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SN to instruct patient/caregiver regarding self-management of atrial fibrillation, is an irregular and often rapid heart rate that can increase your risk of strokes, heart failure and other heart-related complications, to prevent atrial fibrillation, it's important to live a heart-healthy lifestyle to reduce your risk of heart disease. A healthy lifestyle may include:eating a heart-healthy diet, increasing your physical activity, avoiding smoking, maintaining a healthy weight, limiting or avoiding caffeine and alcohol, reducing stress, as intense stress and anger can cause heart rhythm problems, using over-the-counter medications with caution, as some cold and cough medications contain stimulants that may trigger a rapid heartbeat. Patient verbalized.
Instructed patient how do I care for my skin around my trach tube. Clean your skin at least once each day. You may need to clean it more often if you cough up a lot of thick mucus. You may need someone to help you clean your skin. Wash your hands and put on gloves. This will prevent infection. Suction the area around your stoma. This will help remove mucus .Clean your skin around the stoma, clean the tube flanges, change wet or dirty trach ties., place a gauze between your skin and the flanges and check your skin every day for signs of infection. Look for redness or swelling of the skin around your tube. Also look for pus, bleeding, or a rash.
Instructed patient when you cough, have a tissue or cloth ready to catch the mucus coming from your tube. Is important to keep the tube free of thick mucus. You should always carry an extra tube with you in case your tube gets plugged.
Instructed patient about some common ways to keep the air you breathe moist are:putting a wet gauze or cloth over the outside of your tube. Keep it moist, ,using a humidifier in your home when the heater is on and the air is dry. A few drops of salt water (saline) will loosen a plug of thick mucus. Put a few drops in your tube and windpipe, then take a deep breath and cough to help bring up the mucus.
Instructed patient call your doctor if you have:fever or chills, redness, swelling, or pain that is getting worse, bleeding or drainage from the hole, cough or shortness of breath, even after you suction your tube, nausea or vomiting, any new or unusual symptoms.
SN instructed patient and caregiver on the Coronavirus (COVID-19) virus that causes respiratory illness (like the flu) with symptoms such as a cough, fever and in more severe cases, pneumonia. Patient and caregiver verbalized understanding.
SN instructed patient and caregiver to report any signs/symptoms such as : fever, cough, headache, trouble breathing; in order to prevent spread COVID-19. They both verbalized understanding.
SN advised the patient that if you develop fever, cough and difficulty breathing, seek medical advice promptly as this may be due to a respiratory infection or other serious condition. Call in advance and tell your provider of any recent travel or contact with travelers. Calling in advance will allow your health care provider to quickly direct you to the right health facility. This will also help to prevent possible spread of COVID-19 and other viruses.
SN instructed patient and caregiver to report any signs or symptoms such as : fever, cough, headache, trouble breathing, muscle or body aches, loss of taste or smell, sore throat, in order to prevent spread COVID-19.
SN assessed patient for COVID 19 symptoms . Patient questions if they have had a fever, cough, SOB loss of taste of smell or generalized pain. patient denied any symptoms. Patient instructed on COVID 19 symptoms, transition and prevention.