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Fistula Teaching 1748

SN instructed patient the skin around a fistula needs to be clean, dry, and grease-less for effective pouch adherence. Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition.

Fistula Teaching 1749

Instructed patient Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition. Adequate protein and calories must be provided to maximize healing and minimize complications.

Dehydration Teaching 1756

Patient was instructed to drink adequate amounts of fluids to prevent dehydration. Sports drinks and fruit juices are helpful too, but they don't provide the ideal balance of water, sugar, and salt. However, drinking more fluid than your body can process can reduce the amount of sodium (salt) in your blood.

Insulin Teaching 1804

Patient was instructed about another reason to get your blood sugar levels under control and keep them that way doing so can help you avoid many diabetes skin problems, still, skin conditions related to this disease are common. As many as 1 out of 3 people with diabetes will have one. Fortunately, most can be or successfully treated before they turn into a serious problem.

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.

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.

Diabetes Teaching 2176

SN explained that the Diabetes can affect the small blood vessels of the body that supply the skin with blood. Changes to the blood vessels because of diabetes can cause a skin condition called diabetic dermopathy. This appears as scaly patches that are light brown or red, often on the front of the legs.

Congestive Heart Failure Teaching 2178

SN explain about congestive heart failure ( CHF ). As blood flow out of the heart slows, blood returning to the heart through the veins backs up, causing fluid to build up in the tissues. The kidneys are less able to dispose of sodium and water, also causing fluid retention in the tissues. Fatigue, a tired feeling all the time and difficulty with everyday activities, such as shopping, climbing stairs, carrying groceries or walking. The heart can't pump enough blood to meet the needs of body tissues. The body diverts blood away from less vital organs, particularly muscles in the limbs, and sends it to the heart and brain. Lack of appetite, nausea, a feeling of being full or sick to your stomach. The digestive system receives less blood, causing problems with digestion. Confusion, impaired thinking, memory loss and feelings of disorientation. A caregiver or relative may notice this first. Changing levels of certain substances in the blood, such as sodium, can cause confusion. If you have 2 or more of these symptoms you may need to seek medical attention.

Dehydration Teaching 2211

Patient was instructed to drink adequate amounts of fluids to prevent dehydration. Sports drinks and fruit juices are helpful too, but they don't provide the ideal balance of water, sugar, and salt. However, drinking more fluid than your body can process can reduce the amount of sodium (salt) in your blood. In the elderly, your body's fluid reserve becomes smaller, your ability to conserve water is reduced and your thirst sense becomes less acute. Symptoms are: extreme thirst, less frequent urination, dark-colored urine, fatigue, dizziness, confusion, patient verbalized understanding.

Abnormal glucose Teaching 2296

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.