patient-unable
Procedures
The patient was instructed in cataract surgery need to wear an eye shield at night for 2 to 6 weeks to avoid eye injury, warn that depth perception may be lost and 50% of peripheral vision will be lost because of the eye patch. The patient was advised to avoid falls by turning the head fully to the affected side to view objects. The patient was taught to use up-and-down head movements to judge stairs and oncoming objects and to move slowly. The patient was recommended to wear dark glasses during the day to avoid pupil constriction and glare.
The patient was instructed in endoscopy that a sore throat or eructing may continue for 3 days after the practice. The patient was advised throat pills or warm gargles to ease throat pain. The patient was instructed to follow a prescribed diet for the original condition when gag and swallowing reactions coming back, in 2 to 4 hours. The patient was advised to beginning with soft, bland foods until soreness decreases.
The patient was instructed in herniorrhaphy to apply scrotal provision or ice packs to reduction scrotal edema and distress. The patient was reviewed to get proper supplies like sterile dressings. The patient was instructed to evade coughing, straining, stretching, constipation, heavy lifting, energetic exercises. The patient was advised to immobilizing incision manually or with a pillow during coughing, sneezing, or hiccups.
The patient was instructed in hip replacement to get self-help devices to limit hip bending, elevated toilet seat, bath seat, and long-handled grippers. The patient was reviewed to evade putting extra weight on the hip and should use a walker, then crutched and then a cane until totally recuperated. The patient was instructed the importance of joining in physical therapy to recover muscle strength and guarantee adequate upper extremity strength for ambulating with a walker, crutches, or cane. The patient was advised to limit activities to evade loosening or displacing the prosthesis.
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.
The patient was instructed in retinal detachment in lie in the suggested position following the scleral buckling process. The patient was advised to apply cold bandages to the eye to decrease inflammation and ease anxiety. The patient was recommended to use dark glasses to reduce photophobia and pain when eye drops are used. The patient was advised to wear an eye shield at night for protection.
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.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. Patient currently uses cane while ambulating and states that it helps her with her balance. Patient advised that side effects of most medications taking can cause dizziness and to report and dizziness so that it can be addressed by MD. Patient voiced understanding SN will continue to monitor.
Patient requires skilled intervention of physical therapy for exercises to increase strength and endurance, implementation of safety measures and evaluation for assistive devices due to impaired function or declining functional ability as demonstrated by increased weakness. Patient requires skilled intervention of physical therapy to teach and train patient/caregiver on exercises to increase strength and endurance, implementation of safety measures and use of assistive devices due to impaired function or declining functional ability to perform ADLs/IADLs. Patient with moderate pain interfering with functional status, thereby impacting activities of daily living.
Instructed patient that during a hurricane he/she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to his/her house. In the event that the patient has no family or friends he/she should go to the closest shelter for proper assistance.