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Instructed in foods low in cholesterol such as fish, fruits, vegetables, egg substitutes, poultry, lean meats, grains, etc.
Instructed in overall dressing change technique, and observed SN during wound care.
Instructed in S/S of hyperglycemia, such as excessive urination, thirst, nausea, vomiting, abdominal pain, or cramping, weak-tired feeling, drowsiness, deep-rapid breathing, or fruity breath. If these S/S occur client S/O instructed to notify MD.
Instructed patient to perform daily exercises as taught by physical therapist to prevent muscles atrophy, decrease joint contractures and improve circulation.
Patient was instructed on treating painful wounds. Persistent pain associated with non-healing wounds is caused by tissue or nerve damage and is influenced by dressing changes and chronic inflammation. Chronic wounds take long time to heal and patients can suffer from chronic wounds for many years.
Patient was instructed on measures to prevent falls when bathing. Get into the shower/tub by putting the weaker leg in first. Get out of the tub / shower with the strong side first. Use a long handle brush or mittens with straps to help with bathing.
Instructed on the importance of having safety measures implemented (e.g., passageways uncluttered, good illumination, rugs removed, surfaces dried) in order to reduce the risk of accidents/injuries.
Patient instructed on Nitroglycerin sublingual tablets usually give relief in 1 to 5 minutes. If the pain is not relieved, you may use a second tablet 5 minutes after you take the first tablet. If the pain continues for another 5 minutes, a third tablet may be used. If you still have chest pain after a total of 3 tablets, contact your doctor or go to a hospital emergency room right away. Do not drive yourself and call 911 if necessary.
Instructed patient Wipe the connecting ends of the drainage bag with alcohol or iodine before you reconnect the bag to the tube. This helps prevent infection. Instructed patient check the catheter to be sure it is in place after you change your clothes or do other activities. Do not wear tight clothing over the tube. Place the tubing over your thigh rather than under it when you are sitting down. Be sure that nothing is pulling on the nephrostomy tube when you move around.
SN instructed patient / caregiver regarding medication Dilantin. Explained that Dilantin is an anticonvulsant and is used to control seizures. SN instructed patient / caregiver that the side effects of this medication includes headache, nausea, vomiting, constipation, dizziness, drowsiness, insomnia and nervousness, swelling of gums may also occur. SN instructed to call physician ( MD ) if patient experiences unusual eye movement, loss of coordination, slurred speech, confusion, blurred vision, or tingling of hands and feet. SN instructed patient / caregiver that blood draws are usually done regularly to make sure that the medication in the body is within therapeutic level.