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Patient was instructed on list of measures to prevent falls at home: If use a cane put rubber tips on it. Keep the house well lit especially stairways, porches and outside walkways. Use night lights in areas such as hallways and bathroom.
Taught that Fosamax is to be taken by mouth, with a full glass (6-8 oz/180-240 ml) of plain water.
Instructed on some factors that may increase the risk of developing/exacerbating Osteoarthritis, such as: advancing age, poor body posture and metabolic or endocrine abnormalities, among others.
Instructed on some signs/symptoms of Osteoarthritis, such as: crepitus (creaking or granting upon joint movement), among others.
Instructed on some signs/symptoms of hypertension (high blood pressure), such as: blurring of vision, fatigue and nosebleeds, among others.
Instructed in possible cause of hyperglycemia such as too little insulin, too much or wrong kind of food, infection, injury, illness, decreased activity.
SN advised patient on proper position to adminsiter Lovenox (lie down during injection). Patient verbalized understanding of instructions given.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, instruct to take medication exactly as directed, at the same time each day. Missed doses should be taken within 12 hr of scheduled dose or not taken at all. Do not double doses. Consult health care professional if doses for 2 or more days are missed. Do not discontinue medication without consulting health care professional.
SN advised to patient / caregiver that blood glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.