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Instructed to use Biohazardous waste/sharps containers provided by Home Health Agency.
Instructed patient on possible causes of hyperglycemia such as too little insulin, too much or the wrong kind of food, infection, injury, illness, decreased activity.
Patient was instructed on Osteoporosis. Exercises that improve balance and coordination that can also reduce your risk of falling. You can also make changes in your home to prevent falls.
Patient was instructed on hypoglycemia. Hypoglycemia may result from a variety of causes, which include: Alimentary hypoglycemia. Hypoglycemia within 1 to 2 hours after a meal sometimes occurs when stomach contents empty into the intestines too rapidly. This causes the rapid absorption of glucose into the blood and an overproduction of insulin (hyperinsulinism) in response. This problem may develop after surgery for peptic ulcers, obesity, or other stomach problems.
The patient was instructed in the breast surgery that if the axillary nodes are removed, the affected arm may inflate and is less able to fight infection. The patient was advised on daily arm exercises. The patient was taught to change dressing, evaluate appearance of the incision and drain site. The patient was encouraged not to abduct the affected arm or raise the arm or elbow above the shoulder until drains are removed. The patient was instructed to avoid use of deodorants, to avoid wearing constricting clothing or jewelry on the affected arm and to carry her handbag on the unaffected arm.
The patient was instructed in atrial dysrhythmias the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
Caregiver/A.L.F's staff was instructed in new medication; Follow your doctor's instructions carefully. Give the patient Doxycycline with a full glass of water or other liquid to avoid irritating your esophagus. Doxycycline can be taken with or without food. If stomach upset occurs, you can give him a glass of milk or after meals. Give the medicine at about the same time each day.
Patient with biliary catheter SN instructed patient when to call the doctor or go to emergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, more pain or swelling at or around the drain site, your temperature is greater than 101 degrees fahrenheit, with or without chills
Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.
Instructed patient when should you contact your caregiver: you have little or no urine draining from the nephrostomy tube, you have nausea and are vomiting, the black mark on your tube has moved or is longer than when it was put in ,you have questions or concerns about your condition or care.