patient-unable
SN instructed patient on hallucinations, you must use diversion tactics when hallucinations start, try telling yourself they are not real especially when they are scary, use music or television for distraction when auditory hallucinations start, continue to take medication as ordered, call a friend or family member for support when needed. Patient verbalized understanding.
SN instructed patient on wound care. The patient should be sure to have a well-balanced diet. This include protein, vitamins and iron. Note: using a blender or chopping food does not change the nutritional value of the food.
SN instructed patient on spontaneous coronary artery dissection ( SCAD ) and stent placement. A stent is a small rod made out of metal or fabric. It is inserted into a coronary artery when there is a blockage or when the artery is narrow. A coronary artery is a blood vessel that carries oxygen to the heart muscle. You received a stent due to coronary artery disease ( also called SCAD). That is caused by a thickening of the inside walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries, blocking or slowing the flow of blood. If your heart muscle doesn't get enough blood to work properly, you may have angina ( chest pain ) or a heart attack. The stent will help hold the artery open so blood can flow and help keep the artery from narrowing again. You will need to take medicine that keeps the stent open and blood flowing. It is very important to take the medicine exactly how your doctor tells you to take it. In addition to taking medicine, the best way to keep your heart healthy is to maintain a healthy lifestyle. Quit smoking. Make sure you keep your blood pressure and cholesterol at healthy levels. Exercise as recommended by your doctor. Eat a heart - healthy diet. Patient verbalized understanding well.
Sn instructed patient in walker safety. When you stand wait one minute before attempting to walk. Do not take a step until all 4 legs of the walker are level on the ground. Do not place the walker too far ahead of you. Keep the walker’s back legs even with your toes. Always look forward at your path, don’t look down at your feet. To get up from a seat, do not pull up on your walker. Push up from your seat. Do not lean forward over your walker. Work at keeping good posture. Be careful when you walk from a tile or hardwood floor to a carpeted floor. Do not use your walker on stairs or on an escalator. Check the rubber tips on the legs of your walker often. Replace the tips when they become worn. Patient verbalized understanding of teaching.
SN instructed patient on ways of reducing nausea such as, get some fresh air, open a window and take a walk outside. Apply a cool compress to the forehead or back of the neck. Sit up for about an hour after eating to relieve any pressure on the stomach. Try alternative therapies like meditation and acupuncture. Eat smaller meals. Patient nods head in understanding.
SN instructed patient on ways to avoid acute exacerbations of chronic obstructive pulmonary disease ( COPD ) by recognizing early warning signs and then taking action to stop them in their tracks. The best way to do this is to work with your health care provider on an action plan so you know what to do to treat an exacerbation before it becomes serious. SN instructed on early warning signs of an acute exacerbation: Wheezing or more wheezing than what’s normal for you, coughing more than usual, shortness of breath that is worse than usual, an increase in the amount of mucus, change in the color of your mucus to yellow, green, tan, or bloody, shallow or rapid breathing, more than what’s normal for you, fever, confusion or excessive sleepiness, and swelling in your feet or ankles. Patient nods head in understanding. Sn will continue to monitor.
SN instructed patient on the 'Bad' fats in your diet. There are two types of fat that should be eaten sparingly: saturated and trans fatty acids. Both can raise cholesterol levels, clog arteries, and increase the risk for heart disease. Saturated fats are found in animal products ( meat, poultry skin, high - fat dairy and eggs ) and in vegetable fats that are liquid at room temperature, such as coconut and palm oils. There is evidence that saturated fats have an effect on increasing colon and prostate cancer risk, so we recommend whenever possible to choose healthy unsaturated fats and always strive to be at a healthy weight. Patient / caregiver verbalized understanding of teaching.
SN instructed patient / caregiver what should be done in the event of seizure. Place a pillow or something soft under her head to protect it. Remove and hard objects or furniture that may get in the way and cause injury. Turn her on her side to help avoid aspiration of secretions into the lungs. Never place anything in her mouth or try to restrain her in any way. Notify physician ( MD ) of any seizure activity as well as duration of the seizure. When the seizure has subsided, she may feel disoriented or tired so it’s okay to allow her to rest and sleep. Patient and caregiver verbalized understanding of all teaching.
SN instructed patient that Furosemide is used to reduce extra fluid in the body ( edema ) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a "water pill" ( diuretic ) that causes you to make more urine. This helps your body get rid of extra water and salt. SN also instructed patient that Dizziness, lightheadedness, headache or blurred vision may occur as your body adjusts to the medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
SN instructed patient with Diabetes mellitus ( DM )about the importance of avoiding getting sick. Seasonal viruses such as common cold, flu and other illnesses may cause diabetes mellitus ( DM ) episodes to increase in frequency and severity. SN instructed patient on how to identify the first signs of flu, bronchitis and others respiratory infections, which could decompensated your diabetes.