Instructed patient how is chronic kidney disease treated. Control your blood sugar if you have diabetes. Keep a healthy blood pressure. Follow a low-salt, low-fat diet. Exercise at least 30 minutes on most days of the week. Keep a healthy weight. Do not smoke or use tobacco.
Patient instructed uncontrollable risk factors for high cholesterol are age, family history, and gender. Instructed risk factors that he can control are weight, diet, and activity. Instructed patient to maintain ideal weight, avoid foods high in cholesterol and exercise for at least 30 minutes per day to lower risk of high cholesterol. Patient verbalized understanding.
Instructed what can you do to manage shortness of breath (SOB) share your feelings shortness of breath can make you feel worried and anxious. Share your feelings with family, friends and your health care team. Use abdominal breathing when walking up slopes, climbing stairs or standing up. To climb stairs: stand close to the stairs with one hand on the railing beside you. Breathe in as you lift your leg up. Breathe out as you place your leg on the step and raise yourself up. Change the way you eat chew your food slowly, taking breaks in between bites. Try smaller meals more often. If you are having trouble eating, ask your health care team about trying nutrition drinks.
Instructed what can you do to manage shortness of breath (SOB) do things in ways that use less energy sit down when doing chores and getting dressed. Rest as much as you need to. Avoid heavy lifting. Carry things at your waist or hold them close to your chest. Use a backpack to carry things and only fill bags half-way. Keep your phone close by and stop to catch your breath when you are having a conversation. A standing or sitting position may be more comfortable during sexual activity with your partner.
Instructed what can you do to manage shortness of breath (SOB) change your environment avoid things that can cause shortness of breath like smoking, perfume, flowers and pets. Open a window or use a fan to get fresh air if the weather is good. Stay inside when the weather is very hot or cold.
Instructed what can you do to manage shortness of breath (SOB) use devices to help you save your energy some devices can help to cut down on the work your body needs to do in order to breath. Use pillows to raise your head when lying down. Use a reclining chair with a footrest when sitting. Use a walker or wheelchair if you need them.
Instructed what can you do to manage shortness of breath (SOB) be active even if you have severe lung problems, you can do small amounts of exercise. Take it slowly and use abdominal breathing as much as possible. Increase the amount of exercise you do little by little to improve your breathing and feel better. Showering or bathing keep the bath water shallow and lukewarm. Open a window in the bathroom to let in fresh air and let out steam. Sit in the shower. Position the shower water away from your face. Rest when you need to.
Instructed what can you do to manage shortness of breath (SOB) make lifestyle changes take your medications as prescribed there are some medications that can help shortness of breath. You may need oxygen if your oxygen level is low. Your health care team will test your levels if you are having shortness of breath. Pace yourself break your activities down into smaller steps. Plan your activities so that you have time to do them slowly and comfortably. Keep things that you use often close by and within easy reach.
Instructed patient how do I care for my skin around my trach tube. Clean your skin at least once each day. You may need to clean it more often if you cough up a lot of thick mucus. You may need someone to help you clean your skin. Wash your hands and put on gloves. This will prevent infection. Suction the area around your stoma. This will help remove mucus .Clean your skin around the stoma, clean the tube flanges, change wet or dirty trach ties., place a gauze between your skin and the flanges and check your skin every day for signs of infection. Look for redness or swelling of the skin around your tube. Also look for pus, bleeding, or a rash.
Instructed patient how can I prevent infections. Keep your mouth clean. Saliva and mucus contain germs that cause infection if they enter your airway. Brush your teeth twice a day. Suction your mouth as needed. Use a mouth wash twice a day or as directed. Take deep breaths and cough 10 times each hour. This will decrease your risk for a lung infection. Take a deep breath and hold it for as long as you can. Let the air out and then cough strongly. Deep breaths help open your airway. You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece in your mouth and take a slow, deep breath, then let the air out and cough. Repeat these steps 10 times every hour.
