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Instructed in possible factors that increase risk of the angina pectoris such as sudden physical exertion, emotional stress, consumption of a heavy meal, temperature extremes, nicotine, hypertension, obesity, constipation accompained by excessive straining.
Patient was instructed on the optimization of wound environment. Adequate nutrition and hydration, remove nonviable tissue, maintain moisture balance, protect the wound and peri-wound skin, eliminate or minimize pain, cleanse, prevent and manage infection, control odor.
Patient was instructed on Root decay (cavities). That is caused by exposure of the tooth to decay-causing acids. The tooth roots become exposed as gum tissue recedes from tooth.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.
Patient was instructed on diabetes. Disease is cause by a lack of insulin, a hormone made in the pancreas that is essential for converting energy from food. Insulin is necessary for the body to process nutrients (carbohydrates, fats and proteins), and its absence cause high sugar levels in the blood.
Instructed on the importance of remaining calm if experiencing a seizure episode.
Taught that following prescribed diabetic diet is a measure aimed to managing/controlling Diabetes Mellitus (DM).
Instructed patient assess PICC line site, line note any leakage from catheter or around the site. Note any redness, drainage or pain at the site.
SN instructed patient about constipation and diarrhea can still occur with a colostomy. Reasons why constipation may occur include certain medications, not drinking enough fluids or eating enough fiber, just like before you had a colostomy.
SN instructed patient / caregiver on medication Amikacin. SN explained that Amikacin is an anti - infective in the aminoglycoside family which is indicated as part of combination therapy for mycobacterium avium complex. SN explained that side effects include ototoxicity, nephrotoxicity, apnea and hypersensitivity. SN instructed patient / caregiver that call your physician ( MD ) if you experience to signs of hypersensitivity, tinnitus ( ringing of the ears ), vertigo ( dizziness ), muscle weakness, twitching, feeling of fullness in the head or hearing loss.