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Instructed patient that depression is an abnormal and persistent mood state. It is characterized by sadness, melancholy, slowed mental processes and changes in physical patterns such as eating and sleeping.
Patient was instructed on shortness of breath that make people feel like they can't take enough air, the chest feel tight. Sometimes the feeling is worse when active or lying down flat. If experiencing other symptoms like cough, chest pain or a fever tell the nurse or doctor.
Patient was instructed on some precautions to prevent diabetes complications, such as, to do deep breathing exercises to promote lung expansion and prevent pulmonary congestion.
Patient was instructed on the importance of rotate the site of insulin injection to prevent future complications in that skin area. Injecting in the same place much of the time can cause hard lumps or extra fat deposits to develop.
Patient was instructed on diabetes. There are 2 types of diabetes. Type I diabetes, the pancreas stops making insulin altogether. Type II diabetes, the body still makes some insulin but it doesn't make enough, or the body can't use it properly.
The patient was instructed in gastrostomy indicating the training and management of tube feedings, including quantity and regularity. The patient was advised to sit upright during feeding and for 1 hour after feeding to prevent reflux into the esophagus or backflow into the gastrostomy tube. The patient was explained to take care of the gastrostomy tube. The patient was taught that the tube may eventually be removed and inserted only for feeding. The patient was taught to protect the stoma with a small gauze pad.
The patient was instructed in osteomalacia in the importance of the part that vitamin D plays in calcium and phosphorus absorption. The patient was advised that sunlight is a good source of Vitamin D construction. The patient was reviewed to evade the use of aluminum-containing antiacids.
Patient was educated about potassium 10 meq 1 tablet oral daily and it's side effects such as: confusion, restlessness, weakness, abdominal pain , diarrhea , flatulence , nausea , vomiting, and the importance to notified immediately nurse/ agency/ doctor/ 911 if any of this persist.
SN instructed patient psychological stresses such as difficulties with relationships, job pressures, financial strain, and even concerns about self-worth can contribute to hyperglycemia. If these issues become overwhelming, decreased attention to the diabetes treatment plan may also contribute to hyperglycemia.
RN instructed patient and caregiver on balance in order to avoid fall that can produce complications in musculoskeletal system. RN explained that with age, a combination of factors decreases balance and the nerve endings in our feet don't detect impulses as readily and the balance control centers in our brain and our ears operate more slowly so age - related changes in vision and hearing, even when subtle, also contribute to the decline in balance and could increase the risk of falls. Patient and caregiver voiced understanding of all instructions given.