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Instructed in possible complications of diabetes such as kidney and bladder disorders, strokes, heart disorders, eye complications, peripheral vascular disorders, nervous system disorders.
Instructed in refusal to observe wound care or participate with care if they feel unable/uncomfortable with this procedure.
Patient was instructed on traumatic wounds. Open wounds may be left heal
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.
Instructed on some measures aimed to controlling/managing Angina Pectoris, such as: exercise regularly and take scheduled rest periods, as directed by MD.
Patient instructed on adverse effect of Zosyn such as pruritus, rash, constipation, insomnia, and agranulocytosis.
The patience was advised the importance of preventing transmission of the virus by contact with body fluids, (vaginal or anal intercourse, oral sex) without using condom, sharing needles or sex toys, blood contact of any kind.
The patient was instructed in osteomyelitis in the necessity of wound care using aseptic method for dressing changes. The patient was advised to care of a casted extremity. The patient was reviewed to care for external fixator device. The patient was recommended how to use and care for the Hickman catheter for home antibiotic therapy. The patient was encouraged in the importance of immobilizing the affected part to reduction the spread of infected material.
Instructed patient classic barriers to spontaneous closure include distal obstruction, mucocutaneous continuity (ie, a short or epithelialized tract), and infection or malignancy in the tract. Comprehensive and effective management of the patient with fistula requires attention to fluid and electrolyte replacement, per fistula, skin, protection, infection control.
SN instructed patient about Gabapentin ( Neurontin ). It is a medication used to treat epilepsy, neuropathic pain and hot flashes. It is also used for restless leg syndrome. It is a first line agent for the treatment of neuropathic pain arising from diabetic neuropathy, post-herpetic neuralgia, and central neuropathic pain. Most common side effects of gabapentin in adult patients include dizziness, fatigue, drowsiness, weight gain, and peripheral edema. It may also produce sexual dysfunction in some patients, symptoms of which may include loss of libido, inability to reach sexual climax, and erectile dysfunction. It should be used carefully in patients with renal impairment due to possible accumulation and toxicity. Warning of an increased risk of depression and suicidal thoughts and behaviors in patients taking gabapentin. Report to Physician or nurse if any of those side effect / adverse reaction occurs.