Others

Colostomy Teaching 1885
SN instructed patient instructed patient caregiver how to do Ostomy Care, as follow: Preparing, Applying, and Removing an Ostomy System to make the process easier and more effective, here are several easy steps you and your patients can follow when applying and removing an ostomy system: Remove Use an Adhesive Remover Wipe, Clean Clean & Dry Clean peristomal skin with non-moisturizing or non-oily soap, rinse well with clean water and pat dry, Measure Measure Stoma Place the stoma measuring guide over the stoma, measuring the stoma at the base., Protect use an Adhesive Remover Wipe, Apply New Pouching System/Skin Barrier. Make sure to have a good seal around the stoma.
Tracheostomy Teaching 1858
Instructed patient in emergency care These pages will cover prevention of an emergency situation, and what to do if: Your loved one has trouble breathing or stops breathing You cannot insert a trach tube The trach falls out.
Tracheostomy Teaching 1856
Instructed patient be careful not to touch the trach cannula while changing the tube. You do not want to contaminate the cannula. Other times to suction include before eating, or before and after sleeping. Be aware that every sound you hear does not mean they need to be suctioned.
Tracheostomy Teaching 1813
Instructed patient if your trach tube comes out Don’t panic! Stay calm. Your stoma will stay open. If you do not know how 
to put the tube back in or you can’t get it in, have someone take you to the nearest Emergency Department, or go to your 
family doctor’s office. Take your extra trach tube with you.
Tracheostomy Teaching 1812
Instructed patient if you have a hard time breathing, you may have secretions in your trach tube. Take out the inner 
cannula to check for mucous and clean if necessary. Then replace it. If your breathing does not get better, keep using your 
humidity, and cough hard.
Tracheostomy Teaching 1811
Instructed instructed call your doctor if you notice if around your stoma any redness, swelling, irritation, bleeding, green
 discharge or food.
Hyperthermia Teaching 1616
SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.
Exercises Teaching 1601
Perform stretching and relaxation exercises before getting out of bed. Use a tub seat and handheld showerhead when bathing when bathing. Rest before difficult tasks. Take frequent rest periods during the activity. Pace activities, and do not rush. Plan trips before going up and down stairs. Roll, push, or pull instead of lifting. Sit to perform an activity instead of standing, when possible. Hold objects close to you instead of away from your body. Use arm supports to perform an activity (i.e., resting elbows on table while shaving, brushing teeth, and eating). Limit activity on days of high air pollution.
Chemotherapy Teaching 1594
The patient was instructed on the consequences of chemotherapy and how it affects your body, and that is not related to cancer, the side effects it produces. Some common side effects of chemotherapy are low white blood cell count, low red blood cell count, platelets account, nausea, vomiting, hair loss, fatigue, among others.
Bedbound Teaching 1565
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Take care of the Skin
Inspect the skin at least once every day. Pay attention to any red areas that remain even after 
changing position.