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Diabetes Teaching 673

Patient was instructed on the signs and symptoms of hypotension that may happen in a few seconds or minutes of standing up after been sitting or lying down. It feel like fainting. Signs include: dizziness, blurry vision, confusion, weakness and nausea. Those symptoms go away if sitting or lying down for few minutes until the blood pressure adjusts to normal.

Hemorrhoid Teaching 1456

The patient was instructed in hemorrhoid the necessity to eat a diet high in fiber to encourage regular bowel movements and soft seats. The patient was advised to drink sufficiently of fluids. The patient was reviewed to use chair softeners and unpackaged laxatives to prevent constipation. The patient was recommended to do daily minor exercise to improve peristalsis and help elimination. The patient was encouraged to defecate on time after the impulse so that compression in the rectum will be prevented. The patient was taught to evade long sitting, squatting, or standing. The patient was instructed to evade pulling during defecation. The patient was advised to sit on thick foam pillows or pads. The patient was taught to use warm place bath for short-lived periods to evade hypotension secondary and vasodilation of pelvic blood vessels. The patient was encouraged the importance of perianal hygiene at all times. The patient was instructed to wipe softly after a bowel movements. The patient was taught to use warm bandages to encourage circulation.