pain m
Diseases Process
SN instructed patient how identify any signs and sym
ptom
s of im
paired cardiovascular function, sym
ptom
s will vary depending on the specific condition. Som
e conditions, such as type 2 diabetes or hypertension, m
ay initially cause no sym
ptom
s at all sym
ptom
s will vary depending on the specific condition. However, typical sym
ptom
s of an underlying cardiovascular issue include: pain
or pressure in the chest, which m
ay indicate angina, pain
or discom
fort in the arm
s, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweat or pressure in the chest, which m
ay indicate angina, pain
or discom
fort in the arm
s, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats. Call your doctor if your present these sym
ptom
s. Patient verbalized. Patient is stable need take m
edication on tim
e follow m
edication regim
en.
Instructed in various factors that help alleviate pain
without, or in addition to, analgesics such as frequent position changes, relaxation techniques, heat or cold, regular rest periods, pillows to support pain
ful area, etc.
Instructed in m
anagem
ent of chest pain
, to sit or lie down and rest im
m
ediately at onset of pain
, if NTG available to take as instructed and/or call 911.
Instructed patient on m
anagem
ent of chest pain
. These steps are to be followed in case of occurrences: sit or lie down and rest im
m
ediately at onset of pain
, if NTG available take as instructed and/or call 911.
Patient was instructed on chronic wound healing. That m
ay be com
prom
ised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edem
a and diabetes m
ellitus. It is im
portant to rem
em
ber that increased wound pain m
ay be an indicator of wound com
plications that need treatm
ent, and therefore practitioners m
ay be constantly reassess the wound as well as the associated pain
.
Patient was instructed on diabetes sym
ptom
s. People with diabetes also are at increased risk of cardiovascular disease caused by atherosclerosis (thickening and hardening of the artery). Atherosclerosis can involve the heart (coronary heart disease), with sym
ptom
s of chest pain
or heart attack. Brain (cerebrovascular disease), causing stroke. Arteries supplying the legs (peripheral vascular disease), causing leg pain
while walking or exercising that stops quickly with rest.
SN instructed patient and caregiver that m
yocardial infarction and angina pectoris are potential com
plications of Coronary Artery Disease (CAD). Sym
ptom
s for m
yocardial infarction tightness or pain
in the chest, neck, back, or arm
s. Angina sym
ptom
s squeezing, pressure, heaviness, tightness, or pain
in the chest. Call your doctor im
m
ediately for any sym
ptom
s. Both patient and caregiver verbalized understanding.
The patient was advised in pain m
anagem
ent in arthritis applying heat or cold to a pain
ful joint for tem
porary relief avoiding tem
peratures extrem
es. The patient was recom
m
ended to m
aintain a regular exercise program
that provides stretching and joint m
obility. The patient was encouraged to coordinate pain m
edication with activities. The patient was recom
m
ended to use assistive and/or protective devices, as needed, to support affected joints. The patient was advised in the im
portance of m
aintaining a safe hom
e environm
ent to prevent falls (rem
oval of sm
all rugs, handrails in showers, tubs, or toilets etc. The patient was encouraged that eating well-balanced diet.
The patient was advised to avoid lifting/stooping in order to decrease back pain
. The patient was encouraged to avoid or stop sm
oking (nicotine decreases diskal circulation).
Assess patient's pain
and instructed her relieved with m
edications and rest.