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Instructed patient to replace diapers in order to avoid skin breakdown.
Instructed patient about complications of diarrhea, such as, dehydration, electrolyte imbalance or anal excoriation.
Patient was instructed on personal hygiene. Personal hygiene includes health practices such as washing the hair at least once a week, bathing every day, brushing the teeth after every meal and at bed time, and cleaning the clothes.
Patient was instructed on Hyperglycemia. To prevent high blood sugar emergencies, treat infections early. Untreated infections (such as urinary tract infections, pneumonia, and skin infections) can increase the risk for a high blood sugar emergency.
Taught that Hyzaar is used to treat congestive heart failure and to help protect the kidneys from damage due to diabetes.
Instructed on some measures aimed to controlling/managing depression, such as: encourage patient to become involved in prior interests and activities, among others.
SN instructed patient and caregiver that a sudden physical exertion may constitute as a precipitating factor of Angina Pectoris. Angina occurs when one or more of the coronary arteries become narrowed or blocked. Not be discouraged from exercising, but start slowly and do it regularly. Both patient and caregiver verbalized understanding.
Instructed on some signs/symptoms of Congestive Heart Failure (CHF), such as: increased fatigue and shortness of breath, among others.
Taught that using adjunctive equipment (e.g., cane, walker) as directed by MD, is a measure aimed to increasing tolerance in response to increased physical activity.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent with overall goals of care.