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Drainage care Teaching 2142

SN instructed patient / parent to ensure the drain is below the site of insertion but not pulling on the patient. Instructed the patient / parent that there is a risk of dislodgment, requiring increased care when moving. Patient should be aware that moving whilst drain is in situ will cause some pain, but this can be minimised with regular analgesia and the patient should be encouraged to mobilise with supervision when appropriate.

Bactrim Teaching 2143

SN instructed patient that Bactrim DS is an antibiotic used to treat Urinary tract Infection ( UTI ). Instructed to use this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared. Skipping doses may also increase your risk of further infection that is resistant to antibiotics. Instructed the most common side effects have included nausea, vomiting, anorexia, rash, and urticaria. Instructed to notify physician ( MD ) of any side effects.

Nausea Teaching 2144

SN instructed patient on ways of reducing nausea such as, get some fresh air, open a window and take a walk outside. Apply a cool compress to the forehead or back of the neck. Sit up for about an hour after eating to relieve any pressure on the stomach. Try alternative therapies like meditation and acupuncture. Eat smaller meals. Patient nods head in understanding.

Diabetes Teaching 2145

SN instructed patient on the diabetes. Make wise food choices. Choose fruits, vegetables, whole grains, fish, lean meats, and low - fat dairy products. Learn when to eat and how much to have.Be physically active for 30 to 60 minutes most days, such as taking a brisk walk as tolerated. Two times a week do activities to strengthen muscles and bone, such as lifting weights or sit - ups. Reach and stay at a healthy weight. Making wise food choices and being active can help you control your weight. Take your medicines as prescribed and keep taking them, even after you’ve reached your targets.

Heart Failure Teaching 2146

SN explain that Heart failure is a condition in which the heart can not pump the amount of blood the body needs. Heart failure does not mean that the heart has stopped or is about to stop working. It indicates that the heart can not pump blood the way it should. It can affect one or both sides of the heart the weakening of the pumping capacity of the heart causes: Accumulation of blood and fluid in the lungs Accumulation of fluid in the feet, ankles and legs called edema Tiredness and shortness of breath The most common causes of heart failure are coronary artery disease, high blood pressure and diabetes. It is most common in people over 65, African - Americans, overweight people, and people who have already had a heart attack. Men are at greater risk than women.

General medication Teaching 2147

SN instructed on proper method of medication intake, as many people taking prescription medications do not follow their doctors, always ask your doctor if you run out of meds to know if you need a refill or not and do not take any medication that does not belong to you. Also ask your doctor before taking any on the counter medication to avoid interactions.

COPD Teaching 2148

SN instructed patient on ways to avoid acute exacerbations of chronic obstructive pulmonary disease ( COPD ) by recognizing early warning signs and then taking action to stop them in their tracks. The best way to do this is to work with your health care provider on an action plan so you know what to do to treat an exacerbation before it becomes serious. SN instructed on early warning signs of an acute exacerbation: Wheezing or more wheezing than what’s normal for you, coughing more than usual, shortness of breath that is worse than usual, an increase in the amount of mucus, change in the color of your mucus to yellow, green, tan, or bloody, shallow or rapid breathing, more than what’s normal for you, fever, confusion or excessive sleepiness, and swelling in your feet or ankles. Patient nods head in understanding. Sn will continue to monitor.

Latanoprost ophthalmic Teaching 2149

SN instructed patient about Latanoprost ophthalmic. This is used to treat glaucoma ( a condition in which increased pressure in the eye can lead to gradual loss of vision ) and ocular hypertension ( a condition which causes increased pressure in the eye ). Latanoprost is in a class of medications called prostaglandin analogs. It lowers pressure in the eye by increasing the flow of natural eye fluids out of the eye. Nurse instructed more frequents side effects of latanoprost ( stinging, burning, itching, watering or swelling of the eye, redness of the eyelids irritation, dry eyes, among others ).

Glucose rise Teaching 2150

SN explain about a couple of things going on that make your glucose rise in the morning. One of these is insulin resistance, a condition that means your body's muscle and fat cells are unable to use insulin effectively to lower blood glucose. However, insulin resistance also affects how your liver processes, stores, and releases sugar, particularly at night. The liver is supposed to release small amounts of glucose when you're not eating. But in type 2 diabetes, the liver dumps more glucose than is needed into the bloodstream, especially at night. So, while your hormones are causing a natural rise in blood glucose, your liver is releasing even more sugar into your system. Because your insulin resistance prevents your muscle and fat cells from using the sugar, your blood glucose level rises.

Confused person Teaching 2151

SN instructed caregiver that a confused person should not be left alone. To help a confused person: always introduce yourself, no matter how well the person once knew you, often remind the person of his or her location, place a calendar and clock near the person, talk about current events and plans for the day, try to keep the surroundings calm, quiet, and peaceful.