Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
Patient was instructed on some potential complications of hypertension, such as: retinal damage , cerebrovascular accident (CVA) or stroke and kidney failure. Also the patient was instructed on some measures aimed to managing/controlling hypertension, such as: exercise regularly and have regular check-ups, achieve and/or maintain ideal weight, and decrease sodium intake to decrease retention of fluid and the workload of the heart as directed by MD. Patient understood instructions given.
SN advised to patient / caregiver that blood glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
SN instructed patient in pulmonary fibrosis and in how it harms the tissues deep in the lungs. The air sacs in the lungs and their supporting structures become inflamed and scarred. If scarring progresses happen, then it makes your lungs thick and stiff. That makes it hard for the patient to catch their breath, and their blood may not get enough oxygen.
SN instructed patient in pulmonary fibrosis and that it means thickening of the lungs at the alveolar / capillary level, so it's harder for gas exchange to occur.
SN instructed patient about rheumatoid arthritis and how it is a chronic disease that causes pain, stiffness, swelling, and loss of function in the joints. It occurs when your immune system mistakenly starts attacking healthy tissue.
SN instructed patient to recognize signs and symptoms of high blood pressure, although it is frequently asymptomatic, like blurring of vision, fatigue, nose bleeds and chest pain. If symptoms continue go to ER, or call 911.
SN instructed patient that a seizure can occur at any time and without warning, patient should shower only with someone in attendance. Leave the bathroom door unlocked, use shower chair, take shower rather than tubs baths.
SN instructed patient on deep vein thrombosis is a blood clot in a vein deep in your body, such as the calf of your leg. The greatest danger is a clot that breaks off and travels to the lung(s). When this clot in the lung is called a pulmonary embolism (PE), a PE can be life threatening
Instructed patient to avoid foods which might increase acid reflux. Food that is very hot or very cold, fried foods, peppermint, coffee, drinks that contain caffeine, spicy, highly seasoned foods, tomato-based dishes, citrus fruits and juices, chocolate and sweets. If patient any reflux symptoms, instructed on not lie down right after eating and to remain upright for at least 2 hours.