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Instructed in the importance of addressing Advance Directives to ensure compliance with client's wishes and medical needs.
Instructed patient on measures to control hypertension, such as, control stress, decrease cholesterol and sodium in the diet, take medication exactly as prescribed, etc.
Patient was instructed on Osteoporosis caused by a lack of bone strength or bone density. As aging the bones get thinner naturally caused by factors such as age, being a woman who has gone through menopause, family background, having a slender body frame.
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 reducing cholesterol and triglycerides help prevent strokes and heart attacks.
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.
Patient was educated about potassium 10 meq 1 tablet oral daily and the importance to know sign and symptoms of toxicity and Overdose: (slow, irregular heartbeat; fatigue; muscle weakness; paresthesia; confusion; dyspnea).
Instructed patient caregiver knowledge of maintenance and care of PICC lines insures long term use. Problems, detected early, greatly decrease any complications that might be associated with this line.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
Instructed patient contact your doctor immediately if you have a fever, chills, redness, bleeding, irregular heart beat, chest pain, shortness of breath, weakness, or dizziness. Report redness, swelling, increased drainage or excessive pain at the surgical incision.