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Instructed on Anemia. Pernicious anemia is a disease where large, immature circulate in the blood, and do not function as blood cells; it is a disease caused by impaired uptake of vitamin B-12 due to the lack of intrinsic factor in the gastric mucosa.
Taught that hypertension, obesity and a diet high in cholesterol are potential factors of cerebrovascular accident (stroke).
Instructed on the importance of remaining calm if experiencing a seizure episode.
Instructed on some signs/symptoms of low blood sugar (hypoglycemia), such as: fatigue, headache and drowsiness, among others.
SN instructed patient on s/e of Zosyn such as diarrhea, nausea, vomiting, and headache.
The patient was instructed to stop any anticoagulant or antiplatelet medications 1 week before the arterial revascularization surgery. The patient was advised to use antiembolic stockings. The patient with axillofemoral bypass graft was advised to evade strong use of the affected side, not to wear close-fitting or obstructive clothes (belts, suspenders) over graft site.
Instruct the patient to note the time of the first bowel movement after anorectal abscess, fistula, and fissure surgery if no bowel movement occurs or if constipation advances. Advised the patient to shave the perianal area weekly to keep hair out of the affected area. Advised the patient to sit on thick foam pillows or pads and to avoid air or rubber donuts because they spread the buttocks apart.
The patient was instructed in cataract surgery need to wear an eye shield at night for 2 to 6 weeks to avoid eye injury, warn that depth perception may be lost and 50% of peripheral vision will be lost because of the eye patch. The patient was advised to avoid falls by turning the head fully to the affected side to view objects. The patient was taught to use up-and-down head movements to judge stairs and oncoming objects and to move slowly. The patient was recommended to wear dark glasses during the day to avoid pupil constriction and glare.
The patient was instructed in herniorrhaphy to apply scrotal provision or ice packs to reduction scrotal edema and distress. The patient was reviewed to get proper supplies like sterile dressings. The patient was instructed to evade coughing, straining, stretching, constipation, heavy lifting, energetic exercises. The patient was advised to immobilizing incision manually or with a pillow during coughing, sneezing, or hiccups.
Instructed patient / caregiver having a stoma is a major event and patients can become very anxious and depressed. Adequate counseling is vital and this may need to include mental health specialists.