pain m
Procedures
Patient instructed in following a daily exercise routine but to avoid exertion as this m
ay worsen pain
.
Patient was instructed on pain m
anagem
ent. Diabetes alters sensation in the sm
allest nerves, which happen to lie at the end of the peripheral nervous system
, in the hands and feet. Diabetes starves these tiny nerves. As a result the nervous system
becom
es confused about what is and isn
Patient was instructed on how pain
develops. When som
ething in the body is not working properly, the body
Patient was instructed on the several structures involved in pain
transm
ission, such as nerve ending: located throughout the body, externally in the skin and internally in the body
SN com
pleted assessm
ent done on all body system
s and noted patient with elevated blood pressure during visit. SN com
pleted treatm
ent during visit and noted no drainage on old tx, wound callused and new area found to left m
edial top of foot rem
ains intact with no drainage noted. SN noted patient com
plaint of pain
to bilateral lower extrem
ities with +2 edem
a noted. SN educated prim
ary caregiver on the im
portance of elevation of bilateral lower extrem
ities as well as pain m
anagem
ent for patient.
SN educated caregiver on Hypertensive urgency which is a situation where the blood pressure is severely elevated or higher for your diastolic pressure an that experiencing hypertensive urgency m
ay or m
ay not experience one or m
ore of these sym
ptom
s: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest pain
, back pain
, num
bness/weakness, change in vision, difficulty speaking do not wait to see if your pressure com
es down on its own. SN advised caregiver to seek im
m
ediately m
edical assistance and/or call 9-1-1 if listed above occurs or worsen with patient. Caregiver verbalized understanding of all teachings during visit.
instructed patient about im
portance of taking all her/his prescribed m
edications at the sam
e tim
e each day in order to get the m
ost benefits is to prevent further hospitalizations. Instructed patient your pain m
edication m
akes you feel tired, drowsy, or dizzy, call your doctor. If your pain m
edication causes constipation, drink 8-10 glasses of water a day and eat a well-balanced diet that includes fruits and vegetables.
Instructed caregiver when should I call healthcare provider? Contact your healthcare provider or physician im
m
ediately:. If you have an irregular heart rate, if you feel increased pain
or discom
fort, note: It is norm
al to feel som
e pain
and discom
fort for about a week after the tracheostom
y procedure.
Instructed patient When to seek m
edical care: Call your provider right away if you have any of the following: Pain
or burning in your shoulder, chest, back, arm
, or leg, Fever of 100.4°F (38.0°C) or higher, chills, signs of infection at the catheter site (pain
, redness, drainage, burning, or stinging), Coughing, wheezing, or shortness of breath.
Instructed patient contact your doctor im
m
ediately if you have a fever, chills, redness, bleeding, irregular heart beat, chest pain
, shortness of breath, weakness, or dizziness. Report redness, swelling, increased drainage or excessive pain
at the surgical incision.