General

Colostomy Teaching 1887
Instructed patient / caregiver having a stoma is a major event and patients can become very anxious and depressed. Adequate counseling is vital and this may need to include mental health specialists.
Colostomy Teaching 1886
Instructed patient a really important part of planning patients for stomas is to ensure the site is appropriate. Poor siting leads to a stoma which the patient has difficulty in changing and cleaning. This leads to increased risk of skin, and other, complications.
Cardiac Teaching 1867
Instructed patient what lifestyle choices can help me feel my best: Stay active. If you are not active, your symptoms are
 likely to worsen quickly. Walking, and other types of physical activity help maintain your strength and improve your 
mood. Physical activity also helps you manage your weight. Eat heart-healthy foods and limit sodium (salt An easy way to 
do this is to eat more fresh fruits and vegetables and fewer canned and processed foods.
Cardiac Teaching 1866
Instructed patient Eat a heart-healthy diet Eating a healthy diet can reduce your risk of heart disease. A diet rich in fruits,
 vegetables and whole grains can help protect your heart. Beans, other low-fat sources of protein and certain types of fish 
also can reduce your risk of heart disease. Stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity
 or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.
Cardiac Teaching 1865
Instructed patient t other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations,
 irregular heart beat, faintness, and weakness. Replace butter and margarine with 
heart-healthy oils such as olive oil and canola oil. Other heart-healthy foods include walnuts, fatty fish like salmon and tuna, 
whole-grain breads, low-fat dairy products, beans, and lean meats. Ask your caregiver how much salt you can eat each day. Avoid salt substitutes.
Tracheostomy Teaching 1860
Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure that the trach is open to air and that nothing is blocking it such as clothing or bedding. Always have a child nap or sleep with their apnea monitor or pulse oximeter on. Do not discontinue their use unless discussed with your ENT doctor.
Tracheostomy Teaching 1857
Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)
IV Teaching 1849
Instructed patient watch for these problems: a hole in the skin where the IV is -- medicine or fluid can go into the tissue around the vein. This could harm the skin or tissue.Swelling of the vein -- this can lead to a blood clot (called thrombophlebitis).
Heart Surgery Teaching 1845
Instructed patient call your doctor or nurse if: You have chest pain or shortness of breath that does not go away when you rest. You have pain in and around your incision that does not continue to get better at home.Your pulse feels irregular it is very slow (fewer than 60 beats a minute) or very fast (over 100 to 120 beats a minute).
Heart Surgery Teaching 1844
Instructed patient It will take 4-6 weeks to heal completely after surgery. During this time, it is normal to: Have mild trouble with short-term memory or feel confused or “fuzzy-headed”Feel tired or have little energy,Have mild trouble with short-term memory or feel confused or “fuzzy-headed”, Feel tired or have little energy, Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath, Have weakness in your arms for the first month, Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath. Have weakness in your arms for the first month