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Patient was instructed on hypertension. Blood pressure commonly rises as getting older, but this increase occurs more quickly in people who already have high blood pressure. Untreated hypertension can damage the delicate lining of the blood vessels.
Caregiver was instructed that blood sugar may be check at different times of the day to get an idea of how well your treatment program is working for you. Typical times to check are before breakfast, before lunch, before dinner, and before bedtime. Sometimes it is helpful to check blood glucose one or two hours after a meal to see the effect of food on your glucose levels. There are certain times when should check the blood sugar more often than usual: During periods of illness or stress, when is suspect that blood glucose is low or high. When there are changes made in the treatment program - such as a change in medication doses, meal plan or activity, when taking new medications.
Instructed on the importance/need of using good body mechanics when either exercising or moving around.
Instructed on some potential complications of hypertension, such as: hypertensive crisis (sharp rise in blood pressure to greater than 200/120, severe headache, vomiting), among others.
The patient was instructed in chest trauma flail chest how to splint the chest when coughing to avoid pain. The patient was encouraged to review upper respiratory infection, shortness of breath, persistent cough, and persistent chest pain.
The patient was instructed in hemorrhoid the necessity to eat a diet high in fiber to encourage regular bowel movements and soft seats. The patient was advised to drink sufficiently of fluids. The patient was reviewed to use chair softeners and unpackaged laxatives to prevent constipation. The patient was recommended to do daily minor exercise to improve peristalsis and help elimination. The patient was encouraged to defecate on time after the impulse so that compression in the rectum will be prevented. The patient was taught to evade long sitting, squatting, or standing. The patient was instructed to evade pulling during defecation. The patient was advised to sit on thick foam pillows or pads. The patient was taught to use warm place bath for short-lived periods to evade hypotension secondary and vasodilation of pelvic blood vessels. The patient was encouraged the importance of perianal hygiene at all times. The patient was instructed to wipe softly after a bowel movements. The patient was taught to use warm bandages to encourage circulation.
SN instructed patient / caregiver on headache which is a pain in any region of the head. SN instructed patient / caregiver that headache can occur on one or both sides of the head, be isolated to a certain location, radiate across the head from one point, or have a vise -like quality. SN instructed patient / caregiver on that headache may be a sharp pain, throbbing sensation or dull ache. SN instructed patient / caregiver that headache can appear gradually or suddenly. SN instructed patient / caregiver that headache can be triggered by lifestyle factors such alcohol (particularly red wine), certain foods (processed meats that contain nitrates), lack of sleep, poor postures, skipped meals and stress. SN instructed patient / caregiver on emergency preparedness and to encourage to report any new or severe symptoms.
SN instructed that Tradjenta is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used by people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke.
SN instructed that keeping your regular cast dry is very important! There are no devices that are 100% effective in keeping any cast dry. Sponge baths are the safest way to keep the cast dry. If you have to take a bath or shower, please follow these instructions: place a towel or washcloth around the upper portion of the cast. Cover the entire cast with 2 plastic bags ( use two in case one has a leak, secure the bag at the top with tape or a rubber band, if the cast gets moist, dry the top or bottom of the cast using a blow dryer. Use only the cool or low setting, if the cast is soaked all the way through, it needs to be changed ( call doctor office )
SN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and that experiencing hypertensive urgency may or may not experience one or more of these symptoms: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain, numbness or severe weakness, change in vision or difficulty speaking. Patient and caregiver were advised to seek immediately medical assistance and/or call 9-1-1 if any of these signs or symptoms appear. Patient and caregiver verbalized understanding. Family is independent with hypertension process.