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Instructed in measures to manage chronic renal failure, such as, following prescribed information closely, following activity as instructed, avoiding stress, monitoring blood pressure closely and reporting any signs of bleeding tendencies.
Instructed patient about the importance of eating foods rich in calcium, protein and fiber to manage hypertension.
Instructed patient to contact doctor if any of the following occur: an illness lasting one or two days without improvement; vomiting/diarrhea that continue longer than 6 hours, blood tests that continue to run higher that 240 after taking medications, S/S of high blood sugar.
Patient was instructed on Osteoporosis that is a disease that affects your bones. It means there are bones that are thin and brittle, with lots of holes inside them like a sponge. This makes them easy to break. Osteoporosis can lead to broken bones, fractures, in the hip, spine and wrist.
Patient was instructed on leg edema. Swollen feet and legs, referred to medically as leg edema, occur when fluid is retained in the spaces between body cells. As leg edema typically affects the feet, ankles and lower legs, but can also impact any areas of the body, causing systemic symptoms.
Instructed on some measures aimed to managing/controlling Emphysema, such as: eat small, frequent meals and chew slowly, among others.
Instructed on the importance, when having Congestive Heart Failure (CHF), of reporting immediately signs/symptoms, such as: rapid weight gain and loss of appetite, among others.
SN instructed patient on diabetic diet:it is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrates (carbs) for that meal or snack is consistent.Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carbs, the blood sugar levels will go up.
Instructed patient/caregiver on general precautions while taking aspirin: take with food, milk, or large glass of water to decrease gastric symptoms. (Enteric coated or buffered may be better tolerated.); avoid alcohol due to possible internal bleeding; only take the recommended amount; use cautiously with Asthma; observe and report s/s of bleeding (easy bruising, bleeding gums, black stools); discard medications if vinegar odor is present; do not take antacids due to decreased effectiveness; avoid chewing or crushing enteric coated.
SN instructed patient on arthropathy: Encouraged frequent changes of position. Assisted patient to move in bed, supporting affected joints above and below, instructed her to avoid jerky movements. Recommend that patient take warm bath or shower upon arising or at bedtime. Apply warm, moist compresses to affected joints several times a day. Monitor water temperature of compress, baths, and so on. Encouraged patient on stress management techniques such as progressive relaxation, biofeedback, visualization, guided imagery, self-hypnosis, and controlled breathing.Verbalized understanding.