including damage eyes retinopathy which can lead blindness damage nerves neuropathy
SN instructed patient/ CG about laxatives. Laxatives should be taken as ordered. Drink plenty of fluids. Overuse of laxatives can
cause constipation.
SN instructed about arteriosclerotic heart disease (ASHD), also called coronary artery disease (CAD) or coronary heart disease (CHD), refers to arteriosclerosis of heart or coronary arteries. Arteriosclerotic heart disease can
also be caused by calcium deposits (calcification) on the walls of arteries that harden them, or thickening of the artery walls due to chronic high blood pressure.
SN taught patient about importance of exercise with diabetes. For most people with diabetes, exercise is very important. Exercise helps your body use sugar better. As a result, your blood glucose level goes down. An exercise plan can
be as simple as taking a walk every day. Get a friend to walk with you. When you do things with a buddy, it’s easier. You’ll be less tempted to skip a day. Before you start an exercise program, talk to your doctor. Exercise tends to lower blood glucose level, so your doctor may need to make some changes to your management plan.
SN instructed patient on diabetes and nutrition. If you take diabetes pills or insulin, your meal plan should have about the same number of calories every day. Meals should be spaced throughout the day. It’s important not to skip meals or “double up” on meals. A dietitian can
help with your meal plan. The dietitian will take into account your schedule and foods you like and dislike. Each person is different, so every meal plan is different.
SN instructed patient on Diabetes. When you have diabetes, a meal plan is important. A meal plan tells you when to eat, how much to eat, and what kinds of food to eat for meals and snacks. You need to eat a variety of vegetables, fruits, and whole-grain foods. The meal plan can
include sugar, salt, and saturated fats, but in a way that fits into the overall plan.
SN taught patient that diabetes is a life-long disease. You will always have it, so education about your diabetes is very important. The more you learn about diabetes, the better you can
control your blood glucose level and avoid complications. To learn how to manage your diabetes, work closely with your health care team.
SN instructed patient and caregiver on new medication Amoxicillin; It can
treat infections and stomach ulcers. It comes from the penicillin family. It is ok to take food before taking amoxicillin to decrease possible stomach upset.
Patient/caregiver instructed osteoarthritis is a degenerative, noninflammatory joint disease. The cartilage that protects the ends of bones is worn away. It can
affect all mobile joints, especially weight-bearing joints: hip, knee, and spinal column. Risk factors are advanced age, trauma, overuse of joints, genetic tendency, obesity, metabolic or endocrine abnormalities.
SN instructed patient on Gout. It is a painful form of inflammatory arthritis caused by an accumulation of uric acid crystals in the joints. It is associated with elevated levels of a natural waste product in the body, uric acid. Uric acid can
build up in your bloodstream to very high levels and form urate crystals in your joints. The first attack is likely to be on a foot or most commonly a big toe.
Patient instructed Cellulitis can
appear on almost any part of the body. It usually shows up on damage
d skin such as inflamed wounds, dirty cuts, and areas with poor circulation. It needs to be treated by a doctor. Common symptoms include: Redness, Red streaking, Swelling, Warmth, Pain or tenderness, & Leaking of yellow, clear fluid or pus.