SN instructed that the blood glucose monitors or glucose meters are devices individuals with diabetes use to monitor their blood sugar levels daily. Glucose meters give readings within five seconds of applying the test strip to a blood sample. For accurate readings, it is important to calibrate the blood glucose meter. Calibrating a meter is making sure the meter has the correct code to match the test strip. Some meters code automatically. Others, you must code or calibrate manually.
SN instructed patient on non pharmacological pain management like massage, a lot of people find relief from gentle massage. Several studies have found that massage is effective in relieving pain and other symptoms for people with serious illness. Relaxation techniques like guided imagery, breathing techniques, and gentle movement like rom exercises. Relaxation techniques are often very effective, particularly when a patient / caregiver is feeling anxious. Physical therapy if a person has been active before and is now confined to bed, even just moving the hands and feet a little bit can help. Pet therapy if you have bouts of pain that last 5, 10, or 15 minutes, trying to find something pleasant like petting an animal soft fur to distract and relax yourself can be helpful. Gel packs, these are simple packs that can be warmed or chilled and used to ease localized pain.
Sn instructed patient on seizures and precautions for safety at home. replace glass tables or furniture with wood, glass can break and cause injury, leave interior doors open, don't take shower unless someone is in the house and make sure family and friends are aware of your seizures and know what to do to help if you have a seizure. Notify nurse or Physician if seizures occur. If a grand mal seizure occurs go to ED after recovery.
Sn instructed patient on ways to promote sleep. Such as avoiding stimulants such as caffeine, nicotine, and alcohol too close to bedtime. Stay away from large meals close to bedtime. Also dietary changes can cause sleep problems, if someone is struggling with a sleep problem, it's not a good time to start experimenting with spicy dishes. And, remember, chocolate has caffeine. Establish a regular relaxing bedtime routine. Try to avoid emotionally upsetting conversations and activities before trying to go to sleep. Don't dwell on, or bring your problems to bed. Associate your bed with sleep. It's not a good idea to use your bed to watch TV, listen to the radio, or read.
SN instructed that symptoms of a lower urinary tract infection or bladder infection may include: Frequent need to urinate, burning sensation while urinating pressure in the lower abdomen, pain in the lower back blood in urine. Symptoms of an upper urinary tract infection or a kidney infection may include: Fever, chills, nausea and / or vomiting, Pain higher in the back ( around the upper sides and waist ). In women, the symptoms of a urinary tract infection are similar to those caused by some vaginal infections.
Sn teaching patient to take pain medication before pain becomes severe to achieve better pain control and decreases the amount of pain medication that is required. SN instructed patient on pain relief measures, including relaxation techniques, massage, stretching, positioning, and / or hot / cold packs.
SN teaching patient / caregiver on measures to prevent pressure ulcers, such as: Clean skin at times of soiling, avoid irritating cleaning agents, use moisturizers on dry skin, do not message bony prominences, keep skin clean and dry, and comply with proper lifting and positioning techniques.
Patient / caregiver were instructed on important measures during transfers to wheelchair: Stand as close to the user as possible. Be sure footing is as stable as possible. Proper shoes is also recommended as sandals or flats do not provide support for a safe wheelchair transfer . Patient / caregiver verbalized understanding of instruction given.
Sn instructed patient on pursed lip breathing. Pursed lip breathing is one of the simplest ways to control shortness of breath. It provides a quick and easy way to slow your pace of breathing, making each breath more effective. What does pursed lip breathing do? Pursed lip breathing: Improves ventilation, releases trapped air in the lungs, keeps the airways open longer and decreases the work of breathing, prolongs exhalation to slow the breathing rate, improves breathing patterns by moving old air out of the lungs and allowing for new air to enter the lungs, relieves shortness of breath, causes general relaxation. When should I use this technique? Use this technique during the difficult part of any activity, such as bending, lifting or stair climbing. Practice this technique 4 - 5 times a day at first so you can get the correct breathing pattern. Pursed lip breathing technique: Relax your neck and shoulder muscles, breathe in ( inhale ) slowly through your nose for two counts, keeping your mouth closed. Don't take a deep breath; a normal breath will do. It may help to count to yourself: inhale, one, two. Pucker or "purse" your lips as if you were going to whistle or gently flicker the flame of a candle. Breathe out ( exhale ) slowly and gently through your pursed lips while counting to four. It may help to count to yourself: exhale, one, two, three, four.
SN instructed patient on hallucinations, you must use diversion tactics when hallucinations start, try telling yourself they are not real especially when they are scary, use music or television for distraction when auditory hallucinations start, continue to take medication as ordered, call a friend or family member for support when needed. Patient verbalized understanding.