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Instructed in signs and symptoms of complications and/or deterioration of wound status such as temperature above 100 grade, increase redness, drainage, edema, increase pain, increase size of wound.
Instructed in new medication Aspirin to manage rheumatoid arthritis. In addition, warned of possible S/E such as tinnitus, hearing loss, nausea, GI distress, occult bleeding, dyspepsia, GI bleeding, leukopenia, hepatitis, rash, urticaria and others.
Instructed if these S/S occur to take fast acting sugar, such as orange juice with sugar or glucose tablets.
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.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if rash, itching and/or swelling occur.
Taught that performing active or passive range-of-motion exercises, as directed by MD, is a measure aimed to controlling/managing Rheumatoid Arthritis.
Taught that the diastolic reading (the bottom number) represents the pressure on the blood vessel wall while the heart is at rest.
The patient was instructed in gastroenteritis obtaining appropriate supplies, such as oral glucose electrolyte solutions. The patient was taught in defensive actions, like wash hands before eating and after toileting, drink pasteurized milk and chlorinated water; maintain foods at the appropriate hot or cold temperatures. The patient was advised that gastroenteritis is transmissible although the organisms are present in the feces.
The patient was instructed in gout the importance to rise fluid drinking and evade high-purine foods. The patient was advised to rest with elevation of the affected joint with pillows, ice applications to irritated joints. The patient was taught in range-of-motion exercises of joints. The patient was reviewed that gout cannot be cured but can be measured with medication.
SN instructed patient and caregiver about Lymphedema disease, also known as lymphatic obstruction. Is a condition of localized fluid retention and tissue swelling caused by a compromised lymphatic system, which normally returns interstitial fluid to the thoracic duct and then the bloodstream. The condition can be inherited or can be caused by a birth defect, though it is frequently caused by cancer treatments, and by parasitic infections. Though incurable and progressive, a number of treatments can ameliorate symptoms. Tissues with lymphedema are at high risk of infection. Symptoms may include a feeling of heaviness or fullness, edema and ( occasionally ) aching pain in the affected area. In advanced lymphedema, there may be the presence of skin changes such as discoloration, verrucous ( wart-like ) hyperplasia, hyperkeratosis, and papillomatosis; and eventually deformity ( elephantiasis ). Patient verbalized understanding the teaching.