pain management
General
SN instructed patient on spontaneous coronary artery dissection ( SCAD ) and stent placement. A stent is a small rod made out of metal or fabric. It is inserted into a coronary artery when there is a blockage or when the artery is narrow. A coronary artery is a blood vessel that carries oxygen to the heart muscle. You received a stent due to coronary artery disease ( also called SCAD). That is caused by a thickening of the inside walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries, blocking or slowing the flow of blood. If your heart muscle doesn't get enough blood to work properly, you may have angina ( chest pain ) or a heart attack. The stent will help hold the artery open so blood can flow and help keep the artery from narrowing again. You will need to take medicine that keeps the stent open and blood flowing. It is very important to take the medicine exactly how your doctor tells you to take it. In addition to taking medicine, the best way to keep your heart healthy is to maintain a healthy lifestyle. Quit smoking. Make sure you keep your blood pressure and cholesterol at healthy levels. Exercise as recommended by your doctor. Eat a heart - healthy diet. Patient verbalized understanding well.
SN instructed that the most commonly experienced symptom across individuals with UTIs is a burning sensation during urination. The passage through which urine passes to be expelled from the body becomes tender due to the infection; when urine goes through it, the person experiences a painful sensation that mostly doesn’t last post urination. Since in a lot of cases UTIs are not present with signs, if a burning pain is felt during urination, the infection may be strong, and thus seeking treatment at the earliest is recommended.
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 ).
Instructed patient call your health hare provider immediately if you have: pain, fever, a large amount of bright red bleeding and also if you have: warmth, redness, or swelling along the arm or PICC line insertion site. A tear or break in the PICC line catheter or tubing.
SN instructed patient to increase fluid intake after discharge for constipation due to anesthesia and pain medication. Patient may also try warm prune juice, stool softener (Senokot) or magnesium citrate.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood present in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
SN instructed that infrequent passage of hard, dry stool, low back pain, abdominal fullness and/or abdominal discomfort, decreased appetite, nausea and/or vomiting, and rectal pressure may constitute as signs/symptoms of constipation. Patient verbalized understanding.
SN instructed patient ways to clear nasal sinuses and to moisturize your sinuses by draping a towel over your head as you breathe in the vapor from a bowl of medium-hot water. Keep the vapor directed toward your face. Or take a hot shower, breathing in the warm, moist air to help ease pain and help mucus drain. Rinse out your nasal passages. Use a specially designed squeeze bottle, saline canister.
SN assessed patient for COVID 19 symptoms . Patient questions if they have had a fever, cough, SOB loss of taste of smell or generalized pain. patient denied any symptoms. Patient instructed on COVID 19 symptoms, transition and prevention.
Instructed patient most people who become sick with COVID-19 will only experience mild illness and can recover at home. Symptoms might last a few days, and people who have the virus might feel better in about a week. Treatment is aimed at relieving symptoms and includes rest, fluid intake and pain relievers.