including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Procedures
Physical assessment done to patient after chemotherapy . Medication checked and reconciled. Hydration and nutritional status checked. Diet reviewed. Denies chest pain. Tube care done per physician ( MD ) order. Dressing changed. Still complained in pain in fingers, patient taught that one side effect of chemotherapy is pain in fingers which is called peripheral neuropathy, it results from some type of damage to the peripheral nerves. Certain chemotherapy drugs can cause peripheral neuropathy such as Vinca alkaloids ( vincristine ), cisplatin, Paclitaxel, and the podophyllotoxins ( etoposide and tenoposide) . Other drugs used to treat cancer such as thalidomide and interferon also can cause peripheral neuropathy.
Patient was instructed on pain management. Diabetes can destroy small blood vessels, which in turn candamage the nervous system, and these damaged nervescan cause pain. The pain arises from the nerves that are injured or malfunctioning that can be from the tip of the toe to the brain.
Patient was instructed on pain management. Diabetes alters sensation in the smallest nerves, which happen to lie at the end of the peripheral nervous system, in the hands and feet. Diabetes starves these tiny nerves. As a result the nervous system becomes confused about what is and isn
Patient/CG were instructed on: Treatment for cervicalgia ( neck pain ) are usually conservative and include methods of relieving inflammation . Applying ice to the area is a good way of relieving pain and swelling and is often advised where a muscle tear is suspected. Heat is contraindicated in such a situation as this is likely to make the problem worse by increasing blood flow to the area. If the cervicalgia is due to muscle tension rather than an injury then thermotherapy can be effective in aiding relaxation of the muscle and relieving neck pain. Adequate rest and the temporary use of a supportive neck collar is also helpful in some cases of cervicalgia ( neck pain ) although it is inadvisable to use a collar long-term as this may itself lead to muscle weakness in the neck. Many patients also make use of anti-inflammatory medications, including prescribed drugs, and natural supplements to lower inflammation and pain. Physical therapy, including neck stretches and strengthening exercises, is a good idea for anyone who suffers from chronic neck pain, and intractable cases may require more invasive surgical intervention to address some causes of cervicalgia
SN instructed patient diarrhea can occur for a variety of reasons, such as viral or bacterial infections. Eating foods which thicken stool may be helpful,as listed in a later food table. Be aware that diarrhea canlead to dehydration. Increase your fluid intake during this time.
Instructed caregiver the patient are at high risk if the patient have or do the following: Neuropathy, Poor circulation, A foot deformity (e.g., bunion, hammer toe), Wear inappropriate shoes, Uncontrolled blood sugar, History of a previous foot ulceration.
SN instructed patient/PCG on aspiration as the most common complication related to tube feeding. SN explained that this occurs when food is actually inhaled into the lungs (canlead to pneumonia), but if patient is kept upright during feeding, this complication can be greatly minimized.
SN instructed patient that fluid restrictions are usually necessary when dialysis is initiated, especially if dialysis only occurs three days a week and if urine production is decreased. Build up of fluid canlead to shortness of breath, swelling, and high blood pressure. There is a limit to the amount of fluid that can be safely removed during dialysis. If fluid limits are exceeded and extra water must be removed, negative effects such as muscle cramping, low blood pressure leading to nausea, weakness, dizziness, and possibly extra dialysis sessions to remove the fluid.
Instructed patient how prevent infections: To wash your hands with soap and water: Wet your hands with warm water, avoid hot water, whichcan cause skin irritation when you wash your hands often. Apply enough soap to cover the entire surface of your hands, including your fingers.
Instructed patient The arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it: As much as possible, use the arm with the PICC in it for normal daily activities. Lack of movement canlead to blood clots, so it’s important to move your arm as you normally would. Your health care team may suggest light arm exercises.