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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.
Patient was instructed about how to get a balanced diet: choose a variety of nutrient-dense foods and beverages among the basic food groups, balance calories from foods and beverages with physical activity to manage body weight, choose fiber-rich fruits, vegetables, and whole grains often, eat 2 cups of fruit and 2 1/2 cups of vegetables daily (for someone eating 2,000 calories) and other way to get the goals will be explained in next teaching. Further teaching is needed.
Patient was instructed on hypoglycemia. Insulin, glucagon and other hormone levels rise and fall to keep blood sugar in a normal range. Too little or too much of these hormones can cause blood sugar levels to fall too low (hypoglycemia) or rise too high (hyperglycemia).
Patient was instructed on stress. When stress occurs the body prepares to take action. In people who have diabetes this response does not work well. Insulin is not always able to let the extra energy into cells, so glucose piles up in the blood.
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
ALF staff instructions in new medication ketoconazole cream; use this medication on the skin only. Clean and thoroughly dry the area to be treated, Apply enough medication to cover the affected skin and some of the surrounding skin. After applying this medication, wash your hands. Do not wrap, cover or bandage the area unless directed to do so by your doctor. Do not apply this medication in the eyes, nose, mouth, or vagina. If this medication gets in the eyes (e.g., when used to treat dandruff), rinse thoroughly with water.
SN instructed patient to report any symptoms of anxiety such as feeling apprehensive, feeling powerless, having a sense of impending danger, panic or doom, having an increased heart rate, breathing rapidly (hyperventilation), sweating, trembling, and or feeling weak or tired to SN or MD immediately to help prevent further complications.
SN instructed patient about ways to relieve muscle stiffness such as performing exercises including gentle muscle stretching as tolerated, obtaining adequate rest or uninterrupted sleep in order to reduce stress, massaging affected body parts if not contraindicated and to avoid lifting heavy objects. Instructed to inform doctor or skilled nurse if discomfort progress or when severe or unexplained pain is felt.
Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)
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.