SN instructed patient / caregiver on service authorization, advance directives, rights and responsibilities, rights of the elderly and obtained necessary signatures. Instructed patient / caregiver on 24 hour nurse availability and provided / posted the agency telephone number. Also instructed that after hours, weekends and holidays an answering service will reach the nurse and he / she will return the patient / caregiver call and answer any questions or make a visit if needed. Patient and caregiver stated understanding. Patient and caregiver educated on diabetic diet, diabetic foot care, symptoms / signs ( s / s ) of depression, managing pain with medications, healthy skin, and pressure ulcer prevention. Leaflets left in home.
SN assessed patient 's home for adverse extreme temperatures. Today the patient home is adequately heated. Patient was instructed to call their city's local warming center as needed. Patient verbalized understanding.
Patient was educated on how to wear ordered arm sling, Gently pull the sling over your arm and elbow. It should fit snugly around the elbow, reach around your neck and grab the strap behind your elbow and tighten the straps so your hand and forearm are elevated above the level of your elbow. Orders were to maintain sling at 90 degree angle and to avoid any activities with the arm. Patient verbalized understanding
SN instructed patient to stop smoking, instructed that around 3 days after quitting, most people will experience moodiness and irritability, severe headaches, and cravings as the body readjusts. In as little as 1 month, a person's lung function begins to improve. As the lungs heal and lung capacity improves, former smokers may notice less coughing and shortness of breath.