high blood pressure
General information
Patient was instructed on appropriate nutrition. Cut back on high calorie snack foods and desserts like chips, cookies, cakes, and full fat ice cream. Eating too much of even healthful foods can lead to weight gain. Watch the portion sizes.
Instructed patient to eat regular meals: three meals and a snack or two every day at about the same time. Do not skip meals. Choose a variety of foods to eat so the body gets the nutrition it needs. Use the Food Pyramid to choose, eat more from the foods at the bottom and eat less from the foods at the top. Eat more foods with high soluble fiber content such as legumes, fruits and oats.
Instructed patient to use moderation when eating foods that are high in sugar to prevent glucose levels from raising.
Instructed patient about foods high in cholesterol, such as, organ meats, read meats, fatty poultry, shrimp, bacon, cold cuts, hot dogs, saturated fats (found in animal fats and coconut oil), palm kernel, cocoa butter, hydrogenated fats, chocolate, margarine, nondairy substitutes, whole milk, egg yolks, fried foods, and others.
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.
Instruct patient and caregiver regarding self-management of total knee replacement. Instructed patient about how is life different after a knee replacement it’s also normal to have temporary swelling, pressure and/or bruising in your ankles and feet, and these may last for a few months. Here are a couple things you can do to help: ice your knee (always cover ice packs in a towel to avoid frostbite, wear compression stockings, elevate your leg with a pillow, ankle exercises verbalized.
Instructed patient about how the body responds to the excess of calories and fat by creating an undesirable increase in blood sugar.
Instructed to patient about eating well with diabetes: eating habits do not have to change if you have diabetes. Your dietitian will help you to develop a meal plan that suits your taste and lifestyle. This plan will help you to keep your blood sugar in your target range. The result will be an eating plan you can enjoy.
Patient was instructed on the importance of an appropriate nutrition to keep blood sugar levels as near to normal as possible. Read Nutrition Facts on food labels and if the serving has too much carbohydrate, the size of serving will need to be adjusted.
SN instructed patient on s/s of prostate cancer. While most prostate cancer does not cause any symptoms at all, the symptoms and signs of prostate cancer may include: frequent urination, weak or interrupted urine flow or the need to strain to empty the bladder, the urge to urinate frequently at night, blood in the urine, new onset of erectile dysfunction, pain or burning during urination, which is much less common and discomfort or pain when sitting, caused by an enlarged prostate.