pressure ulcer
Diabetic Chronic Kidney disease Treatment for diabetic kidney disease includes controlling blood pressure and blood sugar levels, reducing dietary protein intake, avoiding medications that may damage the kidneys, treating urinary tract infections and exercise and weight loss (under the supervision of a physician).
SN instructed on arteriosclerosis is hardening and thickening of the walls of the arteries. This condition can occur because of fatty deposits on the inner lining of arteries (atherosclerosis), calcification of the wall of the arteries, or thickening of the muscular wall of the arteries from chronically elevated blood pressure. When arteriosclerosis affects the coronary arteries that supply blood to the heart muscle, a shortage of oxygen delivered to the heart itself may lead to a heart attack.
Instructed patient on Prednisone which is used for allergy reactions, rheumatoid arthritis among other diseases. Side effects include: swelling in hands, face and feet, increased hunger, muscle weakness and abdominal distention. One interaction of Prednisone is it may cause hypernatremia, hypokalemia, fluid retention, and elevation in blood pressure.
SN completed all education for this SNV, and reminded patient on the importance of going to all medical appointments, bringing blood pressure log and all of his/her medications. Patient/Caregiver verbalized understanding.
Instructed patient you can help reduce your chance of cardiomyopathy and other types of heart disease by living a heart-healthy lifestyle and making lifestyle choices such as controlling high blood pressure, high cholesterol and diabetes, Eating a healthy diet, Getting regular exercise, Getting enough sleep, Reducing your stress. Patient verbalized.
Instructed caregiver alzheimer's disease and other disorders that cause dementia. Heart-healthy lifestyle choices that may reduce the risk of alzheimer's include the following: exercise regularly, eat a diet of fresh produce, healthy oils and foods low in saturated fat, follow treatment guidelines to manage high blood pressure, diabetes and high cholesterol, if you smoke, ask your doctor for help to quit smoking. Caregiver verbalized.
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. SN to instruct patient on disease process, typical symptoms of an underlying cardiovascular issue include: pain or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats
SN instructed that infrequent passage of hard, dry stool, low back pain, abdominal fullness and/or abdominal discomfort, decreased appetite, nausea and/or vomiting, and rectal pressure may constitute as signs/symptoms of constipation. Patient verbalized understanding.
SN instructed patient and caregiver on some measures aimed to controlling/managing constipation, such as: establish regular times for evacuations usually after a meal and drink a warm liquid one-half hour before breakfast to stimulate bowel movement, avoid laxative and enema abuse. Instructed on some potential complications of constipation, such as: stool impaction bowel blockage, liquid bowel movement may ooze around hard stool in the colon, pain, valsalva maneuver may be caused by straining, causing a slowed pulse, decreased blood return and increased venous pressure, rectal bleeding and rectal pain.
Instruct patient and caregiver regarding self-management of total knee replacement. Instructed patient about how is life different after a knee replacement it’s also normal to have temporary swelling, pressure and/or bruising in your ankles and feet, and these may last for a few months. Here are a couple things you can do to help: ice your knee (always cover ice packs in a towel to avoid frostbite, wear compression stockings, elevate your leg with a pillow, ankle exercises verbalized.