BACK PAIN
The patient was instructed in endometriosis and to deal with a future hysterectomy. The patient was taught pain management offering alternative methods to deal with chronic pain
The patient was instructed in muscular dystrophy in locating correct devices like aids for ambulation and self-care activities. The patient was advised to recognize variations in the home location like bed trapezes, handrails, railed toilet seats, and ramps for wheelchairs. The patient was taught in the good skin care and placing using a bed or a wheelchair. The patient was reviewed in pain controlling methods to deal with chronic pain.
Instructed ALF's staff in new medication of Clopidogrel ( Plavix ) to reduce atherosclerotic events. In addition, warned of possible side effects such as headache, dizziness, fatigue, depression, pain, edema, hypertension, rhinitis, epistaxis, abdominal pain, gastritis, constipation, diarrhea, ulcers, arthralgia, coughing, rash, pruritus and others.
VITAMIN C
Patient was instructed in new medication Vitamin C side effects such as; nausea, vomiting, heartburn, abdominal cramps, and headache. Dental erosion may occur from chronically chewing vitamin C tablets.
SN instructed patient about Xarelto (rivaroxaban) is an anticoagulant (blood thinner) that prevents the formation of blood clots. Used to treat A-fib and lower the risk of a stroke from a blood clot. Side effects include bruising, itching, muscle pain, pain in arms or legs. Serious side effects include: urine that looks red, pink, or brown;headache, dizziness, weakness, feeling like you might pass out;bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.
SN instructed patient about Aggrenox contains a combination of aspirin and dipyridamole. Aspirin is in a group of drugs called salicylates. It works by reducing substances in the body that cause pain, fever, and inflammation. Dipyridamole keeps platelets in your blood from sticking together to form clots. Aggrenox is used to reduce the risk of stroke in people who have had blood clots or a "mini-stroke" (also called a transient ischemic attack or TIA).Avoid drinking alcohol while you are taking aspirin products. Alcohol may increase your risk of stomach bleeding. Side effects include joint pain, drowsiness, headache, upset stomach, mild heartburn, nausea, vomiting, or diarrhea.
Tramadol is used to relieve moderate to moderately severe pain. If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tramadol. Side effects can this medication cause: Tramadol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness, weakness, sleepiness,difficulty falling asleep or staying sleep,headache.
Instructed patient and caregiver about Tramadol. It is an opioid pain medication used to treat moderate to moderately severe pain. Serious side effects of Tramadol may include: seizures, increased risk of serotonin syndrome, decreased alertness, and drug addiction. Common side effects include: constipation, itchiness and nausea, etc. A change in dosage may be recommended in those with kidney or liver problems.
SN instructed patient about ways to relieve muscle stiffness such as performing exercises including gentle muscle stretching as tolerated, obtaining adequate rest or uninterrupted sleep in order to reduce stress, massaging affected body parts if not contraindicated and to avoid lifting heavy objects. Instructed to inform doctor or skilled nurse if discomfort progress or when severe or unexplained pain is felt.
SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.
instructed patient about importance of taking all her/his prescribed medications at the same time each day in order to get the most benefits is to prevent further hospitalizations. Instructed patient your pain medication makes you feel tired, drowsy, or dizzy, call your doctor. If your pain medication causes constipation, drink 8-10 glasses of water a day and eat a well-balanced diet that includes fruits and vegetables.