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Instructed in how to recognize signs and symptoms of angina such as SOB, chest pain, anxiety, indigestion, sweating, shortness of breath.
Instructed patient on how to recognize S/S low blood sugar, such as, fatigue, headache, drowsiness, tremors, paleness, moist skin, hunger, anxiety, and impared vision.
Patient was instructed on eliminate or minimize pain of wound. Address the cause (remove the source if external, treat the infection or medicate based on physiological stimulus), pharmacological strategies
Patient was instructed on the importance of a good skin care which can prevent most pressure sores (bedsores) which develop in people who have already skin damage, who are mentally confused, who are bed bound or cannot turn side to side.
Patient was instructed about how to check both feet daily looking over them carefully every day, and be sure check between all of the toes. Blisters and infections can start between the toes, and with diabetic neuropathy, may not feel them until they've become irritated or infected. If physical challenges occur, ask a family member to help. Further teaching is needed.
SN advised patient to report severe diarrhea and consult healthcare professional prior to taking anti-diarrhea medicine. Other superinfection signs/symptoms should be reported as well. Patient and PCG verbalized understanding of instructions given.
The patient was instructed in muscular dystrophy in locating correct devices like aids for ambulation and self-care activities. The patient was advised to recognize variations in the home location like bed trapezes, handrails, railed toilet seats, and ramps for wheelchairs. The patient was taught in the good skin care and placing using a bed or a wheelchair. The patient was reviewed in pain controlling methods to deal with chronic pain.
Patient was instructed on some potential complications of hypertension, such as: retinal damage , cerebrovascular accident (CVA) or stroke and kidney failure. Also the patient was instructed on some measures aimed to managing/controlling hypertension, such as: exercise regularly and have regular check-ups, achieve and/or maintain ideal weight, and decrease sodium intake to decrease retention of fluid and the workload of the heart as directed by MD. Patient understood instructions given.
SN instructed patient psychological stresses such as difficulties with relationships, job pressures, financial strain, and even concerns about self-worth can contribute to hyperglycemia. If these issues become overwhelming, decreased attention to the diabetes treatment plan may also contribute to hyperglycemia.
Instructed that medication Spironolactone is used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It is also used to treat swelling (edema) caused by certain conditions (e.g., congestive heart failure) by removing excess fluid and improving symptoms such as breathing problems. Instructed that common side effects include, Drowsiness, dizziness, lightheadedness, stomach upset, diarrhea, nausea, vomiting, or headache.