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Instructed patient to cut toenails straight across. This will help to avoid ingrown toenails. Also instructed to avoid letting somebody else to cut the toenails.
Patient was instructed on measures for fire safety. If someone gets burned, immediately place the wound under cool water for two minutes. If the burn blisters or chars, see a doctor immediately.
Instructed on the importance of avoiding exposure to persons with upper respiratory infections.
Instructed on some signs/symptoms of respiratory infection, such as: loss of appetite and rapid pulse and respirations, among others.
Instructed on the importance of never attempting to force anything into the mouth of a person that is experiencing a seizure episode.
Instructed on some measures aimed to managing/controlling Emphysema, such as: avoid/decrease exposure to excessive heat (which increases oxygen requirements) and avoid/decrease exposure to excessive cold (which increases possibility of bronchospasm), among others.
The patient was instructed in gastrostomy indicating the training and management of tube feedings, including quantity and regularity. The patient was advised to sit upright during feeding and for 1 hour after feeding to prevent reflux into the esophagus or backflow into the gastrostomy tube. The patient was explained to take care of the gastrostomy tube. The patient was taught that the tube may eventually be removed and inserted only for feeding. The patient was taught to protect the stoma with a small gauze pad.
Instructed patient during periods of stress, the body releases so-called stress hormones, which cause a rise in blood glucose level. In the short term, this gives the body the extra energy it needs to cope with the stress. But if a person doesn’t have adequate insulin circulating in his bloodstream to enable his cells to use the extra energy, the result will be hyperglycemia. And if stress becomes chronic, hyperglycemia can also become chronic.
SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.
SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.