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Patient was instructed on Passive exercises or ROM exercises. All exercises are done smoothly and gently. Never force, jerk or over-stretch a muscle. This can hurt the muscle or joint instead of helping. Move the joint slowly. This is especially important when having muscle spasms. ROM exercises should never cause pain or go beyond the normal movement of the joint. Stop them if the person feels pain.
Patient was instructed on fluid retention. The 2 broad categories of fluid retention include generalized edema, when swelling occurs throughout the body and localized edema when particular parts of the body are affected. The wide range of causes includes the body
Patient was instructed on Hyperglycemia. High blood sugar develops when there is too little insulin or when the body fails to respond properly to the insulin in the blood. High blood sugar emergencies often develop because of some underlying condition that may not be obvious, such as a heart attack, infection, or surgery.
Patient was instructed on how to avoid hypoglycemia. Avoid fasting, eating irregular meals and chronic binge drinking to maintain a more constant blood sugar level. To limit the risk of developing hypoglycemia or hyperglycemia, eat a diet that provides a slow and regular release of sugar.
Instructed on some measures aimed to preventing/controlling Epilepsy, such as: take corresponding medications exactly as directed by MD and avoid over-the-counter medication without MD
Taught that Osteoporosis results in decreased bone mass and bone density.
Instructed on some signs/symptoms of Osteoarthritis, such as: heberdens nodes (nodular bony enlargements within the joint).
The patient was instructed in cushing’s disease and cushing’s syndrome to organize and obtain an emergency kit including alcohol and prefilled syringes hydrocortisone for episodes of severe adrenal insufficiency. The patient was advised to self-monitor laboratory values and identify personal baseline levels. The patient was advised the need to prevent injury associated with osteoporosis. The patient was recommended to use ambulatory aids such as walker, cane as necessary.
Instructed patient / caregiver for minimizing problems associated with PICC lines, guidelines include: Always wash hands before touching the PICC line, do not allow any sharp objects near the line, do not clean the skin near the line with any acetone containing cleanser.
Instructed patient high-fiber and gas-producing foods can also cause some people discomfort after gallbladder surgery, so you may want to introduce them slowly back into your diet. These include: Cereals, whole-grain breads, nuts, seeds and legumes.