catheter-teaching-guide
SN instructed patient and caregiver on measures to prevent constipation: increasing fluids (prefer approx. 8 glasses of water daily) eating a diet high in fiber, and avoiding foods with sugars (pasta, pastries, cheese, rice, etc.), exercise regularly at a slow, steady pace, as directed by md if you are able. Both parties verbalized understanding.
SN instructed patient and caregiver on some measures aimed to controlling/managing constipation, such as: establish regular times for evacuations usually after a meal and drink a warm liquid one-half hour before breakfast to stimulate bowel movement, avoid laxative and enema abuse. Instructed on some potential complications of constipation, such as: stool impaction bowel blockage, liquid bowel movement may ooze around hard stool in the colon, pain, valsalva maneuver may be caused by straining, causing a slowed pulse, decreased blood return and increased venous pressure, rectal bleeding and rectal pain.
SN instructed patient and caregiver on medication diazepam, explained that this should be used during times of anxiety. Advised it can cause memory problems, drowsiness, dizziness, and confusion, it increases the patient fall risk as well. Both parties verbalized understanding.
SN instructed patient and caregiver that Diazepam can be habit-forming, so it's not typically used for long-term treatment or for people who've had problems with drug or alcohol abuse. This high risk benzodiazepine should never be taken more frequently or in higher doses than prescribed due to risk of overdose. S/s overdose include dizziness, drowsiness, confusion, lethargy and respiratory depression and even death in severe cases, especially when combined with EtOH or opiates. Patient and caregiver state they will only administer this medication as prescribed.
Sn instructed patient and caregiver about blood pressure and home monitoring. Explained the blood pressure measures the amount of force blood places on the blood vessels in the body. A blood pressure reading includes two numbers that indicate the pressure inside the arteries as the blood flows through the body. The upper number, called the systolic pressure, measures the pressure inside the arteries as the heart contracts to pump blood. The lower number, called the diastolic pressure, is the pressure inside the artery as the heart rests between each beat. Both parties verbalized understanding.
SN instructed patient and caregiver about Blood pressure. According to the American Heart Association, normal blood pressure is anything below 120/80 mm Hg. If these numbers go higher than 120/80 mm Hg, it is often an indication that the heart is working too hard to pump blood through the arteries. High blood pressure, hypertension is when your blood pressure is 140 / 90 mm / Hg or above most of the time Accurate blood pressure readings are important, as high blood pressure may not cause any symptoms until it is dangerously high. Both parties verbalized understanding.
SN instructed patient and caregiver about Blood pressure. To check the blood pressure manually, sit in a relaxed position with the arm at rest on a table. Secure the cuff on the bicep, follow the machine instructions for starting the reading. If you move suddenly or are startled during the test, you should wait approximately 5 minutes before attempting to test again. Both parties verbalized understanding.
SN instructed patient and caregiver about Blood pressure. When checking blood pressure at home, Use the cuff's right size for the most accurate reading. Take a few deep breaths and relax for up to 5 minutes before measuring blood pressure do not talk or cross your feet or legs during the test. Measure the blood pressure at a few different times during the day. Patient and caregiver shown correct placement for blood pressure cuff, and is able to return demonstrate home blood pressure monitoring with 100% understanding.
Instructed patient to get a flu shot each year and decrease the exposure to the flu. Avoiding the flu is especially important for people who have or are at risk for heart disease. This highly contagious infection causes symptoms similar to the common cold, only more severe, other symptoms include debilitating muscle or body aches, vomiting and diarrhea, and fever. Having a serious infection puts extra stress on your heart, which increases your heart's need for oxygen. Coughing and congestion can make breathing more difficult. As a result, your heart may not get sufficient oxygen. Patient verbalized understanding.
Instructed patient what are the risks of having a Jackson-Pratt drain. The JP drain site may be painful. You may have trouble lying on the side with your JP drain. Your JP drain site may leak. The JP drain may be pulled out by accident. The tubing may get blocked, crack, or break. The tubing may damage your tissue. You may have a scar. The JP drain site may get infected. This infection could spread inside your body.