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Instructed in proper care and maintenance of home glucose monitor.
Patient was instructed on the importance of a proper nutrition. Read the nutrition facts on food labels. Food labels for fruits may contain the words:
Patient was instructed on hypertension. Very high blood pressure can cause headache, vision problems, nausea and vomiting. It is called hypertensive crisis, which is blood pressure that rises very fast.
Patient was instructed on list of precautions regarding medications: Always finish a prescribed drug unless otherwise instructed by doctor or nurse. Never save a medication for a future illness.
Patient was instructed on diabetes with illness. Managing diabetes on a daily basis can be a challenge, but experiencing illness or an injury can add additional stress to the maintenance. When people with diabetes are sick with a cold, flu, or other infection, it can cause blood glucose levels to climb.
Patient was instructed on hyperglycemia. It is important to know that glucose levels vary before and after meals, and at various times of the day. Sustained high levels of blood sugar cause damage to the blood vessels and to the organs they supply, leading to the complications of diabetes.
The patient was advised on factors that initiate asthmatic attacks (food, pollens, animals, dust, weather, etc). The patient was instructed in the correct use of oral inhaler, home oxygen or incentive spirometer as ordered. The patient was reviewed to avoid persons with infections.
The patient was instructed in hemorrhoidectomy the necessity to use rectal packing or perianal dressings. The patient was instructed to get appropriate supplies like dressings and perineal pads to protect clothing from post-operative discharge. The patient was advised to sit on thick foam pillows or pads. The patient was encouraged the importance of perianal hygiene at all times. The patient was encouraged that proper hygiene helps prevent infection. The patient was instructed to wipe moderately after a bowel movement.
The patient was instructed in pyelonephritis in the need of stopping repeated urinary tract infection. The patient was advised to keep the perineal area clean and dry. The patient was taught the method of finding midstream urine samples.
SN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or severe weakness, change in vision or difficulty speaking. Patient and caregiver were advised to seek immediately medical assistance and/or call 9-1-1 if any of these signs or symptoms appear. Patient and caregiver verbalized understanding. Family is independent with hypertension process.