high-blood-press
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 patient about on gastric ulcer. Gastric ulcers occur on the inside of the stomach. Pain is the most common symptom. The pain is caused by the ulcer and is aggravated by stomach acid coming in contact with the ulcerated area. The pain typically may: Be felt anywhere from your navel up to your breastbone. Be worse when your stomach is empty. Flare at night. Often be temporarily relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication. Disappear and then return for a few days or weeks. See your doctor: If vomiting of blood — which may appear red or black. Dark blood in stools or stools that are black or tarry. Nausea or vomiting. Unexplained weight loss. Appetite changes.
Sn Instructed patient / caregiver on the importance in logging blood pressure, blood sugar, oxygen and temperature daily to ensure medication treatment is working. Sn instructed on parameters and what to report to Physician / nurse ( MD / SN ). Instructed that it is important to know parameters and when to contact physician. Instructed this is a good practice to manage medical condition. Patient / caregiver verbalized understanding.
SN instructed that the joint that is damaged by injury or disease can be removed and replaced with a new one. There are times when only a part of the joint needs to be replaced or repaired. Your healthcare provider may try other treatments before joint replacement surgery, such as steroid injections or medicines. Pain relief and increased function are the goals of joint replacement. Knee, hip, and shoulder joints are the most common joints replaced. Joints in your elbows, fingers, and ankles can also be repaired or replaced. Your risk of infection, bleeding, and blood clots increase with surgery. You may be allergic to the material used in your new joint. Nerves, muscles, tendons, and blood vessels near your joint may become damaged during surgery. The new joint may loosen or come out of the socket. Sn instructed patient on symptoms / signs ( S/S ) of infection such as fever, drainage, swelling, redness. Patient recalls back partial teaching of redness. Patient instructed to report any symptoms should they occur to physician / nurse ( MD / SN ).
SN educated patient on the importance of daily vital sign monitoring. Due to patients disease processes it is important to monitor blood pressure, weight, pulse and oxygen daily if equipment is available. SN instructed patient to weigh correctly they need to wake up, pee and than weigh daily at the same time if possible, same amount of clothing, same area. Patient is to weigh prior to eating/drinking in the morning. Notify home health or PCP if -/+ 3 lbs in a day or +/-5 lbs in a week is seen. SN educated patient to monitor blood pressure and pulse, and instructed to check before medications and if elevated/low recheck in 1-2 hours. SN educated patient to always log vitals so patients MD has a larger snap shot on what is going on.Patient/CG verbalized understanding
SN instructed on intermittent claudication which is a condition caused by narrowing of the arteries that supply the legs with blood. Intermittent claudication causes pain in your calves when walking, Patients with intermittent claudication develop pain when they walk because not enough oxygen-containing blood reaches the active leg muscles. There are two main ways to treat claudication: medication and a surgical treatment, called revascularization. Medication therapies are often used initially as they are non-invasive. Compression therapy can also be used as a noninvasive way to treat symptoms of claudication. Intermittent calf compression has been shown in studies to improve symptoms-free walking distance.
SN instructed patient about treatment of heart failure may include: controlling risk factors: quitting smoking losing weight and increasing moderate exercise restricting salt and fat from the diet avoiding alcohol proper rest controlling blood sugar if diabetic controlling blood pressure limiting fluids.
SN taught patient rise slowly and pause prior to ambulation to ensure proper blood pressure adjustment. Pump ankle 5-10x to reduce risk of blood pressure drop after rising from seating position. Make sure you feel your seat on the back of your legs prior to sitting. Use appropriate assistive device to ambulate. Take extra precaution while turning, around rugs/mats and avoid walking backwards.
SN suggested patient to have nails, calluses and corns trimmed by podiatrist because those with diabetes have poor circulation. A good blood circulation is known to aid your body in all healing processes, so when it becomes sluggish, it takes longer for any injuries to on feet to heal.
Instructed patient watch for these problems: a hole in the skin where the IV is -- medicine or fluid can go into the tissue around the vein. This could harm the skin or tissue.Swelling of the vein -- this can lead to a blood clot (called thrombophlebitis).