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Instructed patient on how resting often, sleeping on a firm mattress, staying warm and applying heat to the affected joint can help ease symptoms. Adequate nutrition, including vitamin supplements is often advised.
Patient was instructed on what to avoid in presence of ulcers. Friction and shear need to be reduced. Friction is the mechanical force exerted when skin is dragged against a coarse surface while shear is the mechanical force caused by the interplay of gravity and friction.
Patient was instructed on diabetes symptoms. People with diabetes also are at increased risk of cardiovascular disease caused by atherosclerosis (thickening and hardening of the artery). Atherosclerosis can involve the heart (coronary heart disease), with symptoms of chest pain or heart attack. Brain (cerebrovascular disease), causing stroke. Arteries supplying the legs (peripheral vascular disease), causing leg pain while walking or exercising that stops quickly with rest.
The patient was instructed in dysrhythmia arrhythmia the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood to clot and why it's important in patients taking Coumadin, because high amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.
Caregiver/A.L.F's staff was instructed in new medication; Follow your doctor's instructions carefully. Give the patient Doxycycline with a full glass of water or other liquid to avoid irritating your esophagus. Doxycycline can be taken with or without food. If stomach upset occurs, you can give him a glass of milk or after meals. Give the medicine at about the same time each day.
Instructed patient use sugar in moderation. Consider lower sugar options if available, fruits, vegetables, beans and whole grain foods are good sources of fiber, drink plenty of water, use less salt.
SN instructed patient and caregiver on Hepatitis C which in an infection caused by a virus that attacks the liver and leads to inflammation. Sympotms of hepatitis such as fatigue, nausea or poor appetite. Riks factors and complications of Hepatitis C such as liver cancer and liver failure.
SN instructed on Alzheimer's. Patient shouts at moments; Assessed patient’s ability for thought processing. Observed patient for cognitive functioning, memory changes, disorientation, difficulty with communication, or changes in thinking patterns. Assessed patient’s ability to cope with events, interests in surroundings and activity, motivation, and changes in memory pattern. Instructed caregiver to orient patient to environment as needed, if patient’s short term memory is intact. Using of calendars, radio, newspapers, television and so forth, are also appropriate. Assessed patient for sensory deprivation, concurrent use of CNS drugs, poor nutrition, dehydration, infection, or other concomitant disease processes. Maintain a regular daily schedule routine to prevent problems that may result from thirst, hunger, lack of sleep, or inadequate exercise. Provide positive reinforcement and feedback for positive behaviors. SN instructed family in methods to use with communication with patient: listen carefully, listen to stories even if they’ve heard them many times previously, and to avoid asking questions that the patient may not be able to answer. Divert attention to a client when agitated or dangerous behaviors like getting out of bed by climbing the fence bed. Eliminate or minimize sources of hazards in the environment. Caregiver verbalized fair understanding.
SN instructed patient / caregiver regarding medication Bystolic. SN explained to patient / caregiver that Bystolic is used to treat high blood pressure ( hypertension ). SN explained to patient that the side effects of this medication includes: headache, dizziness, tiredness, nausea, slow heartbeat and trouble sleeping. SN instructed patient / caregiver that if any of these effects persist or worsen, to notify physician.