pain m
Instructed patient about cardiom
yopathy can lead to other heart conditions, including:Heart failure, blood clots,see your doctor if you have one or m
ore signs or sym
ptom
s associated with cardiom
yopathy. Call 911 or your local em
ergency num
ber if you have severe difficulty breathing, fainting or chest pain
that lasts for m
ore than a few m
inutes.
Instructed caregiver about com
plications in patient with Alzheim
er are m
em
ory and language loss, im
paired judgm
ent, and other cognitive changes caused by Alzheim
er's can com
plicate treatm
ent for other health conditions. A person with Alzheim
er's disease m
ay not be able to com
m
unicate that he or she is experiencing pain
for exam
ple, from
a dental problem
, report sym
ptom
s of another illness, follow a prescribed treatm
ent plan, notice or describe m
edication side effects.
Sn to instruct patient on dyspnea process, som
etim
es, shortness of breath can be a sign of a life-threatening condition. Em
ergency m
edical treatm
ent is needed if an individual has any of these sym
ptom
s: sudden onset of severe dyspnea, loss of ability to function due to shortness of breath, chest pain
, nausea.
SN instructed that infrequent passage of hard, dry stool, low back pain
, abdom
inal fullness and/or abdom
inal discom
fort, decreased appetite, nausea and/or vom
iting, and rectal pressure m
ay constitute as signs/sym
ptom
s of constipation. Patient verbalized understanding.
Instructed patient When should I contact m
y healthcare provider. You drain less than 30 m
illiliters (2 tablespoons) in 24 hours. This m
ay m
ean your drain can be rem
oved. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than 101.5°F (38.6°C). You have increased pain
, redness, or swelling around the drain site. If you have questions about your JP drain care contact your physician.
SN instructed patient on stents. A stent is a tiny wire m
esh tube. It props open an artery and is left there perm
anently. When a coronary artery (an artery feeding the heart m
uscle) is narrowed by a buildup of fatty deposits called plaque, it can reduce blood flow. If blood flow is reduced to the heart m
uscle, chest pain
can result. If a clot form
s and com
pletely blocks the blood flow to part of the heart m
uscle, a heart attack results.
SN instructed patient and caregiver about certain foods or eating habits are m
ore likely to result in flushing, diarrhea, gas, bloating, and abdom
inal pain
related to carcinoid syndrom
e. You only need to avoid particular foods if they cause you to have these sym
ptom
s. Keeping a food and sym
ptom
diary m
ay be helpful. Record your daily food and drink consum
ption and any sym
ptom
s that you experience. You m
ay start to notice a pattern. Carcinoid patients with sym
ptom
s should augm
ent protein in their diets, add m
ore tryptophan in the form
of lean m
eats and protein, and avoid high tyram
ine-containing foods, which can cause flushing, such as hard and aged cheeses, including cheddar and Stilton; cured m
eats; and som
e nuts, specifically walnuts, peanuts, coconuts, and Brazil nuts.
Instructed patient about abdom
inal drainage when you have pain
and discom
fort your nurse can give you pain
killers if you need them
. They can also help you change your position to m
ake you com
fortable. Patient verbalized understanding.
SN m
onitored the insertion site, including its appearance and the condition of the dressing. Palpated the site to determ
ine if it's edem
atous or tender. Instructed the patient to report any pain
or discom
fort as soon as possible and reinforced caregiver knowledge on proper IV m
edication adm
inistration, Advised the patient and caregiver to keep the IV access site clean and dry at all tim
es, m
ake sure the site is covered before bathing, and use hand wipes for hand hygiene.
SN instructed patient the following way you can help prevent an infection wash your hands, use soap or an alcohol-based hand rub to clean your hands. Check your skin every day for signs of infection, such as pain
, redness, swelling, and oozing. Contact your prim
ary healthcare provider if you see these signs.