hypertensive heart disease
Skilled nurse developed patient plan of care with patient/caregiver involvement to be countersigned by physician. SN to perform complete physical assessment each visit with emphasis on disease process. SN to assess other co-morbidities including list diseases and other conditions that present themselves during this episode of care. SN to recognize and intervene to minimize complications; notify physician immediately of any potential problems that impede completion of patient recovery and desired goals.
SN reviewed HTN disease process with the patient and possible signs and symptoms of HTN. Inform patient that HTN often times does not have any signs or symptoms and this is why it is referred to as the silent killer. Patient and caregiver instructed on the importance of medication compliance and checking/logging vital signs 1-2 times a day, verbalized understanding
Alzheimer's Instructed caregiver managing behavioral symptoms Behavioral and psychological symptoms of dementia (BPSD), especially agitation, aggression, depression and psychosis, are the leading causes for assisted living or nursing facility placement. Early recognition and treatment can reduce the costs of caring for these patients and improve the quality of life of the patient and caregiver. Caregiver verbalized.
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. SN to instruct patient on disease process, typical symptoms of an underlying cardiovascular issue include: pain or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats
SN instruct on medication compliance to better control the patients disease process, to refill medication on time to prevent missed/skipped doses. Also Instructed to pt to take each medication exactly as it has been prescribed, make sure that all your doctors know about all your medications, and let your doctors know about any other over the counter (OTC) medications, vitamins and supplements, or herbs that you use as well as any allergies to any medication.
The medication Procrit is used to treat anemia(low red blood cell count) in people with long-term serious kidney disease ,people receiving chemotherapy for some types of cancer. It may also used in anemic patient to reduce the need for blood transfusions. Procrit works by signaling the bone marrow to make more red blood cells.
Cefuroxime, sold under the brand name Zinacef among others, is an antibiotic used to treat and prevent a number of bacterial infections. These include pneumonia, meningitis, otitis media, sepsis, urinary tract infections, and lyme disease. It is used by mouth or by injection into a vein or muscle.
SN instructed on proper method of medication intake, as many people taking prescription medications do not follow their doctors orders. SN instruct on medication compliance to better control the patients disease process, to refill medication on time to prevent missed/skipped doses. do not take any medication that does not belong to you. Also ask your doctor before taking any over the counter medication to avoid interactions. Patient verbalized understanding.
Instructed in new medication Toprol and in S/E such as fatigue, dizziness, depression, bradycardia, hypotension, heart failure, AV block, nausea, diarrhea, dyspnea and rash.
Instructed in new medication Bextra to manage osteoarthritis. In addition. warned of possible S/E such as dizziness, headache, cerebrovascular disorder, peripheral edema, hypertension, angina pectoris, arrhythmia, heart failure, aneurysm, sinusitis, abdominal fullness, abdominal pain, diarrhea, dyspepsia, flatulence, nausea, renal impairment, thrombocytopenia, leukopenia, anemia, hepatitis, hyperglycemia, hypercholesterolemia, hyperkalemia, hyperlipidemia, hyperuricemia, hypocalcemia, hypokalemia, increased or decreased weight, back pain, myalgia, upper respiratory tract infection, bronchospasm, rash, flu-like syndrome, accidental injury.