back-pain
Patient was instructed on how pain develops. When something in the body is not working properly, the body
Patient was instructed on the several structures involved in pain transmission, such as nerve ending: located throughout the body, externally in the skin and internally in the body
Patient was instructed on diabetes symptoms. 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 symptoms 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.
Skilled nurse advised patient to elevate both legs to decrease pain and improve circulation.
Instructed in new medication Zoloft to manage depression. In addition, warned of possible S/E such as headache, tremor, dizziness, insomnia, somnolence, paresthesia, hypoesthesia, fatigue, nervousness, anxiety, agitation, hypertonia, twitching, confusion, palpitations, chest pain, hot flashes, dry mouth, nausea, diarrhea, loose stools, dyspepsia, vomiting, constipation, thirst, flatulence, anorexia, abdominal pain, increased appetite, male sexual dysfunction, myalgia, rash, pruritus and diaphoresis.
Major side effects of Simvastatin include abdominal pain or cramps, blurred vision, dizziness, easy bruising or bleeding, itching, muscle pain or cramps, rash, and yellowing of the skin or eyes.
Isosorbide is used to prevent chest pain (angina) and reduce strain on the heart in patients with heart disease (coronary artery disease). Isosorbide mononitrate relaxes and widens blood vessels so blood can flow more easily. This medication will not relieve chest pain once it occurs. This medication may also be used in addition to other drugs to improve the symptoms of congestive heart failure (e.g., trouble breathing).
The patient was advised in pain management in arthritis applying heat or cold to a painful joint for temporary relief avoiding temperatures extremes. The patient was recommended to maintain a regular exercise program that provides stretching and joint mobility. The patient was encouraged to coordinate pain medication with activities. The patient was recommended to use assistive and/or protective devices, as needed, to support affected joints. The patient was advised in the importance of maintaining a safe home environment to prevent falls (removal of small rugs, handrails in showers, tubs, or toilets etc. The patient was encouraged that eating well-balanced diet.
The patient was instructed in chest trauma flail chest how to splint the chest when coughing to avoid pain. The patient was encouraged to review upper respiratory infection, shortness of breath, persistent cough, and persistent chest pain.
Assess patient's pain and instructed her relieved with medications and rest.