Cast care Teaching 1291

SN advised patient to call doctor immediately if any of the following happen: The cast gets wet, damaged, or breaks, skin or nails on the toes below the cast become discolored, such as blue or gray, skin, or toes below the cast are numb, tingling, or cold, the swelling is more than before the cast was put on, bleeding, drainage, or bad smells come from the cast, and severe or new pain occurs. Patient verbalized understanding of instructions given.

Tracheostomy Teaching 1811

Instructed instructed call your doctor if you notice if around your stoma any redness, swelling, irritation, bleeding, green
 discharge or food.

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 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.

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.

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.

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.

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.

Cough Teaching 1395

The patient was instructed in chest trauma flail chest how to splint the chest when coughing to avoid pain. The patient was encouraged to review upper respiratory infection, shortness of breath, persistent cough, and persistent chest pain.

Burns Teaching 1411

The patient was instructed in burns and its classification. The patient was advised that the curative process with new skin progress is expected in 6 weeks with mature healing within 6 to 12 months, depending on the extended of injury. The patient was taught to care of healed burns, avoiding exposure to direct sunlight, harsh detergent, fabric softeners etc., avoid contact with persons with infections especially upper respiratory infections. The patient was recommended to obtain medical supplies for dressing and any special assistive devices for home care management. The patient was encouraged in the importance of physiotherapy to assist in the exercise regimen and water exercises to maintain limb mobility.