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Instructed in accurate preparation of insulin syringes using aseptics techniques.
Instructed in site to use for subcutaneous injection, and the importance of rotating these sites.
Instructed patient about Atenolol. How it may be crushed, chewed or swallowed whole; preferably taken with food to prevent gastrointestinal discomfort.
Instructed patient on how an internal or permanent pacemaker is implanted in the chest wall to control the heartbeat for years.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.
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, when taking Levothyroxine, if a dose is missed, it should be taken as soon as possible.
Instructed on the importance/need of keeping her medical appointments.
Taught that exercising regularly, as directed by MD, is a measure aimed to preventing/controlling Osteoarthritis.
SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.