including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Instructed patient on possible adverse reactions to insulin, which include hypoglycemia, hyperglycemia, and skin rash and local reaction at injection site.
Instructed patient on Diabetes diagnosis, which occurs when the pancreas has partial or total lack of insulin production.
Instructed patient about the diagnosis of Angina, which is a temporary lack of oxygenated blood supply to a portion of the heart, causing pain.
Instructed patient on diagnosis of ASHD/CAD, which occurs when there is a narrowing of the blood vessels supplying the heart muscle, restricting blood flow.
Instructed patient on diagnosis of Congestive Heart Failure (CHF), which occurs when the heart is unable to expel the blood from the ventricle, causing congestion.
Instructed patient on diagnosis of Pulmonary Edema, which is very likely to occur when there is an accumulation of fluid in the lungs, causing difficulty breathing. Contact your primary care physician if the condition worsens, or if you exhibit other symptoms.
Patient instructed that Anemia is a condition characterized by an inadequate amount of red blood cells, which are produced in your bone marrow. Red blood cells contain hemoglobin, a substance that picks up oxygen from your lungs, carries it throughout your body, and gives it to your cells. Your cells need oxygen to perform the basic functions that generate energy and keep you alive. In addition, hemoglobin picks up some of the carbon dioxide given off by your cells and returns it to the lungs, where it is exhaled when you breathe out. Without enough red blood cells to transport oxygen to your cells and carbon dioxide away from your cells, your body functions at a less than optimal level.
Instructed patient to begin assessing his tracheostomy by inspecting the stoma site, which is typically slightly larger than the tracheostomy tube.
Patient was instructed on relieving and preventing leg edema. The first line of defense is: leg elevation. Elevate legs above the level of the heart which puts minimal pressure on the back of the knees and thighs and lower back. Other help to decrease swelling is limiting salt intake, drink plenty of water, avoid sitting with the feet dependent. Do not abuse diuretics and laxatives.
Patient was instructed on personal hygiene. Most infections, especially colds are caught when people put the unwashed hands (which may have germs) to the mouth. Hands and writs should be wash frequently with warm water and mild soap then dry them carefully with paper towel or hot air dryer.