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Instructed in new medication Prednisone and in S/E such as euphoria, insomnia, psychotic behavior, vertigo, headache, paresthesia, seizures, pseudotumor cerebri, heart failure, hypertension, edema, arrhythmias, thrombophlebitis, thromboembolism, cataracts, glaucoma, peptic ulceration, GI irritation, increased appetite, pancreatitis, nausea, vomiting, menstrual irregularities, increased urine calcium levels, hypokalemia, hyperglycemia, carbohydrate intolerance, growth suppression in children, muscle weakness, osteoporosis, hirsutism, delayed wound healing, acne and various skin eruptions.
Instructed in possible complication of urinary incontinence such as urinary tract infections (cloudy, foul-smelling, urine), depression and loss of self-esteem, skin breakdown, etc.
Instructed patient about the importance of avoiding getting sick. Seasonal viruses such as common cold, flu and other illnesses may cause DM episodes to increase in frequency and severity.
Patient was instructed on how to prevent Hypoglycemia: Start off every morning with a healthy breakfast containing fruits, vegetables and high fiber foods such oatmeal. Eat healthy food without skipping any meals during the day.
Instructed on the importance of notifying physician, nurse or other health care provider immediately if dark urine and/or persistent fatigue occur.
Taught that applying heat or cold, as directed by MD, is a measure aimed to preventing/controlling Osteoarthritis.
The patient was instructed to obtain appropriate supplies for care of a urinary diversion by the bladder cancer. The female patient was taught to reduce the incidence of urinary tract infections by voiding after sexual intercourse, avoiding bubble baths, and wearing cotton undergarments. The patient was advised to avoid fluids and foods that irritate the bladder such alcohol, tea, and spices.
Patient with biliary catheter instructed patient do not eat after midnight on the night before your procedure. You may have sips of water with your medicines
SN instructed on Alzheimer's. Patient shouts at moments; Assessed patient’s ability for thought processing. Observed patient for cognitive functioning, memory changes, disorientation, difficulty with communication, or changes in thinking patterns. Assessed patient’s ability to cope with events, interests in surroundings and activity, motivation, and changes in memory pattern. Instructed caregiver to orient patient to environment as needed, if patient’s short term memory is intact. Using of calendars, radio, newspapers, television and so forth, are also appropriate. Assessed patient for sensory deprivation, concurrent use of CNS drugs, poor nutrition, dehydration, infection, or other concomitant disease processes. Maintain a regular daily schedule routine to prevent problems that may result from thirst, hunger, lack of sleep, or inadequate exercise. Provide positive reinforcement and feedback for positive behaviors. SN instructed family in methods to use with communication with patient: listen carefully, listen to stories even if they’ve heard them many times previously, and to avoid asking questions that the patient may not be able to answer. Divert attention to a client when agitated or dangerous behaviors like getting out of bed by climbing the fence bed. Eliminate or minimize sources of hazards in the environment. Caregiver verbalized fair understanding.
SN instructed patient / caregiver on medication Clonazepam. Explained that this medication is a benzodiazepines and it works to manage panic disorder as well as muscle convulsions and neuralgias. Explained that the side effects include behavioral changes, drowsiness, increased secretions, palpitations, constipation, ataxia and dependence. SN instructed patient / caregiver to notify physician ( MD ) if fever, clay colored stools, yellowing of skin, or behavioral changes occur.