heart healthy diet
The patient was instructed in carpal tunnel release on care of the hands and dressings, to keep the arm and hand elevated above heart level to reduce swelling and healing. The patient was reviewed to check the dressing daily for signs of bleeding or drainage, when bathing are permitted the patient should be shower with the dressing covered by a plastic bag. The patient was recommended to follow prescribed exercises to maintain circulation and improve range of motion such as sponge squeezing.
The patient was instructed in saphenous vein ligation and stripping in the need to wear support stockings. The patient was advised to wear constrictive clothing and knee-high stockings. The patient was advised to take discomfort medications. The patient was advised to take recurrent relaxation periods during the day and raise the legs above the heart while sitting for at least 6 weeks. The patient was recommended to avoid long periods of sitting and standing.
Instructed caregiver A.L.F's staff on relieving and preventing patient's leg edema. The first line of defense is: leg elevation. Elevate legs above the level of the heart which puts minimal pressure on the back of the knees and thighs and lower back. Other help to decrease swelling is limiting salt intake, drink plenty of water, avoid sitting with the feet dependent.
SN instructed pt that s/s of cardiac complications include diff breathing, activity intolerance, increasing edema, increased heart rate, crackles in lungs and retlessness. pt verbalizd 2/4 taught.
SN instructed patient to report any symptoms of anxiety such as feeling apprehensive, feeling powerless, having a sense of impending danger, panic or doom, having an increased heart rate, breathing rapidly (hyperventilation), sweating, trembling, and or feeling weak or tired to SN or MD immediately to help prevent further complications.
Caregiver A.L.F's staff was instructed in Hypothyroidism disease; on how symptoms differ among individuals, depending on the severity of the case: sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, lack of facial expression, enlarged tongue.
Instructed patient untreated high blood pressure can lead to a greater risk for stroke, heart attack, or other.
Instructed patient have many factors can affect blood pressure, including: How much water and salt you have in your body the condition of your kidneys, nervous system, or blood vessels, your hormone levels, heart damage.
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 instructed patient that people with heart and/or lung failure can benefit from energy conservation techniques like pace activities and spread them throughout the day/week, plan the day in advance so that you won’t feel rushed, break up tasks into small steps and rest in between, sit down instead of standing for most any activity, and work with arms below the shoulders as overhead activities are more taxing.