pain m
Patient was instructed on hypertension. Callor other em
ergency services im
m
ediately if having any of the following sym
ptom
s: a sudden, severe headache, chest pain
(angina), other sym
ptom
s of heart attack, sym
ptom
s of a stroke.
Patient was instructed on Osteoporosis fractures. The hip fractures are m
ost com
m
on in older wom
en and often caused by a fall. After a hip fracture, m
any older people have m
edical com
plications such as blood clots, pressure sores, or pneum
onia. Com
pression fractures of the spine can result in back pain
, stooped posture, loss of height, and a curved upper back.
Patient was instructed on Osteoporosis sym
ptom
s such as pain
in the back, loss of height and stooped posture, a curved upper back, broken bones (fractures) that m
ight occur with a m
inor injury, especially in the hip, spine and wrist.
Patient was instructed on the optim
ization of wound environm
ent. Adequate nutrition and hydration, rem
ove nonviable tissue, m
aintain m
oisture balance, protect the wound and peri-wound skin, elim
inate or m
inim
ize pain
, cleanse, prevent and m
anage infection, control odor.
Patient was instructed on elim
inate or m
inim
ize pain
of wound. Address the cause (rem
ove the source if external, treat the infection or m
edicate based on physiological stim
ulus), pharm
acological strategies
Patient was instructed on treating pain
ful wounds. Persistent pain
associated with non-healing wounds is caused by tissue or nerve dam
age and is influenced by dressing changes and chronic inflam
m
ation. Chronic wounds take long tim
e to heal and patients can suffer from
chronic wounds for m
any years.
Patient was instructed on other reasons Why Older People Fall such as: Lightheadedness with standing caused by postural hypotension (blood pressure that drops dram
atically with standing), other form
s of dizziness, persistent pain
in any part of the leg.
Patient was instructed on diabetes com
plications such as nerves dam
age (diabetic neuropathy). The sym
ptom
s depend on which nerves are affected. M
ost often, diabetes can cause tingling, num
bness, or pain
that usually begins at the tips of the toes or fingers.
Patient was instructed on nerve dam
age as a cause of diabetes. The pain
that begins in the extrem
ities, toes and fingers over a period of m
onths or years gradually it spreads upward. If not treated, it is possible to loose all sense of feeling in the affected area.
Patient was instructed about to tell the doctor about any changes in sensation in the toes, feet, or legs. Speak up if note pain
, tingling, a pins-and-needles feeling, num
bness, or any other unusual signs - even if it seem
s trivial to the patient. Further teaching is needed.