diverticulosis-and-diverticulitis
SN instructed the patient on good diabetic foot care and assessment as follows: using a handheld mirror if needed assess feet daily to include in between toes. Never cut toenails or file down calluses. Only a podiatrist should do this. Report any blisters, cracks, wounds or any other concerns to your podiatrist immediately. Wash and lotion feet very well daily. Do not lotion between toes as this may cause maceration and cause skin breakdown. Recommended wearing diabetic socks. Always wear good fitting shoes. Preferably tailor-made for the patient. Never walk around barefoot.
Instructed patient 1 in 4 heart attack and stroke survivors has another. Managing high blood pressure and cholesterol, making healthy lifestyle choices and taking medications like aspirin as recommended by your doctor, may help lower your risk of a second event.
Instructed patient Rising slowly from a sitting or lying position may help ease symptoms. Avoiding alcohol, drinking plenty of water, and eating small, low-carbohydrate meals along with fruits and vegetables may also help. See a doctor immediately if you Faint, Break out in cold sweats, breathe rapidly and shallowly, Notice blood in your stool.
SN instructed patient and caregiver on measures to relieve legs edema : elevate legs above the level of your heart several times a day. In some cases, elevating legs while you sleep may be helpful; reduce salt intake, salt can increase fluid retention and worsen edema; moving and using the legs muscles, may help pump the excess fluid back toward your heart.
Instructed patient fresh fruits and vegetables eaten daily will also supply your body with other nutrients essential to wound healing such as vitamin A, copper and zinc. It may help to supplement your diet with extra vitamin C. Keep your wound dressed. Wounds heal faster if they are kept warm. 2- Instructed patient getting more sleep can help wounds heal faster eat your vegetables, stay active, don't smoke, keep the wound clean and dressed.
Educated patient on what is a mechanical soft diet and he was explained that this diet is designed for people who have trouble chewing and swallowing. Chopped, ground and pureed foods are included in this diet, as well as foods that break apart without a knife. Understanding was verbalized.
Educated patient on 11 foods and drinks to avoid with diabetes . Sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabetes. Trans fats. Artificial trans fats are extremely unhealthy. White bread, rice, and pasta. Fruit-flavored yogurt, sweetened breakfast cereals, flavored coffee drinks, honey, agave nectar, and maple syrup dried fruit. Understanding was verbalized.
SN instructed patient and caregiver that CORONAVIRUS (COVID-19) is increasing again and every house hold members need to apply precautions not contact or spread infection. Wear your mask and use hand sanitizer. People that had vaccination can still contact it if not careful.
SN educated on medication Escitalopram. This medication is used to treat depression in adults and children and teenagers 12 years or older. Escitalopram is also used to treat generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life for 6 months or longer) in adults. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. Escitalopram may cause side effects such as nausea, diarrhea, constipation, changes in sex drive or ability, drowsiness, increased sweating, dizziness, heartburn, stomach pain, excessive tiredness, dry mouth, decreased appetite, weight loss, flu-like symptoms, runny nose, sneezing. Tell your doctor if any of those symptoms are severe or do not go away.
SN educated patient and caregiver on Lidocaine patches. These patches are used to relieve the pain of post-herpetic neuralgia (PHN; the burning, stabbing pains, or aches that may last for months or years after a shingles infection). It works by stopping nerves from sending pain signals. To apply the patches, follow these steps: 1. Look at the skin that you plan to cover with a lidocaine patch. If the skin is broken or blistered, do not apply a patch to that area. 2. Use scissors to remove the outer seal from the package. Then pull apart the zipper seal. 3. Remove up to three patches from the package and press the zipper seal tightly together. The remaining patches may dry out if the zipper seal is not tightly closed. 4. Cut patch(es) to the size and shape that will cover your most painful area. 5. Peel the transparent liner off the back of the patch(es). 6. Press the patch(es) firmly onto your skin. If you are applying a patch to your face, be careful not to let it touch your eyes. If you do get lidocaine in your eye, wash it with plenty of water or saline solution. 7. Wash your hands after handling lidocaine patches. 8. Do not reuse lidocaine patches.