infection control
Instructed caregiver as alzheimer's disease progresses to its last stages, brain changes begin to affect physical functions, such as swallowing, balance, and bowel and bladder control. These effects can increase vulnerability to additional health problems such as: inhaling food or liquid into the lungs (aspiration), pneumonia and other infections, falls fractures bedsores, malnutrition or dehydration. Caregiver verbalized.
SN instructed patient and caregiver about the low concentrated sweets diet helps control blood sugar levels by eliminating most simple sugars in the foods you eat. All carbohydrates break down to sugar as they are eaten and digested. There are two different types of carbohydrate complex and simple. Most simple sugars are considered concentrated sweets. Simple carbohydrates cause a quick increase in blood sugar. Your doctor might order a low concentrated sweets diet for you if you have diabetes or are at risk for developing diabetes mellitus you are on medications that can cause high blood sugar you have diarrhea.
Patient instructed uncontrollable risk factors for high cholesterol are age, family history, and gender. Instructed risk factors that he can control are weight, diet, and activity. Instructed patient to maintain ideal weight, avoid foods high in cholesterol and exercise for at least 30 minutes per day to lower risk of high cholesterol. Patient verbalized understanding.
Instructed patient how is chronic kidney disease treated. Control your blood sugar if you have diabetes. Keep a healthy blood pressure. Follow a low-salt, low-fat diet. Exercise at least 30 minutes on most days of the week. Keep a healthy weight. Do not smoke or use tobacco.
SN instructed patient on nutrients required for wound healing. To promote wound healing with good nutrition, plan healthy, balanced meals and snacks that include the right amount of foods from 5 food groups: protein, fruits, vegetables, dairy and grains. Fats and oils should be used sparingly. Choose vegetables and fruits rich in vitamin c, such as strawberries or spinach. For adequate zinc, choose whole grains and consume protein, such as eggs, meat, dairy or seafood. Some wounds may require a higher intake of certain vitamins and minerals to support healing. Include adequate protein throughout the day. Include a source of protein at each meal or snack. Stay well-hydrated with water or other unsweetened beverages. For people with diabetes, monitor, and control blood sugar levels to help prevent new wounds from developing and to support healing and recovery. Patient verbalized understanding.
SN instruct on medication compliance to better control the patients disease process, to refill medication on time to prevent missed/skipped doses. Also Instructed to pt to take each medication exactly as it has been prescribed, make sure that all your doctors know about all your medications, and let your doctors know about any other over the counter (OTC) medications, vitamins and supplements, or herbs that you use as well as any allergies to any medication.
Patient was instructed on leg wound's use direct pressure and elevation to control bleeding and swelling. When wrapping the wound, always use a sterile dressing or bandage. Very minor wounds may heal without a bandage.
Educated PT on low fat diet. PT was instructed to eat plenty of plant foods (such as whole-grains, fruits, and vegetables) and a moderate amount of lean and low-fat, animal-based food (meat and dairy products) to help control your fat, cholesterol, carbs, and calories. When you're shopping, choose lean meats, fish, and poultry. Limit these to 5-7 ounces per day. Understanding was verbalized.
SN teach the patient to perform a daily self-test to ensure the LVAD is working properly. When the patient presses and holds the battery button on the system controller, the screen displays "Self Test" If the panel is working properly, the audio alarm will sound and control panel alarms will light up. These alarms include power and battery alarms, a red heart (hazard) alarm, and a wrench (advisory) alarm.
SN instructed patient Patients with LVADs experience many physical and emotional changes. Although there are many physiological benefits (increased energy, reduced shortness of breath), patients may become depressed or even suicidal. Many patients feel socially isolated and express frustration over loss of control and dependency on family and caregivers. Others may be afraid of their device.