diabetes diet
General
SN instructed patient / caregiver on the home treatment to treating edema, or swelling due to excess fluid in the legs and ankles. Treatment may include elevating the feet above heart level, wearing compression stockings and exercising the legs. Reducing sodium in the diet, losing weight and avoiding tight clothing can also reduce swelling.
Ostomy care Instructed patient limit foods such as broccoli, cabbage, onions, fish, and garlic in your diet to help reduce odor.
SN educated patient on some ways to cope with stress and anxiety. explained to the patient that anxiety can be a normal part of life when faced with stressors such as changes in relationships, presenting in front of a crowd, or making decisions. There is no one right answer to eliminate anxiety. It is important to find healthy coping skills that will work for you. Consult with your primary care physician when anxiety becomes persistent or unmanageable. SN Instructed patient about some coping skills to consider when struggling with anxiety include: Reaching out to support system (i.e. family/friends, counselors, psychiatrists, or support groups). Deep breathing Meditation, Yoga, Avoiding caffeinated beverages, Healthy diet, and Calming music. Patient Verbalized fair understanding of anxiety teaching.
Instructed patient that for healthy living with your LVAD, you’ll need to make sure that: the equipment is working properly,you have sufficient power sources at all times, your driveline exit site is clean and dry, following a healthy diet, exercising regularly, as you’re able to tolerate it, are taking your medications and supplements as directed by your doctor. Understanding was verbalized.
SN Instructed on measures to detect and alleviate edema: Gently compress the soft tissue with your thumb over both shins for a few minutes and observe for indentation. If indention is noted, edema is present. Notify SN or Md if there is a deep indention. Reduce sodium (Na) in diet and exercise as tolerated to help reduce edema.
SN instructed patient and caregiver on measures to prevent constipation: increasing fluids (prefer approx. 8 glasses of water daily) eating a diet high in fiber, and avoiding foods with sugars (pasta, pastries, cheese, rice, etc.), exercise regularly at a slow, steady pace, as directed by md if you are able. Both parties verbalized understanding.
Instructed patient one nutrient that can lessen warfarin's effectiveness is vitamin K. It's important to be consistent in how much vitamin k you get daily. While eating small amounts of foods that are rich in vitamin K should not cause a problem, avoid consuming large amounts of certain foods or drinks, including kale, spinach, brussels sprouts, collards, mustard greens, chard, broccoli, asparagus, green tea. Patient verbalized understanding.
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. Patient was instructed how can you care for yourself at home when you have a legs pain. Take pain medicines exactly as directed, rest your leg while you have pain, and avoid standing for long periods of time, make sure you are eating a balanced diet that is rich in calcium, potassium, and magnesium, your leg may be in a splint, a brace, or an elastic bandage.
SN instructed patient about treatment of heart failure may include: controlling risk factors: quitting smoking losing weight and increasing moderate exercise restricting salt and fat from the diet avoiding alcohol proper rest controlling blood sugar if diabetic controlling blood pressure limiting fluids.
SN suggested patient to have nails, calluses and corns trimmed by podiatrist because those with diabetes have poor circulation. A good blood circulation is known to aid your body in all healing processes, so when it becomes sluggish, it takes longer for any injuries to on feet to heal.