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Instructed in management and control of wound through activity such as frequent rest periods, no overexertion, no lifting, bending or stooping. Passive and active exercises to increase vascular tone. Elevate affected extremity to promote venous return. Give pain medication, if prescribed, 30 minutes prior to any activity.
Instructed patient about factors that can affect BS such as foods, exercises, illness, stress, quantity of insulin, and when and where insulin is administered.
Patient was instructed on food not allowed on a healthy nutrition, such as whole milk, cheeses, yogurt, ice cream, fruits and vegetables that are creamed, fried or au gratin. Breads and cereals, egg noodles, doughnuts, griddle cakes, waffles and pastries.
Patient was instructed on fluid retention
Patient was instructed on personal hygiene. Personal hygiene includes health practices such as washing the hair at least once a week, bathing every day, brushing the teeth after every meal and at bed time, and cleaning the clothes.
Caregiver was instructed that insulin is absorbed at different speeds depending on where are inject, so it's best to consistently use the same part of the body for each of the daily injections. For example, do not inject the lunch bolus dose in the abdomen on Monday and in the thigh on Tuesday. If you have picked the thigh for your evening injection, then continue to use the thigh for all of the evening injections.
Patient was instructed on Hyperglycemia. High blood sugar develops when there is too little insulin or when the body fails to respond properly to the insulin in the blood. High blood sugar emergencies often develop because of some underlying condition that may not be obvious, such as a heart attack, infection, or surgery.
Instructed on some signs/symptoms of Angina Pectoris, such as: chest pain (may range from mild to very severe) and anxiety, among others.
Instructed patient about vacuum assisted closure ( VAC ) therapy as it promotes wound healing through negative pressure wound therapy.
Instructed patient t other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations, irregular heart beat, faintness, and weakness. Replace butter and margarine with heart-healthy oils such as olive oil and canola oil. Other heart-healthy foods include walnuts, fatty fish like salmon and tuna, whole-grain breads, low-fat dairy products, beans, and lean meats. Ask your caregiver how much salt you can eat each day. Avoid salt substitutes.