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Instructed in refusal to observe wound care or participate with care if they feel unable/uncomfortable with this procedure.
Instructed to gradually increase activity as tolerated, taking rest periods to avoid overexertion.
Patient was instructed on pain management. Pain is an unpleasant sensation that is caused by actual or perceived injury to body tissues and produces physical and emotional reactions.
Patient was instructed on stress. In people with diabetes stress can alter blood glucose levels. To prevent stress form getting the best of the blood sugar get the stress under control by eating a healthy diet, getting adequate sleep, taking part in regular activity and learning relaxation techniques.
Taught that history of diabetes, cardiac disease and renal disease are potential factors of cerebrovascular accident (stroke).
Taught that exercising at a slow, steady pace, as directed by MD, is a measure aimed to controlling/managing Rheumatoid Arthritis.
Instructed on some signs/symptoms of Osteoarthritis, such as: heberdens nodes (nodular bony enlargements within the joint).
Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.
SN instructed that Breo Ellipta is used regularly as a long term (maintenance) treatment to prevent or decrease wheezing and trouble breathing caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, including chronic bronchitis and emphysema). Instructed that common side effects include, Headache, dry/irritated throat, hoarseness, runny nose, and coughing may occur as your body adjusts to the medication.
SN instructed patient about Flonase ( Fluticasone). It is used to treat asthma, allergic rhinitis, nasal polyps, various skin disorders and Crohn's disease and ulcerative colitis. If taken correctly, the nasal spray and oral inhaler formulation have less corticosteroid side effects than the tablet formulation because they limit systemic absorption. However, if the spray or inhaler is used at higher than recommended doses or with other corticosteroids, serious side effects can occur. These systemic corticosteroid side effect include weakened immune system, increased risk of systemic infections, osteoporosis, and elevated pressure in the eyes. Nasal spray common side effects may include nasal irritation, HA, nausea, vomiting, diarrhea, nosebleed, and cough. Rare side effects include painful white patches in nose or throat, sore throat, bruising , vision problems, swelling of face or neck, and difficulty breathing or swallowing.