General

Nursing Continuing Education

Urinary Tract Infection Teaching 2189

SN instructed patient on ways to prevent Urinary tract infection ( UTI ). Cranberry juice contains active compounds that are able to survive the digestive process. In the urinary tract system, these compounds actively work to fight bacteria. Its effectiveness at treating urinary tract infections has been proven, and regularly consuming cranberry juice can help prevent them. You don’t have to choose straight cranberry juice, it can be blended with apple juice or even water for taste without losing its effectiveness. Water helps to keep the system flushed out, preventing bacteria from accumulating and causing problems. Cranberry juice or cranberry juice cocktails should be offered on a regular basis and water intake should be tracked daily to ensure the patients are consuming enough water. Never Force yourself and wait - when you need to go the bathroom, your needs should be tended to immediately. Do not, under any circumstances, wait for a long period of time. Holding a full bladder for long periods of time can quickly lead to a urinary tract infection. Patient / caregiver verbalized understanding.

Urinary Tract Infection Teaching 2188

Sn instructed patient on ways to prevent Urinary tract infection ( UTI ). If the patient is elderly be careful with cleaning, be sure that the perineal area is being cleansed properly. Women should always wipe themselves from the front to the back. If you are tending to perineal care, take steps to ensure that you always wipe your starting in front of the urethra and wiping towards the anus. Before wiping the area again, fold the rag to a clean section. The idea is that residue from the anus should never be dragged toward or against the urethra. Patients that wear adult diapers, or briefs, should be changed on a regular basis. They should be checked every two hours or so and they should never be allowed to sit in dirty briefs for prolonged periods. You should also wiped and cleansed after every brief change and bowel movement. Douches should never be used. The right drinks - what you drink can make a difference. Caffeinated drinks and alcohol can irritate the bladder and should be avoided as much as possible. Patient and caregiver verbalized understanding.

Joint damaged Teaching 2187

SN instructed that the joint that is damaged by injury or disease can be removed and replaced with a new one. There are times when only a part of the joint needs to be replaced or repaired. Your healthcare provider may try other treatments before joint replacement surgery, such as steroid injections or medicines. Pain relief and increased function are the goals of joint replacement. Knee, hip, and shoulder joints are the most common joints replaced. Joints in your elbows, fingers, and ankles can also be repaired or replaced. Your risk of infection, bleeding, and blood clots increase with surgery. You may be allergic to the material used in your new joint. Nerves, muscles, tendons, and blood vessels near your joint may become damaged during surgery. The new joint may loosen or come out of the socket. Sn instructed patient on symptoms / signs ( S/S ) of infection such as fever, drainage, swelling, redness. Patient recalls back partial teaching of redness. Patient instructed to report any symptoms should they occur to physician / nurse ( MD / SN ).

Blood pressure Teaching 2180

Sn Instructed on importance in logging blood pressure daily to ensure medication treatment is working and to manage medical condition. Instruction to log at about the same time daily. Instructions on parameters and when to call physician / nurse. Instruction given to take log to physician's apt to show physician ( MD ) his blood pressure readings. Patient / caregiver verbalized understanding

General medication Teaching 2179

Sn Instructed patient / caregiver on the importance in logging blood pressure, blood sugar, oxygen and temperature daily to ensure medication treatment is working. Sn instructed on parameters and what to report to Physician / nurse ( MD / SN ). Instructed that it is important to know parameters and when to contact physician. Instructed this is a good practice to manage medical condition. Patient / caregiver verbalized understanding.

Vital signs Teaching 2175

Sn instructed on monitoring vital signs blood pressure, temperature, oxygen and weight instructed on what equipment is needed and SN will instruct on equipment logging and reporting of vital signs. Sn instructed on importance in logging vital signs and monitoring if medication is working or change of condition. Sn will instruct patient after vitals are done on what to report to physician / nurse ( MD / SN ). Patient verbalized understanding.

Care of teeth Teaching 2172

SN instructed about Care of teeth. Brush twice daily. After getting up from bed and before going to the bed. Rinse mouth after taking food. Once in year dental check up. Clean the tongue with tongue cleaner after brushing. Neem stick, salt or charcoal can be used for brushing.

Leg edema Teaching 2171

SN instructed patient / caregiver on the home treatment to treating edema, or swelling due to excess fluid in the legs and ankles. Treatment may include elevating the feet above heart level, wearing compression stockings and exercising the legs. Reducing sodium in the diet, losing weight and avoiding tight clothing can also reduce swelling.

Incentive spirometer Teaching 2170

SN instructed patient that the incentive spirometer is used to improve the function of their lungs, and for patient to breathe in from the device as slowly and as deeply as possible, then holds their breath for 2 – 6 seconds, which provides back pressure that pops open alveoli. Patient should do this ten times and repeat 2 to 3 times a day.

High blood pressure Teaching 2165

SN instructed patient that High blood pressure makes your heart work harder than it needed to before. Over the space of many years, this extra effort can lead to the heart muscle becoming thicker and less effective at pushing the blood round. This allows fluid to build up in your lower legs and ankles, which causes them to swell up.