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Instructed in factors that increase the risk of diarrhea such as drug side effects, food allergies, infections, ingestion of toxins, fecal impactions, radiation, laxative abuse, stress, lactose intolerance, or diseases like cancer, diverticulosis and others.
Instructed in the necessity of having an emergency evacuation plan, and available community resources if required.
Instructed patient on the importance of incorporating fruits and vegetables to his/her diet to help managing hypertension. Decreasing the salt in your diet, limiting alcohol and not smoking help as well. Regular monitoring of blood pressure track the progress of the condition. Patient verbalized understanding.
Patient was instructed how to reduce friction and shear. Use draw sheet for repositioning, encourage use of trapeze if possible, keep head of bed elevated (if tolerated), elevate foot of bed slightly (if condition permits), use pillow or wedge to support hip (side lying, lateral position), utilize lifts and transfer devices.
Instructed patient on the importance to inject insulin not exactly in the same place each time, but move around in the same area so the insulin reaches the blood with the same speed with each shot.
Patient was instructed on how to avoid hypoglycemia. Start off every day with a healthy breakfast containing fruits, vegetables and high fiber foods such as oatmeal. Eat frequent small meals (rich in complex carbs, protein and fiber) throughout the day.
Caregiver/A.L.F's staff was instructed in different patient's symptoms of anemia , which can include cognitive dysfunction, headaches, dizziness, nervousness, lack of concentration, forgetfulness, fatigue amounts others.
Instructed patient what to do if a person has trouble breathing The most common reason for breathing problems, other than an illness, is If you have trouble passing the catheter into the trach and it feels tight, put a few drops of saline into the tube and try to suction again. Do not force the catheter; it may push the plug in further. If you are unable to remove the mucus plug, change the trach tube and try to suction again.
SN instructed patient on arthropathy: Encouraged frequent changes of position. Assisted patient to move in bed, supporting affected joints above and below, instructed her to avoid jerky movements. Recommend that patient take warm bath or shower upon arising or at bedtime. Apply warm, moist compresses to affected joints several times a day. Monitor water temperature of compress, baths, and so on. Encouraged patient on stress management techniques such as progressive relaxation, biofeedback, visualization, guided imagery, self-hypnosis, and controlled breathing.Verbalized understanding.
Sn instructed patient on seizures and precautions for safety at home. replace glass tables or furniture with wood, glass can break and cause injury, leave interior doors open, don't take shower unless someone is in the house and make sure family and friends are aware of your seizures and know what to do to help if you have a seizure. Notify nurse or Physician if seizures occur. If a grand mal seizure occurs go to ED after recovery.