Diseases Process

Tracheostomy Teaching 2517

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.

Tracheostomy Teaching 2516

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.

Tracheostomy Teaching 2515

Instructed patient how can I prevent infections. Wash your hands. Always wash your hands before and after you care for your trach. Clean your trach equipment as directed. Use clean or sterile trach care methods to clean your equipment. Clean the area around your trach as directed. The area around your trach is called the stoma. Use a trach cover as directed. Do not use a trach cover unless your healthcare provider says it is okay. A trach cover sits over the opening to your trach tube. It prevents dirt and other foreign bodies from getting into your airway.

Tracheostomy Teaching 2514

Instructed patient when should I call my healthcare provider. Contact your healthcare provider or physician immediately if you have an irregular heart rate. If you feel increased pain or discomfort. It is normal to feel some pain and discomfort for about a week after the tracheostomy procedure. If you have difficulty breathing and it is not relieved by your usual method of clearing secretions. When secretions become thick, if crusting occurs or mucus plugs are present. Your physician may recommend increasing your fluids or using cool mist humidification.

Pleural Effusion Teaching 2513

Instructed patient abdominal drainage when you have infection You might get an infection in the cuts made to put in the tube, or in the abdomen. If you get an infection you have antibiotics. These might be as tablets or through a drip. If you get a severe infection, your doctor might take the tube out. Instructed patient abdominal drainage when you have Tube blockage The tube might stop draining. Changing your position or sitting upright can sometimes get rid of the blockage. If not, your doctor might need to replace the tube. Patient verbalized understanding.

Pleural Effusion Teaching 2512

Instructed patient about abdominal drainage when you have pain and discomfort your nurse can give you painkillers if you need them. They can also help you change your position to make you comfortable. Patient verbalized understanding.

Cardiovascular Prevention Teaching 2507

SN to instructed patient on disease process, including who to prevent cardiovascular disease . educing the use of alcohol and tobacco, eating fresh fruit and vegetables, reducing salt, sugar, and saturated fat intake, avoiding a sedentary lifestyle. Patient verbalized understanding.

Healthy diet Teaching 2495

SN instructed patient and caregiver about certain foods or eating habits are more likely to result in flushing, diarrhea, gas, bloating, and abdominal pain related to carcinoid syndrome. You only need to avoid particular foods if they cause you to have these symptoms. Keeping a food and symptom diary may be helpful. Record your daily food and drink consumption and any symptoms that you experience. You may start to notice a pattern. Carcinoid patients with symptoms should augment protein in their diets, add more tryptophan in the form of lean meats and protein, and avoid high tyramine-containing foods, which can cause flushing, such as hard and aged cheeses, including cheddar and Stilton; cured meats; and some nuts, specifically walnuts, peanuts, coconuts, and Brazil nuts.

Breathing Teaching 2488

SN instructed patient on how to get plenty of rest and sleep. Take your medicines exactly as prescribed. Call your doctor or nurse call line if you think you are having a problem with your medicine. Find healthy ways to deal with stress. Exercise daily. Get plenty of sleep. Eat regularly and well. Patient verbalized understanding.

Breathing Teaching 2487

SN instructed patient on how can you care for yourself at home. Do not smoke or allow others to smoke around you. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. Patient verbalized understanding.