fall
Patient was instructed on measures to prevent falls at home during daily activities. Do not try to carry too many things at the same time. Have a place near the door where it is possible to place packages and groceries while you close the door and get ready to put things away.
Patient was instructed on how lifestyle and daily routine can affect blood sugar levels. Food is the major culprit in altering the blood sugar level. The blood is at its highest an hour or two after eaten, and then it starts to fall. What eaten, when and how much all affect blood sugar levels.
Patient was instructed on list of measures to prevent falls at home: If use a cane put rubber tips on it. Keep the house well lit especially stairways, porches and outside walkways. Use night lights in areas such as hallways and bathroom.
Instructed patient to install light switches at both the top and bottom of stairways.
Instructed patient in the importance to use the ambulatory aids to prevent accidental falls.
Instructed on the importance of using adjunctive equipment (e.g., cane) as a measure aimed to reducing the risk of falls/injuries.
Skilled nurse instructed patient on safety measures to avoid injuries and falls such as keeping adequate lighting during the day and night and was educated on proper use of assistive device to prevent falls.
SN assessment done on all body systems. Checked blood sugar daily monitoring on patient's log book, hydration, dietary, and medication compliance. Instructed patient on keeping blood glucose within normal range and preventing the development of long-term complication. Careful monitoring of diet, exercise and blood sugar levels are as important as the use of oral medications in preventing complications of diabetes. Also taught infection control, safety/fall precautions and preventions, and to contact MD for any emergency and/or medical concerns and changes.
SN instructed patient about Coreg is a beta blocker used for heart failure, hypertension or after a MI. Side effects include dizziness, shortness of breath, slow heart rate, lightheadedness, weight gain, swelling of feet and legs. Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
SN instructed that Temazepam is used to treat sleep problems (insomnia). It may help you fall asleep faster, stay asleep longer, and lessen how often you wake up during the night, so you can get a better night's rest. Temazepam belongs to a class of drugs called sedative-hypnotics. It acts on your brain to produce a calming effect. SN also instructed on side effects such as, dizziness or difficulty with coordination. If either of these effects persists or worsens, tell your doctor or pharmacist promptly. To reduce the risk of dizziness or falling, get up slowly when rising from a sitting or lying position.