catheter-teaching-guide
Diseases Process
Patient instructed on the importance of alternating insulin injection sites, reviewed alternative injection sites. Instructed injecting into the same spot can cause lipohypertrophy, the buildup of fat under the skin, which can slow the absorption of insulin, or lipoatrophy, the wasting of fat under the skin, which can be unsightly.
SN instructed patient / Caregiver that clients with kidney disease should engage in activities that will improve their overall health. For example, exercise has been known to improve overall health, mental outlook, and control blood sugar. SN suggested that a good option would be to start a simple exercise program.
SN to instruct patient Call your doctor or nurse call line now or seek immediate medical care if: you have new or worse symptoms of a kidney infection. These may include: pain or burning when you urinate, a frequent need to urinate without being able to pass much urine, pain in the flank, which is just below the rib cage and above the waist on either side of the back, blood in the urine.
SN to instruct patient change the bandage around the tube, the bolsters, skin barriers, and tube attachments at least every 7 days. If your bandages, barriers, or devices get dirty or wet, change them right away, and as often as needed.
SN to instruct patient Keep the site covered when you shower. Tape a piece of clear adhesive plastic over the dressing to keep it dry while you shower. Do not take tub baths.
Instructed patient check the wound for increased redness, swelling, or a bad odor. Patient should pay attention to the color and amount of drainage from your wound. Look for drainage that has become darker or thicker.
SN educated patient/caregiver about CKD. Chronic kidney disease (CKD) means your kidneys are damaged and can’t filter blood the way they should. The main risk factors for developing kidney disease are diabetes, high blood pressure, heart disease, and a family history of kidney failure. You can take steps to protect your kidneys. The most important step you can take to treat kidney disease is to control your blood pressure. Healthy habits can also help you manage your kidney disease.
SN taught patient that learning what affects your blood glucose levels and what to do when they are higher or lower than desired takes practice. Looking for patterns and trends can help you determine what is causing the blood glucose levels to go high or low, and can help you target what might need some adjusting.
SN instructed patient that having diabetes means you often need to make decisions about your care. The more you know about diabetes and how your daily activities affect your blood glucose levels, the easier it is to make wise decisions. Testing your blood glucose and keeping good track of your readings is essential to know how different activities, food, medication and stress levels affect your blood glucose readings.
SN taught patient about importance of exercise with diabetes. For most people with diabetes, exercise is very important. Exercise helps your body use sugar better. As a result, your blood glucose level goes down. An exercise plan can be as simple as taking a walk every day. Get a friend to walk with you. When you do things with a buddy, it’s easier. You’ll be less tempted to skip a day. Before you start an exercise program, talk to your doctor. Exercise tends to lower blood glucose level, so your doctor may need to make some changes to your management plan.