Discharge And Home Healthcare Guidelines

Teach the patient about the disease process and the signs and symptoms of calcium imbalance. Stress that the symptoms require immediate medical attention. Describe any dietary considerations, including a diet low in calcium with limitation and avoidance of milk products. If the patient is on potassium-depleting diuretics, note that a diet high in potassium-rich foods (apricots, fresh vegetables, citrus fruits) is necessary if no potassium supplements are prescribed. In addition, a diet with adequate fiber and fluid will aid normal bowel function. Teach the action, dosage, route, and side effects of all medications.

If the patient has a surgical incision, describe incisional care and arrange for a follow-up visit with the surgeon. Instruct the patient on the appropriate activity level. Note that recalcification

462 Hyperphosphatemia of the bones will take some time. If the patient maintains mobility, recalcification will be increased. Suggest that the patient avoid bedrest; encourage the patient to space activity throughout the day and use the energy levels as a guide to activity. Remind the patient to avoid contact sports or other activities that place her or him at risk for falls or fractures.

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