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Instructed in the assessment of their chest pain, including amount, frequency, location, duration and any associated symptoms. Instructed to report these to the health care professional.
Patient was instructed on Osteoporosis symptoms such as pain in the back, loss of height and stooped posture, a curved upper back, broken bones (fractures) that might occur with a minor injury, especially in the hip, spine and wrist.
Patient was instructed on relieving and preventing leg edema. The first line of defense is: leg elevation. Elevate legs above the level of the heart which puts minimal pressure on the back of the knees and thighs and lower back. Other help to decrease swelling is limiting salt intake, drink plenty of water, avoid sitting with the feet dependent. Do not abuse diuretics and laxatives.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Good lighting throughout the home, especially in stairwells and hallways, Non-slip floors and rugs, Hand rails on stairs, next to the toilet and in the shower and bathtub.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
Patient was instructed on the importance to have a good blood sugar control to avoid future diabetes complications: Monitoring: keep track of the blood sugar every day, Meals: Plan healthy and enjoyable meals to help keep the blood sugar near goal, Moves (exercise): moving the body help lower the blood sugar by burning it for energy, Medicine: when Meals and Move are not enough.
The patient was instructed in cushing’s disease and cushing’s syndrome to organize and obtain an emergency kit including alcohol and prefilled syringes hydrocortisone for episodes of severe adrenal insufficiency. The patient was advised to self-monitor laboratory values and identify personal baseline levels. The patient was advised the need to prevent injury associated with osteoporosis. The patient was recommended to use ambulatory aids such as walker, cane as necessary.
Instructed patient all bed-bound and chair-bound persons, or those whose ability to reposition is impaired, to be at risk for pressure ulcers.
SN instructed that the Loss of appetite can be a serious problem; it can lead to malnutrition and severe weight loss. Eating enough of the right kinds of foods can be difficult when you do not feel like eating at all. Here are some tips to help you increase your appetite: Avoid drinking liquids before a meal, because they can fill you up. If you want to drink, then drink juices or milk—something nutritious. Eat with family or friends if possible. Eat a variety of foods. Spice up your food with herbs, spices, and sauces. Use butter, bacon bits, croutons, wine sauces, and marinades to provide taste-pleasing meals. Do not fill up on salads or “diet” foods. Eat vegetables and fruits along with meats, poultry, and fish to make sure you get enough calories and nutrition. Eat smaller meals more often, especially if you fill up before you’ve eaten all your dinner.
SN instructed patient that the Xarelto is used to prevent or treat a type of blood clot called deep vein thrombosis ( DVT ), which can lead to blood clots in the lungs ( pulmonary embolism ). A DVT can occur after certain types of surgery. Xarelto is also used in people with atrial fibrillation ( a heart rhythm disorder ) to lower the risk of stroke caused by a blood clot. If you take Xarelto 1 time each day: Take the missed dose as soon as you remember. Take your next dose the following day and stay on your once-daily schedule. Do not take extra medicine to make up the missed dose.