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Pain Management Teaching 660

Patient was instructed on pain management. Diabetes can destroy small blood vessels, which in turn can damage the nervous system, and these damaged nerves can 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.

Pain Management Teaching 661

Patient was instructed on pain management. Diabetes pain usually strikes first in the hands and feet. A common pain syndrome from diabetes is described as

Pain Management Teaching 664

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

Pain Management Teaching 665

Patient was instructed on pain management. Acute pain such as occurs with trauma, often has a reversible cause and may require only transient measures and correction of under lying problem. In contrast, chronic pain often results from conditions that are difficult to diagnose and treat.

Pain Management Teaching 666

Patient was instructed on pain management. Pain is an unpleasant sensation that is caused by actual or perceived injury to body tissues and produces physical and emotional reactions.

Pain Management Teaching 667

Patient was instructed on pain management Pain sensation has evolved to protect the body from harm by causing people to perform certain actions and avoid others. Pain might be called a protector, a predictor or simply a hassle.

General teaching Teaching 1699

Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.

General information Teaching 1772

SN reviewed patients medication with primary caregiver and instruct on medication compliance to better control the patients disease process. SN refilled patient’s medication box for daily routine implementation during visit. SN informed M.D. of patients elevated blood pressure and no new orders received, SN was advised to continue with patients current regimen.

Pain Management Teaching 659

Patient instructed to contact primary physician if current pain treatment stops working or pain begins to get worse over time.

Pain Management Teaching 662

Patient instructed in setting a daily time aside for relaxation that will in turn break the pain-cycle.