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Patient was instructed on precautions regarding medications: Do not drink alcohol while taking medications. If the mouth becomes dry, sipping cool beverages or eating a hard candy may help.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
Taught that Sensipar helps to slow down the development of bone disease and prevents mineral imbalance.
Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: poor nutrition and advancing age, among others.
Instructed patient how to change the dressings and how to care for the tubes and drains. Recommend to splint the abdomen when coughing or sneezing.
The patient was instructed in coronary artery bypass graft surgery that complete curative and recovery take 8 to 12 weeks. The patient was informed that the sternum was wired together and that a feeling of movement or a clicking sound is normal during the healing period. The patient was taught that minor itching, redness, numbness, soreness, swelling, or a drawing feeling is normal during the healing period. The patient was advised to avoid lifting or carrying heavy objects or performing isometric activities.
Patient assessment done with special attention on neuro-musculoskeletal and general status. Vital signs monitored.
Skilled nurse remove PICC,line per doctor order, the catheter tip should also be examined and there is no breakage at the end, no S/S of infections noted. Skilled nurse applied at the insertion site with sterile gauze to prevent bleeding which and when the bleeding stops, the gauze is removed and a sterile dressing is applied. Instructed patient the dressing should remain for approximately 24 hours. After this time, the site should be assessed and a new dressing applied if needed. Patient understand the instructions given.
Instructed patient in some cases of colostomy, skin irritation or infection can result from stool that leaks under the bag. A hernia can develop around a colostomy, and the bowel may become narrow. Taking good care of your stoma and eating a balanced diet can help you avoid these problems. Pouching systems are waterproof. However, you may feel more secure if you wear an ostomy belt or put tape around the edges of your skin barrier when you are in the water.
SN instructed patient on importance of protecting skin by: keeping your skin moist with lotions or ointments to prevent cracking, wearing shoes that fit well and provide enough room for your feet, learning how to trim your nails to avoid harming the skin around them, wearing appropriate protective equipment when participating in work or sports.