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Instructed patient to cut toenails straight across. This will help to avoid ingrown toenails. Also instructed to avoid letting somebody else to cut the toenails.
Patient was instructed on a healthy mouth. Tooth damage. An invisible film of bacteria, saliva and food particles (dental plaque) normally cover teeth. The bacteria feed on the sugars and starches in the foods and beverages consumed and produce acids that damage the hard enamel coating the teeth. Damage from this acid increases the risk of tooth decay (cavities).
Taught that during times of stress, such as fever, infection, injury or surgery, it may be more difficult to control the blood sugar levels.
Instructed on the importance of having safety measures implemented (e.g., passageways uncluttered, good illumination, rugs removed, surfaces dried) in order to reduce the risk of accidents/injuries.
Instructed on some factors that may increase the risk of exacerbating Epilepsy, such as: genetic factors and electrolyte imbalance, among others.
Instructed on some measures aimed to managing/controlling Emphysema, such as: get regular exercise with adequate rest periods, among others.
Unlikely but serious side effects of isorsobide mn are: more frequent or worsening chest pain, flushing, unusually slow or fast heartbeat, fainting. A serious allergic reaction to this drug is unlikely, but seeks immediate medical attention if it occurs. Symptoms of a serious allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist immediately.
Instructed patient on new medication Santyl ointment. It is used for removing the dead skin from wounds or burned areas. Santyl ointment is an enzymatic debriding ointment. It works by breaking down dead skin.
RN performed supervision with HHA present and reviewed that the HHA Care Plan is followed as ordered. Patient is satisfied with rendered services. RN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid - proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non - slip footwear and not walking in stocking feet. RN also explained that side effects of most medications taking can cause dizziness and advised to immediately report the occurrence of dizziness so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.
SN instructed patient / caregiver that Guaifenesin is an expectorant used to help clear mucous and congestion and codeine is used to quiet to cough. SN instructed patient / caregiver to take as directed and with food if stomach upset occurs. Informed that drowsiness, constipation, stomach upset, nausea, vomiting, dizziness or headache may occur the first several days the body adjusts to the medication, call physician ( MD ) if these effects continue or become bothersome or if developing skin rash, itching or rapid heart rate. SN instructed patient / caregiver to take the needed cough medication and stop when symptoms clear up.