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Instructed patient to take blood pressure at the same time everyday and also report elevated S/P levels.
Instructed patient about infection, which is the invasion and multiplication of microorganisms in body tissues.
Instructed patient to report to nurse or MD at the first sign or symptom of pressure ulcer formation, for example: redness that remains half an hour after pressure has been removed from area.
Patient was instructed on wounds contributing facts. In addition to poor circulation, neuropathy, and difficulty moving, factors that contribute to chronic wounds include systemic illness, age and repeated trauma.
Patient was instructed on diabetes. All body cells require glucose for energy. Glucose enters body cells with the help of a hormone called insulin, which acts somewhat like a gatekeeper. If the body becomes less responsive to insulin, or if the body is not producing insulin, glucose cannot pass through the cell wall and the cell "starves."
Taught that, in Congestive Heart Failure (CHF), the decrease in the amount of blood pumped with each heart contraction causes an increase in circulatory pressure.
Taught that putting most frequently used items within easy reach is a measure aimed to increasing tolerance in response to increased physical activity.
Instructed on some potential complications of hypertension, such as: hypertensive crisis (sharp rise in blood pressure to greater than 200/120, severe headache, vomiting), among others.
The patient was advised on factors that initiate asthmatic attacks (food, pollens, animals, dust, weather, etc). The patient was instructed in the correct use of oral inhaler, home oxygen or incentive spirometer as ordered. The patient was reviewed to avoid persons with infections.
Instructed caregiver reducing additional risk factors, such as , high cholesterol, and elevated blood glucose, are important in prevention and treatment of a diabetic foot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks. the patient podiatrist can provide guidance in selecting the proper shoes.