hypertensive heart disease/1000
Diseases Process
SN teaching patient Ventolin HFA ( albuterol sulfate inhalation aerosol ) is a bronchodilator used to treat or prevent bronchospasm in people with reversible obstructive airway disease. Ventolin HFA is also used to prevent exercise - induced bronchospasm.
SN instructed patient on ways to avoid acute exacerbations of chronic obstructive pulmonary disease ( COPD ) by recognizing early warning signs and then taking action to stop them in their tracks. The best way to do this is to work with your health care provider on an action plan so you know what to do to treat an exacerbation before it becomes serious. SN instructed on early warning signs of an acute exacerbation: Wheezing or more wheezing than what’s normal for you, coughing more than usual, shortness of breath that is worse than usual, an increase in the amount of mucus, change in the color of your mucus to yellow, green, tan, or bloody, shallow or rapid breathing, more than what’s normal for you, fever, confusion or excessive sleepiness, and swelling in your feet or ankles. Patient nods head in understanding. Sn will continue to monitor.
Chronic obstructive pulmonary disease (COPD) is a condition in which the bronchioles (breathing tubes) leading to the lung develop thickened membranes that secrete large amounts of sputum and pus or in which the tine alveoli (air sacs) within the lungs become inelastic and sometimes break open and trap air. COPD causes breathing to become more difficult because air is taken in and cannot be expelled completely.
SN instructed patient / Caregiver that clients with kidney disease should engage in activities that will improve their overall health. For example, exercise has been known to improve overall health, mental outlook, and control blood sugar. SN suggested that a good option would be to start a simple exercise program.
SN taught patient that diabetes is a life-long disease. You will always have it, so education about your diabetes is very important. The more you learn about diabetes, the better you can control your blood glucose level and avoid complications. To learn how to manage your diabetes, work closely with your health care team.
Skilled nurse educated patient and caregiver on HTN disease process. HTN also known as high blood pressure is a chronic condition where the blood pressure in the arteries is elevated. It is important to seek medical attention for uncontrolled HTN and develop a plan of care with your PCP. It is recommended to check your blood pressure and pulse daily before taking blood pressure medications and logging in a journal. If your blood pressure is elevated wait 1-2 hours and recheck. Contact your doctor or home health agency if problems with blood pressure continue . Patient and caregiver verbalized understanding.
Patient/caregiver instructed osteoarthritis is a degenerative, noninflammatory joint disease. The cartilage that protects the ends of bones is worn away. It can affect all mobile joints, especially weight-bearing joints: hip, knee, and spinal column. Risk factors are advanced age, trauma, overuse of joints, genetic tendency, obesity, metabolic or endocrine abnormalities.
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 assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. SN to instruct patient on disease process, typical symptoms of an underlying cardiovascular issue include: pain or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats