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Diseases Process
SN explained that the Chronic venous insufficiency ( CVI ) can’t be cured, but you can control leg swelling to reduce the likelihood of ulcers ( sores ). Recognizing the symptoms Be aware of the following: If you stand or sit with your feet down for long periods, your legs may ache or feel heavy. Swollen ankles are possibly the most common symptom of Chronic venous insufficiency ( CVI ). As swelling increases, the skin over your ankles may show red spots or a brownish tinge. The skin may feel leathery or scaly, and may start to itch. If swelling is not controlled, an ulcer ( open wound ) may form. What you can do Reduce your risk of developing ulcers by doing the following: Increase blood flow back to your heart by elevating your legs, exercising daily, and wearing elastic stockings. Boost blood flow in your legs by losing excess weight. If you must stand or sit in one place for a period of time, keep your blood moving by wiggling your toes, shifting your body position, and rising up on the balls of your feet. Pt verbalizes 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 also instructed pt on the disease process of hypothyroidism. The thyroid gland controls a lot of our body functions, when it is unable to produce the amount of thyroid hormone your body needs, you will need to take this hormone orally. Take this medication everyday as ordered by your MD. Report to SN or MD if you have sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, as these can be signs your medication is not the correct dose.
Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of osteoarthritis include: Joint pain, swelling, stiffness and grating sensation. Currently, the process underlying osteoarthritis cannot be reversed, but symptoms can usually be effectively managed with lifestyle changes, physical and other therapies, medications, and surgery. Exercising and achieving a healthy weight are generally the most important ways to treat osteoarthritis.
Diabetic Chronic Kidney disease Treatment for diabetic kidney disease includes controlling blood pressure and blood sugar levels, reducing dietary protein intake, avoiding medications that may damage the kidneys, treating urinary tract infections and exercise and weight loss (under the supervision of a physician).
Instructed patient her LVAD team will give you detailed instructions on what you need to do on a daily basis for your specific device and medical condition. They will also most likely give you a chart (sometimes called a “flowsheet”) customized for your specific device, to fill out daily. Flowsheets make it easy to keep track of your weight, medications, device settings (such as pump speed, power, etc.) and other daily maintenance items. Sample flowsheets are included at the bottom of the page (they vary slightly based on manufacturer). It is a sample only; use the flowsheet provided by your LVAD team. Understanding was verbalized.
SN explained that long standing hypertension leads to heart damage that is called heart failure. This means your heart "fails" to pump your blood to your body effectively. You may notice swelling in your extremities, that you are easily fatigued with normal activity, and weight gain. Any of these symptoms or worsening of them should be reported to SN or MD.
SN instructed early signs and symptoms of diabetic hypoglycemia include shakiness, dizziness, sweating, hunger, irritability or moodiness, anxiety or nervousness, headache.Patient is drinking her water and healthy choices.Explained early signs of hyperglycemia include increased thirst, headaches, trouble concentrating, blurred vision, frequent peeing, fatigue (weak, tired feeling), weight loss. Patient verbalized understanding.
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 patient how is chronic kidney disease treated. Control your blood sugar if you have diabetes. Keep a healthy blood pressure. Follow a low-salt, low-fat diet. Exercise at least 30 minutes on most days of the week. Keep a healthy weight. Do not smoke or use tobacco.