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Patient was instructed on appropriate nutrition. Choose non fat dairy product such as skim milk, non fat yogurt and non fat cheese. Choose water and calorie free
Instructed patient about foods low in cholesterol, such as, fish, low fat dairy products, fruits and vegetables, grains, herbs and spices, lean meats, lean poultry, egg substitutes, polyunsaturated oils and others.
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if dark urine and/or persistent fatigue occur.
Taught that Atherosclerosis is the build-up of fatty, fibrous plaques on the inner wall of the artery causing it to become narrowed and hardened.
The patient was instructed in osteoporosis in the significance of creating home safety measures to prevent falls and injuries. The patient was advised to use ambulatory assist devices like cane or walker. The patient was reviewed of the need for sunlight (15 minutes/day) to let beginning of vitamin D. The patient was recommended to use of calcium supplements.
SN instructed patient / caregiver that the more you know about any medication you use, the better it is as they can be sure they're using it properly. There are simple safety measures when taking any medication like take each medication exactly as it has been prescribed, make sure that all your doctors know about all your medications, and let your doctors know about any other over the counter (OTC) medications, vitamins and supplements, or herbs that you use as well as any allergies to any medication.
Instructed instructed call your doctor if you notice if around your stoma any redness, swelling, irritation, bleeding, green discharge or food.
SN instructed patient / caregiver that the Tramadol is an opioid pain medication used to treat moderate to moderately severe pain. When taken as an immediate-release oral formulation, the onset of pain relief usually occurs within about an hour serious side effects may include seizures, increased risk of serotonin syndrome, decreased alertness, and drug addiction. A change in dosage may be recommended in those with kidney or liver problems. Its not recommended in women who are breastfeeding or those who are at risk of suicide. The most common adverse effects of tramadol may include nausea, dizziness, dry mouth, indigestion, abdominal pain, vertigo, vomiting, constipation, drowsiness and headache
SN instructed patient about the risks of having a Jackson Pratt drain. The JP drain site may be painful. You may have trouble lying on the side with your JP drain. Your JP drain site may leak. The JP drain may be pulled out by accident. The tubing may get blocked, crack, or break. The tubing may damage your tissue. You may have a scar. The JP drain site may get infected. This infection could spread inside your body.