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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.

Chronic venous insufficiency Teaching 2182

SN explained that the Chronic venous insufficiency ( CVI ) can’t be cured, but you can control leg swelling to reduce the likelihood of ulcers ( sores ). Recognizing the symptoms Be aware of the following: If you stand or sit with your feet down for long periods, your legs may ache or feel heavy. Swollen ankles are possibly the most common symptom of Chronic venous insufficiency ( CVI ). As swelling increases, the skin over your ankles may show red spots or a brownish tinge. The skin may feel leathery or scaly, and may start to itch. If swelling is not controlled, an ulcer ( open wound ) may form. What you can do Reduce your risk of developing ulcers by doing the following: Increase blood flow back to your heart by elevating your legs, exercising daily, and wearing elastic stockings. Boost blood flow in your legs by losing excess weight. If you must stand or sit in one place for a period of time, keep your blood moving by wiggling your toes, shifting your body position, and rising up on the balls of your feet. Pt verbalizes understanding.

Abnormal glucose Teaching 2298

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.

Colostomy Teaching 2360

Instructed patient/caregiver about some things you can do to help move things through your ostomy: Watch for swelling of 
the stoma and adjust the opening of the wafer as needed until the swelling goes down.

Hyperglycemia Teaching 2423

Instructed patient how do you bring down blood sugar quickly exercise regularly, control your carb intake, increase your fiber intake, drink water and stay hydrated.

Shortness of Breath Teaching 2518

Instructed what can you do to manage shortness of breath (SOB) make lifestyle changes take your medications as prescribed there are some medications that can help shortness of breath. You may need oxygen if your oxygen level is low. Your health care team will test your levels if you are having shortness of breath. Pace yourself break your activities down into smaller steps. Plan your activities so that you have time to do them slowly and comfortably. Keep things that you use often close by and within easy reach.

Shortness of Breath Teaching 2522

Instructed what can you do to manage shortness of breath (SOB) do things in ways that use less energy sit down when doing chores and getting dressed. Rest as much as you need to. Avoid heavy lifting. Carry things at your waist or hold them close to your chest. Use a backpack to carry things and only fill bags half-way. Keep your phone close by and stop to catch your breath when you are having a conversation. A standing or sitting position may be more comfortable during sexual activity with your partner.

Edema Teaching 2584

Instructed patient about how help decrease edema and keep it from coming back Compression. If one of your limbs is affected by edema, your doctor may recommend you wear compression stockings, sleeves or gloves, usually worn after your swelling has gone down, to prevent further swelling from occurring. These garments keep pressure on your limbs to prevent fluid from collecting in the tissue.