infection control
Instructed caregiver to keep patient's ulcer from becoming infected, it is important to: keep blood glucose levels under tight control; keep the ulcer clean and bandaged; cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.
Instructed patient a particular diet, it's important that you follow it. If a special diet has not been recommended, balanced, heart-healthy nutrition can speed healing and lessen fatigue. Patient weight control is also important for your heart health; excess weight increases the work of the heart and slows recovery.
SN instructed patient / caregiver on factors that increase risk of HTN, such as: age, race, family history, stress, high sodium intake, high cholesterol intake, obesity and sedentary lifestyle. SN instructed patient / caregiver on measures to control/manage HTN, such as: exercise as tolerated, achieve/maintain healthy/ideal weight, decrease sodium intake to decrease fluid retention and the workload of the heart. SN Instructed importance of eating foods rich in calcium, protein and fiber.
SN instructed patient about Tramadol. SN instructed that it is an opiate pain medication used to treat moderate to moderately severe pain. SN Taught that the most common adverse effects of tramadol include nausea, dizziness, dry mouth, indigestion, abdominal pain, vertigo, vomiting, constipation, drowsiness and headache. SN Instructed patient to take pain medication before pain becomes severe to achieve better pain control.
Sn instructed that reducing sodium intake lowers blood pressure and prevent the collection of fluid in the lower legs or abdomen. People with chronic kidney disease must control sodium intake to prevent volume overload, which increases blood pressure and causes swelling. Food to eat any fresh or frozen beef, lamb, pork, poultry and fish. Eggs and egg substitutes. Low-sodium peanut butter. Dry peas and beans (not canned) drained, water or oil packed canned fish or poultry foods to avoid canned food canned vegetables processed meats salted snacks such as, salted peanuts, salted almonds etc.
SN instructed patient to take pain medication before pain becomes severe to achieve better pain control. Always refill your meds before you run out of them. SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, positioning ,etc. SN instructed to report to physician if experiencing pain level not acceptable , pain level greater than 6/10, pain medications not effective, unable to tolerate pain medications, and pain affecting ability to perform normal activities
Sn instructed patient on medication Glipizide, it is an oral diabetes medicine that helps control blood sugar levels by helping your pancreas produce insulin. Take glipizide 30 minutes before a meal. If you take this medicine once daily, take it 30 minutes before breakfast. Do not crush, chew or break an extended-release tablet. Swallow it whole.
SN instructed patient about some things that he can do to help control your blood pressure , including: Eat a heart-healthy diet, including potassium ( bananas ) and fiber ( cereals,beans ) , drink plenty of water, exercise regularly : walking for a few minutes every day , limit the amount of sodium ( salt ) you eat ( avoid canned foods ), reduce stress by trying to avoid things that cause you stress.
RN instructed patient and caregiver on balance in order to avoid fall that can produce complications in musculoskeletal system. RN explained that with age, a combination of factors decreases balance and the nerve endings in our feet don't detect impulses as readily and the balance control centers in our brain and our ears operate more slowly so age - related changes in vision and hearing, even when subtle, also contribute to the decline in balance and could increase the risk of falls. Patient and caregiver voiced understanding of all instructions given.
RN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and may or may not experience one or more of these symptoms: Severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or weakness of extremities, change in vision and difficulty speaking and immediately ask for medical assistance calling 9-1-1. RN instructed patient and caregiver on no-added-salt or salt-controlled diet that can help control high blood pressure. Both patient and caregiver verbalized understanding.