heart healthy diet
General
SN complete assessment done on all body systems, checked vital signs, blood sugar monitoring, hydration, nutrition intake, and medication compliance. SN refilled patient’s medication box for daily routine. Taught patient to carefully manage her blood sugar with diet
, physical activity, and medication to prevent diabetes complication and avoid hypo/hyperglycemia.
SN instructed that symptoms of low blood sugar (hypoglycemia) include sudden sweating, shaking, fast heart
beat, hunger, blurred vision, dizziness, or tingling hands/feet. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you don't have these reliable forms of glucose, rapidly raise your blood sugar by eating a quick source of sugar such as table sugar, honey, or candy, or drink fruit juice or non-diet
soda. Tell your doctor about the reaction immediately. Low blood sugar is more likely if you drink large amounts of alcohol, do unusually heavy exercise or do not consume enough calories from food. To help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. Check with your doctor or pharmacist to find out what you should do if you miss a meal.
SN instructed that the Loss of appetite can be a serious problem; it can lead to malnutrition and severe weight loss. Eating enough of the right kinds of foods can be difficult when you do not feel like eating at all. Here are some tips to help you increase your appetite: Avoid drinking liquids before a meal, because they can fill you up. If you want to drink, then drink juices or milk—something nutritious. Eat with family or friends if possible. Eat a variety of foods. Spice up your food with herbs, spices, and sauces. Use butter, bacon bits, croutons, wine sauces, and marinades to provide taste-pleasing meals. Do not fill up on salads or “diet
” foods. Eat vegetables and fruits along with meats, poultry, and fish to make sure you get enough calories and nutrition. Eat smaller meals more often, especially if you fill up before you’ve eaten all your dinner.
Ostomy care Instructed patient limit foods such as broccoli, cabbage, onions, fish, and garlic in your diet
to help reduce odor.
SN Instructed on measures to detect and alleviate edema: Gently compress the soft tissue with your thumb over both shins for a few minutes and observe for indentation. If indention is noted, edema is present. Notify SN or Md if there is a deep indention. Reduce sodium (Na) in diet
and exercise as tolerated to help reduce edema.
SN instructed patient and caregiver on measures to prevent constipation: increasing fluids (prefer approx. 8 glasses of water daily) eating a diet
high in fiber, and avoiding foods with sugars (pasta, pastries, cheese, rice, etc.), exercise regularly at a slow, steady pace, as directed by md if you are able. Both parties verbalized understanding.
Instructed patient one nutrient that can lessen warfarin's effectiveness is vitamin K. It's important to be consistent in how much vitamin k you get daily. While eating small amounts of foods that are rich in vitamin K should not cause a problem, avoid consuming large amounts of certain foods or drinks, including kale, spinach, brussels sprouts, collards, mustard greens, chard, broccoli, asparagus, green tea. Patient verbalized understanding.
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. Patient was instructed how can you care for yourself at home when you have a legs pain. Take pain medicines exactly as directed, rest your leg while you have pain, and avoid standing for long periods of time, make sure you are eating a balanced diet
that is rich in calcium, potassium, and magnesium, your leg may be in a splint, a brace, or an elastic bandage.
SN instructed patient that people with heart
and/or lung failure can benefit from energy conservation techniques like pace activities and spread them throughout the day/week, plan the day in advance so that you won’t feel rushed, break up tasks into small steps and rest in between, sit down instead of standing for most any activity, and work with arms below the shoulders as overhead activities are more taxing.
Instructed patient It will take 4-6 weeks to heal completely after surgery. During this time, it is normal to: Have mild trouble with short-term memory or feel confused or “fuzzy-headed”Feel tired or have little energy,Have mild trouble with short-term memory or feel confused or “fuzzy-headed”, Feel tired or have little energy, Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath, Have weakness in your arms for the first month, Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath. Have weakness in your arms for the first month