high blood pressure
Diseases Process
SN teaching about Gastroesophageal reflux disease ( GERD ). Examples of things to reduce or steer clear of in your diet include: high fat foods, caffeine products, chocolate, onions, peppermint, carbonated beverages, citrus and tomato products. Do not lie down immediately after eating, avoid late evening snacks, avoid tight clothing and bending over after eating. Elevate the head of the bed six to eight inches to prevent reflux when sleeping. Extra pillows, by themselves, are not very helpful.
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.
SN instructed patient and caregiver about certain foods or eating habits are more likely to result in flushing, diarrhea, gas, bloating, and abdominal pain related to carcinoid syndrome. You only need to avoid particular foods if they cause you to have these symptoms. Keeping a food and symptom diary may be helpful. Record your daily food and drink consumption and any symptoms that you experience. You may start to notice a pattern. Carcinoid patients with symptoms should augment protein in their diets, add more tryptophan in the form of lean meats and protein, and avoid high tyramine-containing foods, which can cause flushing, such as hard and aged cheeses, including cheddar and Stilton; cured meats; and some nuts, specifically walnuts, peanuts, coconuts, and Brazil nuts.
Instructed in visiting an ophthalmologist, an MD who specializes in eye care inmediately if there are any of these symptoms of eye damage: blurred or double vision, narrowed field of vision, seeing dark spots, feeling of pressure or pain in the eyes and difficulty seeing in dim light.
Instructed to keep pressure off wound area to promote circulation which is essential to healing.
Instructed in materials used in wound care. However, even with proper treatment, a wound infection may occur. Check the wound daily for signs of infection like increased drainage or bleeding from the wound that won’t stop with direct pressure, redness in or around the wound, foul odor or pus coming from the wound, increased swelling around the wound and ever above 101.0°F or shaking chills.
Instructed in the use of NTG for chest pain/pressure. To take at onset of pain, 1 tablet every 5 minutes, up to 3 tablets over 15 minutes. If not complete relief of pain after the 3rd tablet, call 911.
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Patient was instructed on how to manage pressure that is necessary to avoid future complications. Provide appropriate support surface, repositioning every two hours in bed, off-load heel using pillows or positioning boot, use pillow between legs for side lying.
Patient was instructed on pain caused by pressure ulcers. Pain can be classified as acute or chronic. Cyclic acute pain, which is periodic and corresponds to the pain experienced during repeated management, such as dressing changes or patient repositioning and non-cyclic acute pain, which is accidental, including pain experienced during occasional procedures such as debridement or drain removal.