infection control
Instructed patient you can do many things to help control
your blood pressure at home, including: Eat a heart-healthy diet, including potassium and fiber, and drink plenty of water, exercise regularly at least 30 minutes of aerobic exercise a day, limit the amount of sodium (salt) you eat and aim for less than 1,500 mg per day. Reduce stress by trying to avoid things that cause you stress.
SN advised to patient / caregiver that blood glucose monitoring is the main tool you have to keep your diabetes under control
. This check tells you your blood glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
Instructed patient eating yogurt or drinking buttermilk may help reduce gas, To control
gas at night, do not eat after 8 p.m. This will give your bowel time to quiet down before you go to bed.
Instructed patient through the use of negative pressure wound therapy, a standard surgical drain, and optimized nutrition, fistula drainage was redirected and the abdominal wound healed, leaving a drain control
led enterocutaneous fistula. Patient control
of fistula drainage and protection of surrounding tissue and skin is a principle of early fistula management.
SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control
high blood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.
SN instructed on new medication Spiriva is used to control
and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Instructed that common side effects include, dry mouth, constipation, or dizziness.
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.
Instructed patient/caregiver on no-added-salt or salt-control
led diet can help control
high blood pressure. Even if you are taking medication, it's important to follow a salt-control
led diet to help the medication work more effectively. Use a limited amount of salt in cooking. Don't add salt to your food at the table, either at home or when dining out. Most restaurants add salt when preparing food. Use fresh or dried herbs, spices, and lemon juice to season foods. Avoid ham, bacon, salt pork, and cheese, because these are made with salt. Patient/caregiver verbalized understanding.
Instructed patient diet: Your doctor will probably recommend that you follow a low fat, no added-salt diet after discharge. This may reduce your risk of a heart attack in the future and your risk for requiring angioplasty or surgery again. You should try to have less than 30 percent of your calories from fat. Try to control
your weight and eat less saturated fat and cholesterol.
Patient was instructed about another reason to get your blood sugar levels under control
and keep them that way doing so can help you avoid many diabetes skin problems, still, skin conditions related to this disease are common. As many as 1 out of 3 people with diabetes will have one. Fortunately, most can be or successfully treated before they turn into a serious problem.