SN instructed patient ways to clear nasal sinuses and to moisturize your sinuses by draping a towel over your head as you breathe in the vapor from a bowl of medium-hot water. Keep the vapor directed toward your face. Or take a hot shower, breathing in the warm, moist air to help ease pain and help mucus drain. Rinse out your nasal passages. Use a specially designed squeeze bottle, saline canister.
SN completed all education for this SNV, and reminded patient on the importance of going to all medical appointments, bringing blood pressure log and all of his/her medications. Patient/Caregiver verbalized understanding.
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.
Instructed in the importance of follow-up visits to MD.
Instructed to discard all outdated medications.
Instructed to use Biohazardous waste/sharps containers provided by Home Health Agency.
Instructed in complicated medication regime, with written medication schedule provided.
Instructed in deep breathing exercises to promote lung expansion and prevent pulmonary congestion.
Instructed to follow therapeutic diet, including adequate fluid intake to ensure proper nutrition and hydration.
Instructed in the importance of addressing Advance Directives to ensure compliance with client's wishes and medical needs.