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Instructed patient about diabetes complications such as: heart attacks, stroke.
Instructed patient to immediately report to MD when having suicidal thoughts.
Patient was instructed on Gum disease. Dental plaque can cause many problems if not removed from the teeth with regular brushing and flossing. It hardens under the gum line into a substance called tartar or calculus. Tartar irritates the gums and causes gingivitis. Gum disease is a leading cause of tooth loss.
Patient was instructed on Why Older People Fall. There are many reasons that older people have increased risk of falling. Prevention of falls starts with identifying potentially treatable medical conditions, such as: Side effects of medications, fainting spells, vertigo.
Taught that Angina Pectoris is a temporary pain without damage to the heart.
The patient was instructed in craniectomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
SN instructed that the Loss of appetite can be a serious problem; it can lead to malnutrition and severe weight loss. Eating enough of the right kinds of foods can be difficult when you do not feel like eating at all. Here are some tips to help you increase your appetite: Avoid drinking liquids before a meal, because they can fill you up. If you want to drink, then drink juices or milk—something nutritious. Eat with family or friends if possible. Eat a variety of foods. Spice up your food with herbs, spices, and sauces. Use butter, bacon bits, croutons, wine sauces, and marinades to provide taste-pleasing meals. Do not fill up on salads or “diet” foods. Eat vegetables and fruits along with meats, poultry, and fish to make sure you get enough calories and nutrition. Eat smaller meals more often, especially if you fill up before you’ve eaten all your dinner.
SN instructed that Meloxicam is a not steroidal anti-inflammatory drug with analgesic and fever reducer effects. Possible can result in gastrointestinal toxicity and bleeding, headaches, rash, and very dark or black stool. Like other NSAIDs, its use is associated with an increased risk of cardiovascular events such as heart attack and stroke. It has fewer gastrointestinal side effects than diclofenac,, piroxicam, and naproxen, and perhaps all other NSAIDs.
SN instructed patient / caregiver about Bethanechol. Sometimes given orally or subcutaneously to treat urinary retention resulting from general anesthetic, diabetic neuropathy of the bladder, or a side effect of antidepressants or to treat gastrointestinal atony (lack of muscular tone). Adverse reaction are rare following oral administration of Bethanechol, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. Adverse reactions that have been observed: Body as a Whole: malaise; Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation; Renal: urinary urgency; Nervous System: headache; Cardiovascular: a fall in blood pressure with reflux tachycardia, vasomotor response; Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating; Respiratory: bronchial constriction, asthmatic attacks; Special Senses: lacrimation, miosis.
SN instructed patient about pay attention to the carbohydrates because foods that contain carbohydrates raise blood glucose. Examples of foods that contain carbohydrates are pasta, bread, rice, desserts, juice, soda, and fruit.