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Instructed patient that he/she may not have to give up eating a slice of cake, but will have to eat a little less bread or potato at the next meal.
Instructed patient and/or SO to check cough evolution and notify any significant change.
Patient was instructed on depression as a diabetes complication. Depression and diabetes are two conditions that can sometimes go hand-in-hand. Fist, diabetes can increase the risk of depression, in fact having diabetes doubles the risk of depression compared to people who don't have this disease.
Patient was instructed on the importance of a good foot care. The feet may not get a good blood supply which means that sores won't heal. In addition, damage to the nerves may not allows to feel sores, cuts and other injuries to the feet, that is why it's important to check the feet daily.
Instructed on some signs/symptoms of respiratory infection, such as: cough (may be productive) and malaise, among others.
Taught that performing active or passive range-of-motion exercises, as directed by MD, is a measure aimed to controlling/managing Rheumatoid Arthritis.
Taught that, in Emphysema, there is an enlargement and loss of elasticity of the alveoli resulting in decreased air exchange and air trapping.
SN instructed patient to drink more water and fruit juices, up to six to eight glasses per day. Include fresh fruits and vegetables in your diet, as well as fibrous foods such as whole-grain breads and cereals to prevent constipation.
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 / caregiver regarding medication Levaquin. SN taught patient / caregiver that levaquin is an antibiotic and that it is used to treat bacterial infections. SN explained to patient that taking levaquin can make the skin more sensitive to sunlight and also may cause swelling or tearing of a tendon. SN explained to patient / caregiver that the side effects of this medication includes headache, nausea, constipation, diarrhea, difficulty sleeping, dry mouth and ear problems. SN instructed patient to notify physician ( MD ) if experiencing persistence or worsening of side effects.