Skilled Nurse instructed caregiver get at least 4 pillows, include one of those long body pillows since you can and place them between the knees, ankles, under the arms and behind the back when the patient is laid on her side.
Patient was instructed on hypoglycemia. When blood sugar drops too low, the level of insulin declines and other cells in the pancreas release glucagon, which causes the liver to turn stored glycogen back into glucose and release it into the blood. This brings blood sugar levels back up to normal.
Instructed to store NTG in cool, dark place, in tightly closed container. To assure freshness replace supply of sublingual tablets every 3 months.
Instructed patient to install light switches at both the top and bottom of stairways.
Patient was instructed on hand-eye coordination. It
Instructed patient in the importance to use the ambulatory aids to prevent accidental falls.
Patient was instructed on prevention to avoid hyperglycemia: take the medication as directed. Eat less. Sometimes it helps to eat less and avoid sugary beverages. Responding in changes in blood sugar can help in the prevention of long-term complications of diabetes.
Patient was instructed on hypertension. People with high blood pressure usually do not have any symptoms, however very high hypertension may lead to headaches especially pulsating headaches behind the eyes that occur early in the morning, visual disturbances, nausea and vomiting.
Instructed in possible causes of hypoglicemia such as too much insulin, not enough food, overexertion or GI disturbance.
Patient was instructed on stress. When stress occurs the body prepares to take action. In people who have diabetes this response does not work well. Insulin is not always able to let the extra energy into cells, so glucose piles up in the blood.