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Instructed in the importance of including more fiber in diet if not contraindicate. Instructed to take fresh fruit, cooked or stewed fruits, green vegetables, root vegetables and whole grain food.
Instructed patient to eat regular meals: three meals and a snack or two every day at about the same time. Do not skip meals. Choose a variety of foods to eat so the body gets the nutrition it needs. Use the Food Pyramid to choose, eat more from the foods at the bottom and eat less from the foods at the top. Eat more foods with high soluble fiber content such as legumes, fruits and oats.
Patient was instructed on the importance to recognize the symptoms of depression to take action right away. Inability to remember things - fatigue or lost of energy, feeling "dragged out" and tire - lack of appetite or eating too much with accompanying weight changes - no interest in the things that used to bring pleasure - not sleeping at night or sleeping too much.
Instructed on proper method of medication intake, as many people taking prescription medications do not follow their doctors' instructions.
Skilled nurse teach patient's and describe each step of the procedure , encouraging participation in ostomy care,teach patient about a new stoma techniques to use for cleansing. No signs of symptoms of infections noted.
SN instructed patient on low salt diet. SN instructed patient on how to read nutritional labels on commercially prepared foods. Other salt alternatives such as Mrs. Dash was encouraged. SN explained how sodium affects blood pressure and water retention.
Instructed patient it's very important for you to take your HIV medicines exactly as directed. Not taking medications correctly may lower the level of immune system defenders called CD4 cells and cause the level of virus in your blood (viral load) to go up.
Instructed patient stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.)
SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.
SN instructed patient on diabetes and kidney problem, that diabetes mellitus ( DM ) is one of the leading cause of kidney failure in the United States. Approximately one-half of people who need dialysis have kidney disease from diabetes.With that, tight control of blood sugar must be done by avoiding concentrated sweets and high-carbohydrate content foods.Diabetic patients with hypertension have a special lower blood pressure target of less than 130 / 80 mmHg to reduce cardiovascular risk and delay progression of kidney disease.