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Diabetes Teaching 1228

Instructed on some potential factors of hypoglycemia (low blood sugar), such as: excess insulin and unusual exercise, among others.

Constipation Teaching 1247

Taught that low back pain and headache may constitute as signs/symptoms of constipation.

Diabetes Teaching 1523

Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.

Gallbladder surgery Teaching 1847

Instructed patient go easy on fat. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies. Instead, choose nonfat or low-fat foods. Read labels and look for foods with 3 grams of fat or less a serving.

Thyroid hormone Teaching 2035

SN instructed patient about how the thyroid hormone helps regulate metabolism. When this hormone is abnormally low the energy production decreases, disrupting many vital functions. This can include skin issues such as: Coldness in the fingers and feet with pale and dry coarse skin, eczema, a yellowish hue to the skin, sparse and brittle hair, which comes out in handfuls, loss of hair in the outer third of eyebrows, slow growing, ridged and brittle nails, edema in face, eyelids, hands and feet, and delayed wound healing. Some of these things can be avoided if you are taking your replacement medication daily as ordered and are getting regular blood work to assure the medication is at the correct dose.

Colostomy care Teaching 2048

SN Instructed the patient about Colostomy Care and healthy eating. Healthy foods include: fruits, vegetables, whole - grain breads, low - fat dairy
 products, and lean meats. Do not eat foods that give you cramps or diarrhea.

Hyperlipidemia Teaching 2072

Sn instructed patient on managing hyperlipidemia means controlling cholesterol and triglycerides. Read food labels and choose foods with low cholesterol and saturated trans fat. For people who would benefit from lowering their cholesterol, the American Heart Association recommends aiming for a dietary pattern that limits saturated fat to 5 to 6 percent of daily calories and reduces the percent of calories from trans fat.

Abnormal glucose Teaching 2296

SN taught patient that learning what affects your blood glucose levels and what to do when they are higher or lower than desired takes practice. Looking for patterns and trends can help you determine what is causing the blood glucose levels to go high or low, and can help you target what might need some adjusting.

Bone Marrow Teaching 2354

SN educated patient about Neutropenia. Neutropenia is an abnormally low count of neutrophils, which is a type of white blood cell. Neutrophils are made in the bone marrow, so anything that inhibits or disrupts that process can result in neutropenia. Instructed patient to prevent infection; Promote oral care, Promote hygiene, Prevent skin breakdown, Promote nutrition and ensure food is prepared and stored appropriately. Educated on signs and symptoms of infection; which include fever, Red, swollen, warm, or painful skin areas or wounds, An area of orange, bumpy skin with blisters, Cough, chest pain, or trouble breathing, Burning feeling while you urinate. Patient verbalized understanding.

Shortness of Breath Teaching 2518

Instructed what can you do to manage shortness of breath (SOB) make lifestyle changes take your medications as prescribed there are some medications that can help shortness of breath. You may need oxygen if your oxygen level is low. Your health care team will test your levels if you are having shortness of breath. Pace yourself break your activities down into smaller steps. Plan your activities so that you have time to do them slowly and comfortably. Keep things that you use often close by and within easy reach.