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Hepatitis Teaching 1775

SN to instruct patient on lifestyle and home remedies like stopping alcohol driving if applicable, avoiding medication that may cause liver damage, help prevent other from coming in contact with infected blood. SN to instruct patient and caregiver on emergency preparedness and when to notify the doctor with new symptoms and/or concerns.

Gallbladder surgery Teaching 1847

Instructed patient go easy on fat. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies. Instead, choose nonfat or low-fat foods. Read labels and look for foods with 3 grams of fat or less a serving.

Intellectual disability Teaching 1898

SN instructed patient / caregiver on intellectual disability which is a condition describing below-average intellectual function and a lack of skills necessary for daily living. SN instructed patient / caregiver on causes such as infections present at birth or occurring after birth, chromosomal abnormalities such as down syndrome, environmental. SN instructed patient / caregiver on symptoms such as lack of or slow development of motor skills. Language skills, and self-help skills, especially when compared to peers, lack of curiosity and difficulty understanding and following social rules.

Dementia Teaching 1936

SN instructed that the dementia symptoms vary depending on the cause, but common signs and symptoms include: Cognitive changes: Memory loss, difficulty communicating or finding words, difficulty with complex tasks, difficulty with planning and organizing, difficulty with coordination and motor functions, problems with disorientation, such as getting lost. Psychological changes like personality changes, inability to reason, inappropriate behavior, paranoia, agitation, hallucinations. Memantine (Namenda) works by regulating the activity of glutamate. Glutamate is another chemical messenger involved in brain functions, such as learning and memory. A common side effect of memantine is dizziness.

Rheumatoid arthritis Teaching 1992

Sn instructed patient while you may not be able to avoid the pain that comes with rheumatoid arthritis ( RA ), you can take action to limit it. By taking your pain medication on a schedule. Don’t wait until you are in more pain and have to play "catch-up." Using a warm, moist compress to loosen up a stiff joint. Try an ice pack on an inflamed joint. Massage may also help. These tried-and-true treatments are easy and can provide some quick relief for mild symptoms. Also instructed that on the importance to make it a priority every day to relax. If you need ideas for healthy ways to manage stress, ask your doctor or a counselor. You may want to try meditation, and focus on things you enjoy. Patient verbalizes understanding.

Hyperlipidemia Teaching 2072

Sn instructed patient on managing hyperlipidemia means controlling cholesterol and triglycerides. Read food labels and choose foods with low cholesterol and saturated trans fat. For people who would benefit from lowering their cholesterol, the American Heart Association recommends aiming for a dietary pattern that limits saturated fat to 5 to 6 percent of daily calories and reduces the percent of calories from trans fat.

Congestive Heart Failure Teaching 2177

SN explained that the symptoms / signs of congestive heart failure ( CHF ) may include: Shortness of breath ( also called dyspnea ) most commonly during activity, at rest, or while sleeping, which may come on suddenly and wake you up. You often have difficulty breathing while lying flat and may need to prop up the upper body and head on two pillows. You often complain of waking up tired or feeling anxious and restless. Blood backs up in the pulmonary veins ( the vessels that return blood from the lungs to the heart ) because the heart can't keep up with the supply. This causes fluid to leak into the lungs. Persistent coughing or wheezing, coughing that produces white or pink blood - tinged mucus. Fluid builds up in the lungs. Buildup of excess fluid in body tissues ( edema ) swelling in the feet, ankles, legs or abdomen or weight gain. You may find that your shoes feel tight.

Tracheostomy Teaching 2245

Tracheostomy care Instructed patient caregiver Signs and symptoms of difficulty breathing are: Retractions Pulling of the skin between the ribs, under the breastbone or around the trach itself. Also symptoms of difficulty breathing are: Sweaty and pale skin, a person is sweaty and pale and seems to be working hard to breathe while at rest, dusky lips or nail beds. The lips or nail beds look dark, dusky or blue.

COPD Teaching 2258

Chronic obstructive pulmonary disease (COPD) is a condition in which the bronchioles (breathing tubes) leading to the lung develop thickened membranes that secrete large amounts of sputum and pus or in which the tine alveoli (air sacs) within the lungs become inelastic and sometimes break open and trap air. COPD causes breathing to become more difficult because air is taken in and cannot be expelled completely.

Diabetes Teaching 2300

SN instructed patient on Diabetes. When you have diabetes, a meal plan is important. A meal plan tells you when to eat, how much to eat, and what kinds of food to eat for meals and snacks. You need to eat a variety of vegetables, fruits, and whole-grain foods. The meal plan can include sugar, salt, and saturated fats, but in a way that fits into the overall plan.