pain m
Diseases Process
Sn instructed patient about diabetic wounds / ulcers have poor or delayed healing. Healing problem
s are caused by the peripheral arterial diseases and peripheral neuropathy that can occur with diabetes, wherein the sm
all blood vessels in different parts of the body, especially in the extrem
ities ( hands and feet ), grow narrower and reduce the blood circulation to those areas. A lack of circulation in the extrem
ities can result in a reduced supply of oxygen and nutrients to the body tissue and nerves, which is necessary for healing. Over tim
e, nerves in these areas m
ay becom
e dam
aged, decreasing the sensation of pain
, tem
perature and touch, m
aking patients vulnerable to injury.
SN instructed patient on atherosclerotic heart disease also known as Coronary Artery Disease (CAD); is the dam
age or disease in the heart's m
ajor blood vessels. The usual cause is the buildup of plaque. This causes coronary arteries to narrow, lim
iting blood flow to the heart. Coronary artery disease can range from
no sym
ptom
s, to chest pain
, to a heart attack. Treatm
ents include lifestyle changes, m
edications, angioplasty, and surgery.
Patient instructed Cellulitis can appear on alm
ost any part of the body. It usually shows up on dam
aged skin such as inflam
ed wounds, dirty cuts, and areas with poor circulation. It needs to be treated by a doctor. Com
m
on sym
ptom
s include: Redness, Red streaking, Swelling, Warm
th, Pain
or tenderness, & Leaking of yellow, clear fluid or pus.
Osteoarthritis sym
ptom
s often develop slowly and worsen over tim
e. Signs and sym
ptom
s of osteoarthritis include: Joint pain
, swelling, stiffness and grating sensation. Currently, the process underlying osteoarthritis cannot be reversed, but sym
ptom
s can usually be effectively m
anaged with lifestyle changes, physical and other therapies, m
edications, and surgery. Exercising and achieving a healthy weight are generally the m
ost im
portant ways to treat osteoarthritis.
SN instructed patient/ caregiver that Bradycardia can be a serious problem
if the heart doesn't pum
p enough oxygen-rich blood to the body. For som
e people, however, bradycardia doesn't cause sym
ptom
s or com
plications.SN explained that If you have bradycardia, your brain and other organs m
ight not get enough oxygen, possibly causing these sym
ptom
s: Near-fainting or fainting (syncope) Dizziness or lightheadedness, Fatigue, Shortness of breath, Chest pain
s, Confusion or m
em
ory problem
s, Easily tiring during physical activity.If you faint, have difficulty breathing or have chest pain
lasting m
ore than a few m
inutes, get em
ergency care or call 911 or your local em
ergency num
ber.
SN educated patient about Neutropenia. Neutropenia is an abnorm
ally low count of neutrophils, which is a type of white blood cell. Neutrophils are m
ade in the bone m
arrow, so anything that inhibits or disrupts that process can result in neutropenia. Instructed patient to prevent infection; Prom
ote oral care, Prom
ote hygiene, Prevent skin breakdown, Prom
ote nutrition and ensure food is prepared and stored appropriately. Educated on signs and sym
ptom
s of infection; which include fever, Red, swollen, warm
, or pain
ful skin areas or wounds, An area of orange, bum
py skin with blisters, Cough, chest pain
, or trouble breathing, Burning feeling while you urinate. Patient verbalized understanding.
Instructed patient caregiver If you keep having pain
and cram
ping with no output from
your stom
a for m
ore than 2 hours,
and you can’t reach your doctor or ostom
y nurse, go to the em
ergency room
. Take all your ostom
y supplies with you.
Instructed patient about cardiom
yopathy can lead to other heart conditions, including:Heart failure, blood clots,see your doctor if you have one or m
ore signs or sym
ptom
s associated with cardiom
yopathy. Call 911 or your local em
ergency num
ber if you have severe difficulty breathing, fainting or chest pain
that lasts for m
ore than a few m
inutes.
Instructed caregiver about com
plications in patient with Alzheim
er are m
em
ory and language loss, im
paired judgm
ent, and other cognitive changes caused by Alzheim
er's can com
plicate treatm
ent for other health conditions. A person with Alzheim
er's disease m
ay not be able to com
m
unicate that he or she is experiencing pain
for exam
ple, from
a dental problem
, report sym
ptom
s of another illness, follow a prescribed treatm
ent plan, notice or describe m
edication side effects.
Sn to instruct patient on dyspnea process, som
etim
es, shortness of breath can be a sign of a life-threatening condition. Em
ergency m
edical treatm
ent is needed if an individual has any of these sym
ptom
s: sudden onset of severe dyspnea, loss of ability to function due to shortness of breath, chest pain
, nausea.