bedbound-patients
Instructed patient in new medication side effects; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.
Patient/CG were instructed on: Treatment for cervicalgia ( neck pain ) are usually conservative and include methods of relieving inflammation . Applying ice to the area is a good way of relieving pain and swelling and is often advised where a muscle tear is suspected. Heat is contraindicated in such a situation as this is likely to make the problem worse by increasing blood flow to the area. If the cervicalgia is due to muscle tension rather than an injury then thermotherapy can be effective in aiding relaxation of the muscle and relieving neck pain. Adequate rest and the temporary use of a supportive neck collar is also helpful in some cases of cervicalgia ( neck pain ) although it is inadvisable to use a collar long-term as this may itself lead to muscle weakness in the neck. Many patients also make use of anti-inflammatory medications, including prescribed drugs, and natural supplements to lower inflammation and pain. Physical therapy, including neck stretches and strengthening exercises, is a good idea for anyone who suffers from chronic neck pain, and intractable cases may require more invasive surgical intervention to address some causes of cervicalgia
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
SN instructed patient about oxycodone/ acetaminophen ,non-serious adverse reactions include lightheadedness, dizziness, drowsiness or sedation, nausea, and vomiting. These effects seem to be more prominent in ambulatory than in no ambulatory patients, and some of these adverse reactions may be alleviated if the patient lies down. Other adverse reactions include euphoria, dysphoria, constipation, and pruritus. Serious SE/AR include respiratory depression, apnea, respiratory arrest, circulatory depression, hypotension, and shock .
Instructed patient about Losartan, it is used toTreat hypertension and reducing the risk of stroke in patients with hypertension and left ventricular hypertrophy. Possible SE/AR may include, Diarrhea, Muscle cramps, Dizziness, Insomnia, Nasal congestion. Losartan also may cause: A persistent cough, an increase serum potassium and Impotence.
SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.
Instructed patient about activity After Heart Surgery: he first 6-8 weeks, the following guidelines are generally recommended for patients recovering from heart surgery: Gradually increase activity. Household chores can be done, but standing in one place longer than 15 minutes is not recommended.
Instructed patient about activity After Heart Surgery: he first 6-8 weeks, the following guidelines are generally recommended for patients recovering from heart surgery: Don't lift objects that weigh more than 10 pounds. Don't push or pull heavy objects, unless restricted by doctor's orders, climbing stairs is allowed. walk daily. The doctor or cardiac rehabilitation specialist will provide guidelines upon the patient's return home.
Instructed patient about VAC training for patients and their caregivers who will be using the device at home should include how to: Safely operate the device; provide a copy of printed instructions for patient use from the specific device manufacturer Respond to audio and visual alarms, perform dressing changes.
Instructed patient training for patients and their caregivers who will be using the device at home should include how to: Recognize signs and symptoms of complications, such as redness, warmth, and pain associated with possible infection Contact appropriate healthcare providers, especially in emergency situations, respond to emergency situations; for instance, if bright red blood is seen in the tubing or canister, to immediately stop NPWT, apply direct manual pressure to the dressing, and activate emergency medical services.