including damage eyes retinopathy which can lead blindness damage nerves neuropathy
Procedures
SN instructed patient / caregiver to always flush your PEG tube before and after each use. This helps prevent blockage from formula or medicine. Use at least 2 tablespoons (30 ml) of water to flush the tube. Follow directions for flushing your PEG tube. If the PEG tube becomes clogged, try to unclog it as soon as you can. Flush your PEG tube with a 60 ml syringe filled with warm water. Never use a wire to unclog the tube. A wire can poke a hole in the tube. Your healthcare provider may have you use a special medicine or a plastic brush to help unclog your tube.
SN instructed patient on stents. A stent is a tiny wire mesh tube. It props open an artery and is left there permanently. When a coronary artery (an artery feeding the heart muscle) is narrowed by a buildup of fatty deposits called plaque, it can reduce blood flow. If blood flow is reduced to the heart muscle, chest pain can result. If a clot forms and completely blocks the blood flow to part of the heart muscle, a heart attack results.
Instructed patient about the importance of having basic hurricane supplies. Water, can food, yogurt, batteries, and corded phone should be at hand in case of hurricane ocurrence.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.
Patient was instructed on Passive exercises or ROM exercises. All exercises are done smoothly and gently. Never force, jerk or over-stretch a muscle. This can hurt the muscle or joint instead of helping. Move the joint slowly. This is especially important when having muscle spasms. ROM exercises should never cause pain or go beyond the normal movement of the joint. Stop them if the person feels pain.
SN instructed patient to chew foods completely to help the digestive process. Especially avoid swallowing large pieces of leafy vegetables since they can block the stoma opening on the abdominal wall.
SN instructed patient that to reduce diarrhea, omit fiber and bulk from your meals and eat foods that thicken your stools, such as white rice, applesauce, bananas, creamy peanut butter, yogurt, pasta, and bread. Continued diarrhea can cause dehydration, so increase the amount of fluids in your diet.
SN instructed patient that too much of any food can cause problems; eat moderate amounts and slowly to allow proper chewing and digestion. If a new food seems to give problems, don’t eat it for a few weeks, but try it again later.
Taught the patience not to wear tight clothing (belts) over the incision. Encourage the importance of not discontinuing the steroid medication that can precipitate adrenal crisis.
The patient was instructed in myelogram to lower the bed to the horizontal position to dismiss a headache. The patient was advised to take mild analgesics for insistent pain. The patient was recommended not to take phenothiazines for nausea and vomiting because these agents can increase symptoms of toxicity. The patient was recommended in the need to increase fluid drinking to improve defecation of the dye and to substitute cerebrospinal fluid.