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Non-Hodgkin's Lymphoma Teaching 1477

The patient was instructed in lymphoma malignant in the importance of evading wound and pain which can cause hurting and bleeding. The patient was advised to evading large multitudes and persons supposed of having an active infection. The patient was recommended to follow the chemotherapy routine.

Anemia Teaching 1598

Caregiver/A.L.F's staff was instructed in different patient's symptoms of anemia , which can include cognitive dysfunction, headaches, dizziness, nervousness, lack of concentration, forgetfulness, fatigue amounts others.

Congestive Heart Failure Teaching 1646

Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.

Coronary Artery Disease Teaching 1679

Patient instructed in Coronary Artery Disease (CAD) is when the heart vessels become narrow, which decreases the blood flow to the heart muscle. The narrowing of the heart vessels can be caused by plaque build-up from high cholesterol, fat, and calcium. The decrease in blood flow decreases the oxygenation of the heart muscle and leads to heart damage.

Hyperglycemia Teaching 1731

Instructed patient during periods of stress, the body releases so-called stress hormones, which cause a rise in blood glucose level. In the short term, this gives the body the extra energy it needs to cope with the stress. But if a person doesn’t have adequate insulin circulating in his bloodstream to enable his cells to use the extra energy, the result will be hyperglycemia. And if stress becomes chronic, hyperglycemia can also become chronic.

COPD Teaching 1763

SN instructed on new medication Spiriva is used to control and prevent symptoms (such as wheezing, shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Instructed that common side effects include, dry mouth, constipation, or dizziness.

Abnormal glucose Teaching 1910

SN instructed patient / caregiver on abnormal glucose also known as impaired glucose tolerance which is a term that refers to people who have blood glucose level that are higher than normal, but are not high enough to be classified as diabetes. SN instructed patient / caregiver on symptoms of abnormal glucose such as increased thirst, frequent urination, fatigue, blurred vision. SN instructed patient / caregiver on risk factors such as weight, waist size, inactivity, age, family history. SN instructed patient / caregiver on healthy lifestyle choices that can help prevent diabetes such as eating healthy foods, getting more physical activity, losing excess pounds.

Urinary Tract Infection Teaching 1924

SN instructed patient / caregiver about urinary tract infection(uti), an infection in any part of the urinary system (kidneys, ureters , bladder and urethra). SN instructed patient / caregiver that most infections involve the lower urinary tract (the bladder and urethra). SN instructed symptoms / signs of uti such as a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine. SN instructed patient / caregiver on possible causes such as infection of the urethra and bladder. SN instructed patient / caregiver on lifestyle/ home remedies such as drinking plenty of water daily to help flush the urinary tract, avoid holding it when there's need to go to prevent development of bacteria which can cause uti. SN instructed patient / caregiver to wipe from front to back after movement, to help prevent bacteria from the anus from entering the vagina or urethra.

Lymphedema Teaching 1989

SN instructed patient and caregiver about Lymphedema disease. Lymphedema may be inherited ( primary ) or caused by injury to the lymphatic vessels ( secondary ). It is most frequently seen after lymph node dissection, surgery and/or radiation therapy, in which damage to the lymphatic system is caused during the treatment of cancer, most notably breast cancer. In many patients with cancer, this condition does not develop until months or even years, after therapy has concluded. Lymphedema may also be associated with accidents or certain diseases or problems that may inhibit the lymphatic system from functioning properly. In tropical areas of the world, a common cause of secondary lymphedema is filariasis, a parasitic infection. It can also be caused by a compromising of the lymphatic system resulting from cellulitis. Patient verbalized understanding the teaching.

PVD Teaching 2022

SN instructed in possible complication of PVD such as ulcers, cellulites, gangrene, thrombophlebitis, etc. SN instructed patient to walk for at least 15 minutes three to four times per day, gradually increasing her pace and duration of exercise. It is recommended not to cross the legs, which may interfere with blood flow; manage swelling by elevating the feet at rest. Vasodilation can be achieved by providing warmth to the affected extremity and preventing long periods of exposure to cold; maintain a warm environment at home and wear socks or insulated shoes at all times. Never apply direct heat to the limbs, such as with the use of a heating pad or extremely hot water to reduce the risk of burns. Verbalized understanding.