bedbound-patient
SN advised patient on proper position to adminsiter Lovenox (lie down during injection). Patient verbalized understanding of instructions given.
SN instructed patient to rise slowly from sitting/supine position, as Atenolol may cause orthostatic hypotension and to avoid sudden discontinuation of this drug, as this may cause rebound hypertension. Patient verbalized understanding of instructions given.
Instructed patient to environmental control is important in preventing and treating symptoms. Advised the patient that allergens may be seasonal or prominent in certain areas like fields, woods, grass also by contact with pets, specially dogs and cats.
Encouraged patient verbalization regarding fears and concerns about disease and prognosis. Taught patient how to help with reality orientation and stimulation.
Taught patient that this conditions its causes and related involvement of other body organs. The patient was instructed how to care for skin lesions.
Encouraged patient the necessity to maintain good oral and eye hygiene. Advised patient the need for oral suctioning as the disease progresses.
Encouraged patient the importance of evading allergens by food or insect venom. Advised patient for early and late symptoms.
The patient was reviewed and indicated the location of the suspected obstruction of the arterial insufficiency and explained collateral circulation. The patient was instructed in the skin care; avoid heating pads, restrictive clothing that could affect with blood circulation in the affected areas.
The patient was advised to avoid lifting/stooping in order to decrease back pain. The patient was encouraged to avoid or stop smoking (nicotine decreases diskal circulation).
The patient was instructed in bronchoscopy that a soft or liquid diet is needed for the first day or until throat pain disappears. The patient was advised that extremely hot foods or liquids should be avoided.