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Instructed in various factors that help alleviate pain without, or in addition to, analgesics such as frequent position changes, relaxation techniques, heat or cold, regular rest periods, pillows to support painful area, etc.
Instructed patient on how the habit of eating a lot of salt increases the chance of getting high blood pressure.
Instructed on the importance of avoiding exercising a hot, inflamed joint.
Taught that, in Rheumatoid Arthritis, the joints most affected are knees, hands and feet.
Skilled nurse advised patient to wear medical alert indicating drug therapy (alprazolam)
The patient was instructed in craniectomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
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 in medication Metoprolol is used to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully. Metoprolol may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dizziness or lightheartedness, tiredness, depression, nausea and dry mouth.
Instructed patient diet: Your doctor will probably recommend that you follow a low fat, no added-salt diet after discharge. This may reduce your risk of a heart attack in the future and your risk for requiring angioplasty or surgery again. You should try to have less than 30 percent of your calories from fat. Try to control your weight and eat less saturated fat and cholesterol.
SN instructed patient that bleeding is frequently associated with any non-tunneled catheter insertion. More frequent dressing changes and/or a mild pressure dressing may be required. Excessive bleeding or bleeding that persists for more than 24 hours is not normal. Excessive bleeding may be caused by coagulation disorders, vigorous physical activity, or a traumatic insertion procedure.