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Instructed in new medication Prednisone and in S/E such as euphoria, insomnia, psychotic behavior, vertigo, headache, paresthesia, seizures, pseudotumor cerebri, heart failure, hypertension, edema, arrhythmias, thrombophlebitis, thromboembolism, cataracts, glaucoma, peptic ulceration, GI irritation, increased appetite, pancreatitis, nausea, vomiting, menstrual irregularities, increased urine calcium levels, hypokalemia, hyperglycemia, carbohydrate intolerance, growth suppression in children, muscle weakness, osteoporosis, hirsutism, delayed wound healing, acne and various skin eruptions.
Instructed patient about possible assistance to improve mobility, such as, a rehabilitation nurse (assists with exercises), physical therapy, occupational therapy, etc. Rehabilitation therapy services will restore patient to the highest level of functioning. Physical Therapy improve movement dysfunction. Occupational Therapy restore ability to perform necessary daily activities.
Patient was instructed on hypertension. It is possible to lower blood pressure by making healthy changes in the lifestyle. There are 6 lifestyle changes that can help to prevent this disease such as loosing extra weight, eating less salt, exercising, limiting alcohol drinks at 2 daily, getting potassium every day, following a diet rich in fruits, vegetables and low-fat dairy products.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Nerve damage occurs because excess sugar injures the walls of the tiny blood vessels (capillaries) that nourish the nerves.
Instructed in factors that increase the risk of COPD such as respiratory infections, respiratory irritants (dust, smoking, cold, damp air, etc), possible family history, and poor defense system.
Simvastatin is a cholesterol- lowering medicine. It inhibits the production of cholesterol by the liver.
The patient was advised in pain management in arthritis applying heat or cold to a painful joint for temporary relief avoiding temperatures extremes. The patient was recommended to maintain a regular exercise program that provides stretching and joint mobility. The patient was encouraged to coordinate pain medication with activities. The patient was recommended to use assistive and/or protective devices, as needed, to support affected joints. The patient was advised in the importance of maintaining a safe home environment to prevent falls (removal of small rugs, handrails in showers, tubs, or toilets etc. The patient was encouraged that eating well-balanced diet.
The patient was instructed in cirrhosis to avoid using soap. The patient was advised to use moisturizers and antipruritic lotions. The patient was reviewed to minimize the risk of bleeding by not straining during defecation, blowing the nose forcefully, or using razor blades or hard-bristled toothbrushes. The patient was recommended the importance of abstaining from alcohol.
Instructed patient if you have fever, chills, tenderness, redness, or pus at the catheter site or swollen arm,check your child’s temperature, and all the doctor right away.
RN instructed patient and caregiver on no-added-salt or salt-controlled diet that can help control high blood pressure. RN explained that even if taking medication, it's important to follow a salt-controlled diet to help the medication work more effectively and use a limited amount of salt in cooking. RN instructed caregiver not to add salt to food at the table, either at home or when dining out. RN also instructed patient to use fresh or dried herbs, spices, and lemon juice to season foods and avoid ham, bacon, salt pork and cheese because these are made with salt. Patient and caregiver verbalized understanding of all instructions given.