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Instructed patient on Diabetes diagnosis, which occurs when the pancreas has partial or total lack of insulin production.
Patient and/or caregiver instructed to install grab bars in the bathtub. This simple procedure will prevent falls while the patient is in the bathtub and at the same time will provide additional support when she/he needs it.
Instructed patient about increasing ingestion of ferrous-containing foods such as: liver, red meats and green leafy vegetables. This simple eating change will increase the production of red blood cells and decrease anemia.
Patient was instructed on tips for a good personal hygiene. Have clean bed linen. Change them once a week and wash them well before using them again. It is important to air out the bedding regularly.
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: rapid weight gain and loss of appetite, among others.
The patient was advised the importance of preventing respiratory infections by evading persons with infections to prevent atelectasis. The patient was instructed in coughing and deep breathing techniques. The patient was advised to use an incentive spirometer and how often to use it.
Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
Patient instructed in congestive heart failure occurs when your heart is not able to pump enough blood to meet the needs of the rest of your body. If you have CHF, blood and extra fluid may back up into your lungs, making it difficult for you to breathe, swelling in your ankles and legs (called edema) may occur, you may experience excess fatigue with exercise.
Instructed patient/caregiver on no-added-salt or salt-controlled diet can help control high blood pressure. Even if you are taking medication, it's important to follow a salt-controlled diet to help the medication work more effectively. Use a limited amount of salt in cooking. Don't add salt to your food at the table, either at home or when dining out. Most restaurants add salt when preparing food. Use fresh or dried herbs, spices, and lemon juice to season foods. Avoid ham, bacon, salt pork, and cheese, because these are made with salt. Patient/caregiver verbalized understanding.
Instructed patient as much as possible, the skin should be kept clean and dry. You may need to clean the skin around the trach tube several times throughout the day. Call your doctor if you notice thick secretions that are yellow or green in color.