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Patient was instructed on the risk and factors that contribute to the development of pressure ulcers, such as malnutrition, dehydration, impaired mobility, chronic conditions, impaired sensation, infection, advance age and pressure ulcer present.
Patient was instructed on other reasons Why Older People Fall such as: Lightheadedness with standing caused by postural hypotension (blood pressure that drops dramatically with standing), other forms of dizziness, persistent pain in any part of the leg.
Patient was instructed on diabetes complications such as nerves damage (diabetic neuropathy). Damage to the nerve that control the bladder, digestive tract and reproductive organ is called autonomic neuropathy and it can cause problems with nausea, vomiting, diarrhea and constipation.
Taught that Labetalol slows the heartbeat, lowers blood pressure and reduces strain on the heart.
Taught that blood pressure readings for people age 18-49 should not exceed 140/90.
The patient was instructed in cervical cancer explaining of type of cancer and the therapeutic or surgical procedures to be performed. Patient Undergoing Surgery, the patient was reviewed avoid coitus and douching for 2 to 6 weeks after surgery, avoid heavy lifting and vigorous activities. Patient Undergoing Cryosurgery/Laser Therapy , the patient was taught that perineal drainage is clear and watery initially progressing to a foul-smelling discharge that contains dead cells, reviewed perineal care and hygiene, recommended need for regular Papanicolaou and pelvic examinations. Patient Undergoing Pelvic Exenteration, the patient was instructed to obtain appropriate supplies for ostomy care, the patient was taught on perineal care explaining the drainage may continue for several month, the patient was reviewed in wound irrigation procedures and application of sanitary pads, avoid prolonged sitting.
Instructed the patient/caregiver on important foot care: inspect feet daily, report any foot problems to MD or Podiatrist, wash feet daily with warm soap and water and pat dry especially between toes, clip nails straight across and gently file with an emery board, wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, avoid exposure to extreme temperatures, and avoid tobacco
SN advised to patient / caregiver that blood glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
Instructed patient when you have a stoma that drains urine or loose stool you may want to consider using an extended wear skin barrier because it will give your skin added protection. Itching or burning under the skin barrier may indicate that you have leakage, a skin rash, or a skin infection. You need to remove your pouching system as soon as possible to check your skin for any irritation.
SN instructed patient / caregiver instructed on medication Ketorolac. SN explained that Ketorolac is a non - opioid anti - inflammatory drug that works to decrease pain by inhibiting prostaglandin synthesis and producing peripherally mediated analgesia. SN explained that the side effects of this medication includes drowsiness, gastrointestinal bleeding, diarrhea, dry mouth and constipation. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistence of side effects or if rash, itching, weight gain, edema, black stools, headache, or chills fever or muscle pain develops.