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Instructed that alcohol may lower glucose levels and therefore should be avoided.
Instructed in measures important in foot care of the diabetic: inspect feet dialy, report any foot problems to podiatrist or physician, wash feet dialy with warm soap and water and pat dry; especially between toes.
Instructed patient about how when suffering from osteoarthritis the weight-bearing larger joints, including those of the hips, knees, neck and lower spine are the most commonly affected. The small finger joints can be involved too.
Patient was instructed on another leading type of chronic wounds is pressure ulcers. That occurs when pressure on the tissue is grater than the pressure in capillaries, and thus restricts blood flow into the area. Muscle tissues, which needs more oxygen and nutrients than skin does, show the worst effects from prolonged pressure. As in other chronic ulcers, reperfusion injury damage tissue.
Patient was instructed on how daily routine can affect the blood sugar levels. Consistency: consistency from day to day in the time and amount of food eaten. By controlling these factors, it is possible to better control when the sugar rises and even how high it rises.
Taught that Lamictal is used alone or with other medications to prevent or control seizures (epilepsy).
The patient was instructed in pneumonia and pneumonitis in the importance of evading spread of disease, rotating head away when coughing, and cover mouth with tissue. The patient was reviewed to evade persons with infections. The patient was taught in the importance of postural drainage and profound breathing exercises. The patient was reviewed in the need to use a vaporizer or humidifier at home. The patient was instructed on procedures of clearing secretions like coughing, positioning, splinting chest wall, or suctioning. The patient was instructed on adaptive breathing methods to decline work of breathing. The patient was recommended to stop smoking.
SN advised patient to report signs or symptoms or ototoxicity or nephrotoxicity during gentamycin therapy.
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Protect the Skin patient from injury - Avoid massaging the skin on bony parts of the patient body. Limit pressure on bony areas by changing positions frequently. If the patient in a bed, preferably every 2 hours.
Instructed caregiver about adequate hydration is necessary to keep secretions thin and mobile. Humidified tracheostomy collars provide some moisture but are not a source of hydration.