancreatic tumors cause hypoglycemia.
The patient was reviewed in breast cancer the prescribed surgical procedure and adjuvant therapy to be carried out. The patient was instructed that the decision is based on the phase of breast cancer, age, menopausal stage, hormonal receptor status, and patient preference. The patient was encouraged to discuss the feelings and emotions concerning awaiting surgery, adjuvant therapies, and prognosis. Explain misconceptions.
The patient was instructed in cushing’s disease and cushing’s syndrome to organize and obtain an emergency kit including alcohol and prefilled syringes hydrocortisone for episodes of severe adrenal insufficiency. The patient was advised to self-monitor laboratory values and identify personal baseline levels. The patient was advised the need to prevent injury associated with osteoporosis. The patient was recommended to use ambulatory aids such as walker, cane as necessary.
The patient was instructed in carpal tunnel syndrome to avoid activities that increase stress on inflamed tissues, grasping and gripping action of hand and wrist, to keep the wrist in neutral position, to avoid the wrist in a bent flexed, twisted, turned position, and to minimize repetitive movements, including holding an object for extended periods of time. The patient was advised to wear a wrist splint to help keep the wrist in neutral position. The patient was taught on range-of-motion exercises and their importance for strengths of muscles.