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Instructed in the importance of proper foot care, including the wearing of properly fitting shoes and socks, correct trimming of the toe nails, and avoidance of injury to the legs and feet.
Instructed patient that during a hurricane he/she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to his/her house. In the event that the patient has no family or friends he/she should go to the closest shelter for proper assistance.
Patient was instructed on Hyperglycemia. Diabetes is currently a chronic disease with no cure. There is an exceptionally important role for patient education, diabetic support, self monitoring of blood glucose with the goal of keeping it within acceptable bounds.
Instructed on some signs/symptoms of depression, such as: easy crying and suicidal wishes or behavior, among others.
Instructed on some signs/symptoms of depression, such as: tiredness, listlessness and loss of interest in normal activities, among others.
Instructed patient / caregiver that if the catheter breaks, whether bleeding does or does not occur, do not panic. Using sterile gauze, apply sufficient pressure at the site so it is tightly and well covered and immediately report this to the physician. Maintain pressure on the site at all times.
Instructed patient when should you contact your caregiver: you have little or no urine draining from the nephrostomy tube, you have nausea and are vomiting, the black mark on your tube has moved or is longer than when it was put in ,you have questions or concerns about your condition or care.
Instructed patient what lifestyle choices can help me feel my best: Stay active. If you are not active, your symptoms are likely to worsen quickly. Walking, and other types of physical activity help maintain your strength and improve your mood. Physical activity also helps you manage your weight. Eat heart-healthy foods and limit sodium (salt An easy way to do this is to eat more fresh fruits and vegetables and fewer canned and processed foods.
SN instructed patient that Meclizine is an antihistamine that is used to prevent and treat nausea, vomiting, and dizziness caused by motion sickness. It may also be used to reduce dizziness and loss of balance (vertigo) caused by inner ear problems. SN instructed that drowsiness, dry mouth, and tiredness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
RN performed supervision with HHA present and reviewed that the HHA Care Plan is followed as ordered. Patient is satisfied with rendered services. RN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid - proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non - slip footwear and not walking in stocking feet. RN also explained that side effects of most medications taking can cause dizziness and advised to immediately report the occurrence of dizziness so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.