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Instructed to maintain a diabetic record of blood sugars and any untoward reactions. Record should include date, time, and any other pertinent information.
Instructed patient on the use of absorbent products with polymer gel and changing when wet, wash skin with incontinence wipe or cleanser but avoiding excessive friction. Avoid soap as it removes natural protective lubricants.
Instructed patient about other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations, irregular heart beat, faintness, and weakness.
Instructed patient about walking. It is a very good way to get regular exercise. Walking around the block for at least minutes every day is the ideal type of exercise. Always carry a snack.
Patient was instructed on hypertension. Very high blood pressure can cause headache, vision problems, nausea and vomiting. It is called hypertensive crisis, which is blood pressure that rises very fast.
Taught that Osteoarthritis is a degenerative, non-inflammatory joint disease.
Instructed on some signs/symptoms of low blood sugar (hypoglycemia), such as: tremors and pale, moist skin, among others.
SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.
Instructed patient maintaining a clean and dry dressing is paramount to a continued well functioning PICC line.
Instructed patient / caregiver having a stoma is a major event and patients can become very anxious and depressed. Adequate counseling is vital and this may need to include mental health specialists.