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Intracoronary Stenting Teaching 2489

SN instructed patient on stents. A stent is a tiny wire mesh tube. It props open an artery and is left there permanently. When a coronary artery (an artery feeding the heart muscle) is narrowed by a buildup of fatty deposits called plaque, it can reduce blood flow. If blood flow is reduced to the heart muscle, chest pain can result. If a clot forms and completely blocks the blood flow to part of the heart muscle, a heart attack results.

Skin Care Teaching 2496

SN instructed patient and caregiver that the key difference between a suspected deep tissue injury (sDTI) and an unstageable pressure ulcer is that sDTI involves intact skin, whereas an unstageable ulcer involves a breakdown into at least the subcutaneous tissue. An unstageable ulcer is covered with necrotic tissue, such as slough or eschar, formed from remnants of the collagen matrix of subcutaneous tissue. So it’s always a full-thickness ulcer either stage III or stage IV.

Pain Teaching 2500

Instructed patient Exercise Although resting for short periods can alleviate pain, too much rest may actually increase pain and put you at greater risk of injury when you again attempt movement. Research has shown that regular exercise can diminish pain in the long term by improving muscle tone, strength, and flexibility. Exercise may also cause a release of endorphins, the body's natural painkillers. Some exercises are easier for certain chronic pain sufferers to perform than others.

Pain Teaching 2503

Instructed patient how alive pain simple things like regular activity can make a big difference. Try walking. They can ease joint pain and help with balance, flexibility, and strength. Aim for 30 minutes 3 or 4 days a week, even if it’s something light like stretching or gardening. Work with your doctor or physical therapist to make the best plan for you. Patient verbalized understanding.

Leg edema Teaching 2510

Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Massage or stroking the affected area toward your heart using firm, but not painful, pressure may help move the excess fluid out of that area. Patient verbalized understanding.

Leg edema Teaching 2511

Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Compression, if one of your limbs is affected by edema, your doctor may recommend you wear compression stockings, sleeves or gloves, usually worn after your swelling has gone down, to prevent further swelling from occurring. These garments keep pressure on your limbs to prevent fluid from collecting in the tissue. Patient verbalized understanding.

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.

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.

Shortness of Breath Teaching 2518

Instructed what can you do to manage shortness of breath (SOB) make lifestyle changes take your medications as prescribed there are some medications that can help shortness of breath. You may need oxygen if your oxygen level is low. Your health care team will test your levels if you are having shortness of breath. Pace yourself break your activities down into smaller steps. Plan your activities so that you have time to do them slowly and comfortably. Keep things that you use often close by and within easy reach.

General medication Teaching 2525

Patient and caregiver instructed on precautions regarding medications like always check expirations date on medications, and dispose of expired meds, take all meds exactly as ordered. Never share medications with friends or family members or take medications that are not prescribed for you, keep medications out of reach of children, do not mix medications in bottles. Patient/caregiver instructed to keep an updated medication list in the home. Always take or send medication list to hospital or doctor's appointments with patient.