chronic kidney disease/1000
SN teaching about Gastroesophageal reflux disease ( GERD ). Examples of things to reduce or steer clear of in your diet include: high fat foods, caffeine products, chocolate, onions, peppermint, carbonated beverages, citrus and tomato products. Do not lie down immediately after eating, avoid late evening snacks, avoid tight clothing and bending over after eating. Elevate the head of the bed six to eight inches to prevent reflux when sleeping. Extra pillows, by themselves, are not very helpful.
Discharge planning initiated on today's visit. Reviewed with patient /PCG s/s of disease exacerbation that need to be reported to health care providers including steps on what to do in an event of an emergency. Medication pill box set up checked and emphasized the importance of timely refill of medications to prevent missing or skipping doses, pain management, continue following prescribed diet regimen. Re-instructed on infection control measures and practicing standard precautions, most importantly, frequent proper hand washing to prevent disease complications.
Instructed caregiver about complications in patient with Alzheimer are memory and language loss, impaired judgment, and other cognitive changes caused by Alzheimer's can complicate treatment for other health conditions. A person with Alzheimer's disease may not be able to communicate that he or she is experiencing pain for example, from a dental problem, report symptoms of another illness, follow a prescribed treatment plan, notice or describe medication side effects.
Instructed caregiver as alzheimer's disease progresses to its last stages, brain changes begin to affect physical functions, such as swallowing, balance, and bowel and bladder control. These effects can increase vulnerability to additional health problems such as: inhaling food or liquid into the lungs (aspiration), pneumonia and other infections, falls fractures bedsores, malnutrition or dehydration. Caregiver verbalized.
Instructed caregiver alzheimer's disease and other disorders that cause dementia. Heart-healthy lifestyle choices that may reduce the risk of alzheimer's include the following: exercise regularly, eat a diet of fresh produce, healthy oils and foods low in saturated fat, follow treatment guidelines to manage high blood pressure, diabetes and high cholesterol, if you smoke, ask your doctor for help to quit smoking. Caregiver verbalized.
SN to assess patient with Alzheimer disease, identify any signs and symptoms requiring intervention; report significant changes to physician.
SN to instruct caregiver on disease process management, medication regimen and management of behavior disturbances.
Instructed caregiver there is no cure for Alzheimer's disease, so the chief goals of treatment are to: maintain quality of life, maximize function in daily activities, enhance cognition, mood and behavior foster a safe environment promote social engagement, as appropriate. Caregiver verbalized.
Instructed patient on new medication Sulindac. Sulindac may also be used for purposes not listed. Sulindac can increase your risk of fatal heart attack or stroke, especially if you use it long term or take high doses, or if you have heart disease. Even people without heart disease or risk factors could have a stroke or heart attack while taking this medicine. You should not use sulindac if you are allergic to it, or if you have ever had an asthma attack or severe allergic reaction after taking aspirin or an NSAID. Patient verbalized understanding.
SN to instructed patient on disease process, including who to prevent cardiovascular disease . educing the use of alcohol and tobacco, eating fresh fruit and vegetables, reducing salt, sugar, and saturated fat intake, avoiding a sedentary lifestyle. Patient verbalized understanding.