diverticulosis-and-diverticulitis
Educated PT on low fat diet. PT was instructed to eat plenty of plant foods (such as whole-grains, fruits, and vegetables) and a moderate amount of lean and low-fat, animal-based food (meat and dairy products) to help control your fat, cholesterol, carbs, and calories. When you're shopping, choose lean meats, fish, and poultry. Limit these to 5-7 ounces per day. Understanding was verbalized.
SN instructed to keep oxygen away from any open flame to include smoking and also in home pilot lights such as stove, furnace and water heater. Oxygen produced from concentrator and oxygen tanks is flammable. Do not use vaseline or petroleum based, products as these can cause irritation and skin complications. Avoid using aerosol sprays. Post no smoking/no Open Flame signs. Use caution with oxygen tubing so you do not trip over it or become entangled in furniture. Do not try to repair broken equipment on your own. Request this service from the oxygen provider. Notify the local fire department, gas and electric companies and telephone company when home oxygen therapy is started. Request a "priority service listing". This is for those times when there is a power or telephone failure or repairs are needed on any utility.
SN did head to toe assessment and vital signs monitoring done. Received patient sitting on the chair with elevated blood pressure. SN instructed patient on the disease process, and management of CHF. Heart failure occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. Certain heart conditions gradually leave the heart too weak or stiff to fill and pump blood properly. SN instructed patient to have a healthy lifestyle. Try to lose weight, exercise, use less salt and manage stress. SN will continue to assess and instruct the patient.
Instructed in signs and symptoms of lack of oxigen (hypoxemia) such as fast heartrate, rise in pulse and blood pressure, shortness of breath, headache, restlessness and anxiousness, confusion, lethargy, agitation, drop in heartrate and blood pressure as condition progressess, cyansis and others.
Instructed in that collection devices help when treatments to management incontinence fails. There are many types: liners, drips collectors, condoms, pads, guards, undergarments, briefs and bed pads. Device should be comfortable and discreet and should keep skin, clothes and furniture dry. Overpadding damages skin and reduces leakage awareness.
Instructed in new medication Glucovance to improve glycemic control in patients with type-two diabetes whose hyperglycemia cannot be controlled with diet and exercise alone. In addition, warned of possible S/E such as headache, dizziness, diarrhea, nausea, vomiting, abdominal pain, hypoglycemia, lactic acidosis, or upper respiratory tract infection. Instructed to take one daily with breakfast and, if twice daily, then at breakfast and dinner. Stop drug and tell prescriber of unexplained hyperventilation, myalgia, malaise, unusual somnolence, or other symptoms of early lactic acidosis. GI symptoms are common with initial drug therapy but GI symptoms that occur after prolonged therapy may be related to lactic acidosis or other serious disease and should be reported promptly. Instructed not to take any other drugs, including OTC drugs, without checking with prescriber.
Instructed patient about the collection devices which help when treatments to manage incontinence fail. There are many types: liners, drips collectors, condoms, pads, guards, undergarments, briefs and bed pads. Devices should be comfortable and discreet, and keep skin, clothes and furniture dry. Overpadding damages skin and reduces leakage awareness.
Patient was instructed on Osteoporosis. Eat a nutritious diet to keep your body healthy. Healthy eating means choosing a variety of foods from the basic food groups: meat and meat substitutes; dairy; fruits and vegetables; grains, such as breads and pasta; and a limited amount of fats and sweets.
Patient was instructed on adequate nutrition and hydration to minimize wound development. Encourage protein, calorie-dense foods and fluids (unless contraindicated), monitor intake, weight and skin turgor, assess and address impairments in dentition and swallowing.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.