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Carbohydrates Teaching 2030

SN instructed patient on high carbohydrate foods. SN instructed avoiding large quantities of carbohydrates for main foods: Potatoes, rice, pasta, bread, desserts, sugary drinks. SN instructed that these items should be no more than a palm full and main food should be meat and vegetables at meals.

Urinary infection's diet Teaching 2040

SN instructed patient about urinary infection's Diet. The use of cranberry products seems to decrease the ability of bacteria to
 adhere to the lining of the urethra and bladder. As cranberry juice can have a high amount of sugar, cranberry extract can
 be taken in capsule or pill form instead. Increasing water intake by one or two glasses per day may help limit the length of
 time that you have symptoms and reduce the infections.

Colostomy care Teaching 2048

SN Instructed the patient about Colostomy Care and healthy eating. Healthy foods include: fruits, vegetables, whole - grain breads, low - fat dairy
 products, and lean meats. Do not eat foods that give you cramps or diarrhea.

Diabetes Teaching 2070

Sn instructed patient on diabetes management. Aim for your A1c level to be between 6-7%. For every 1% you decrease your A1c levels you decrease your risk of Diabetic complications. Physical activity helps to decrease blood sugar levels and monitor your food intake such as carbohydrates and fats. Patient verbalized understanding.

Gastroesophageal reflux disease Teaching 2111

SN teaching about Gastroesophageal reflux disease ( GERD ). Examples of things to reduce or steer clear of in your diet include: high fat foods, caffeine products, chocolate, onions, peppermint, carbonated beverages, citrus and tomato products. Do not lie down immediately after eating, avoid late evening snacks, avoid tight clothing and bending over after eating. Elevate the head of the bed six to eight inches to prevent reflux when sleeping. Extra pillows, by themselves, are not very helpful.

Wound Care Teaching 2131

SN instructed patient on wound care. Keep a clean dressing on your wound, dressings keep out germs and protect the wound from injury. 
They also help absorb fluid that drains from the wound and could damage the skin around it. Try to drink six to eight cups of water daily. Hydration is essential for healthy skin.

Cystitis Teaching 2138

SN instructed thats cystitis is inflammation of the bladder, usually caused by a bladder infection. It's a common type of urinary tract infection ( UTI ), particularly in women, and is usually more of a nuisance than a cause for serious concern. Mild cases will often get better by themselves within a few days. However, some people experience episodes of cystitis frequently and may need regular or long - term treatment. There's also a chance that cystitis could lead to a more serious kidney infection in some cases, so it's important to seek medical advice if your symptoms don't improve.

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.

Osteoarthritis Teaching 2156

Sn instructed about patient symptoms of ( OA ). Joint pain and stiffness. Pain and stiffness may get worse with periods of inactivity or overuse. People with osteoarthritis ( OA ) have more stiffness first thing in the morning ( usually for less than 30 minutes ) or after sitting for a prolonged period of time. Many people have more pain in their hips or knees if they walk farther than they usually do. They have weak muscles, grinding or crackling noise with motion, swelling or bumps, or loss of range of motion.

Catheter Teaching 2249

Instructed patient it’s important to routinely clean catheters to prevent infections. Wash your hands well before and after you handle your catheter. Clean the skin around the catheter twice a day using soap and water.