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Instructed in S/S of possible urinary tract infection such as back pain, burning, oliguria, dysuria, retention, fever, etc.
Instructed to keep pressure off wound area to promote circulation which is essential to healing.
Patient was instructed that neuropathy is a long term complication of diabetes, which means it typically takes many years for it to develop. To prevent and reduce the risk of diabetic neuropathy: blood glucose control, a balanced eating and exercises can help fend off neuropathy.
Taught that low back pain and rectal pressure may constitute as signs/symptoms of constipation.
Skilled nurse advised patient to wear medical alert indicating drug therapy (alprazolam)
Instructed the importance of adopting a lifestyle that controls an episode of Abdominal Aneurysm. Taught the patient how to care for the incision and instruct in case of any sign of infection, severe pain in the abdomen providing the name and telephone number of a physician or nurse.
The patient was instructed in polycystic kidney disease in the need of stopping urinary zone infections. The patient was advised to rise fluid intake. The patient was taught in good perineal area care after urination and defecation. The patient was reviewed in proceeds, monitor, and record blood pressure.
Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
Instructed patient about vacuum assisted closure ( VAC ) therapy help provide the necessary mechanisms to promote granulation tissue formation.
SN instructed patient about drug Cilostazol, trade name: Pletal. Is a medication for the treatment of intermittent claudication (pain in your calves when walking), a condition caused by narrowing of the arteries that supply the legs with blood. Patients with intermittent claudication develop pain when they walk because not enough oxygen-containing blood reaches the active leg muscles. Cilostazol reduces the pain of intermittent claudication by dilating the arteries, thereby improving the flow of blood and oxygen to the legs. It also reduces the ability of blood to clot. Cilostazol enables patients with intermittent claudication to walk longer and faster before developing pain. Cilostazol is a quinolinone-derivative medication that inhibits platelet aggregation and is a direct arterial vasodilator. Its main effects are dilation of the arteries supplying blood to the legs and decreasing platelet coagulation. Do not stop taking this medication without talking to your doctor.