catheter-teaching-guide
General
SN instructed patient on non pharmacological pain management like massage, a lot of people find relief from gentle massage. Several studies have found that massage is effective in relieving pain and other symptoms for people with serious illness. Relaxation techniques like guided imagery, breathing techniques, and gentle movement like rom exercises. Relaxation techniques are often very effective, particularly when a patient / caregiver is feeling anxious. Physical therapy if a person has been active before and is now confined to bed, even just moving the hands and feet a little bit can help. Pet therapy if you have bouts of pain that last 5, 10, or 15 minutes, trying to find something pleasant like petting an animal soft fur to distract and relax yourself can be helpful. Gel packs, these are simple packs that can be warmed or chilled and used to ease localized pain.
Sn instructed patient on seizures and precautions for safety at home. replace glass tables or furniture with wood, glass can break and cause injury, leave interior doors open, don't take shower unless someone is in the house and make sure family and friends are aware of your seizures and know what to do to help if you have a seizure. Notify nurse or Physician if seizures occur. If a grand mal seizure occurs go to ED after recovery.
Sn instructed patient on ways to promote sleep. Such as avoiding stimulants such as caffeine, nicotine, and alcohol too close to bedtime. Stay away from large meals close to bedtime. Also dietary changes can cause sleep problems, if someone is struggling with a sleep problem, it's not a good time to start experimenting with spicy dishes. And, remember, chocolate has caffeine. Establish a regular relaxing bedtime routine. Try to avoid emotionally upsetting conversations and activities before trying to go to sleep. Don't dwell on, or bring your problems to bed. Associate your bed with sleep. It's not a good idea to use your bed to watch TV, listen to the radio, or read.
SN instructed that symptoms of a lower urinary tract infection or bladder infection may include: Frequent need to urinate, burning sensation while urinating pressure in the lower abdomen, pain in the lower back blood in urine. Symptoms of an upper urinary tract infection or a kidney infection may include: Fever, chills, nausea and / or vomiting, Pain higher in the back ( around the upper sides and waist ). In women, the symptoms of a urinary tract infection are similar to those caused by some vaginal infections.
Patient / caregiver were instructed on important measures during transfers to wheelchair: Stand as close to the user as possible. Be sure footing is as stable as possible. Proper shoes is also recommended as sandals or flats do not provide support for a safe wheelchair transfer . Patient / caregiver verbalized understanding of instruction given.
Sn instructed patient on pursed lip breathing. Pursed lip breathing is one of the simplest ways to control shortness of breath. It provides a quick and easy way to slow your pace of breathing, making each breath more effective. What does pursed lip breathing do? Pursed lip breathing: Improves ventilation, releases trapped air in the lungs, keeps the airways open longer and decreases the work of breathing, prolongs exhalation to slow the breathing rate, improves breathing patterns by moving old air out of the lungs and allowing for new air to enter the lungs, relieves shortness of breath, causes general relaxation. When should I use this technique? Use this technique during the difficult part of any activity, such as bending, lifting or stair climbing. Practice this technique 4 - 5 times a day at first so you can get the correct breathing pattern. Pursed lip breathing technique: Relax your neck and shoulder muscles, breathe in ( inhale ) slowly through your nose for two counts, keeping your mouth closed. Don't take a deep breath; a normal breath will do. It may help to count to yourself: inhale, one, two. Pucker or "purse" your lips as if you were going to whistle or gently flicker the flame of a candle. Breathe out ( exhale ) slowly and gently through your pursed lips while counting to four. It may help to count to yourself: exhale, one, two, three, four.
SN instructed patient on hallucinations, you must use diversion tactics when hallucinations start, try telling yourself they are not real especially when they are scary, use music or television for distraction when auditory hallucinations start, continue to take medication as ordered, call a friend or family member for support when needed. Patient verbalized understanding.
SN instructed patient / caregiver about a few simple precautions that can be taken to create a safe home environment when using oxygen. Oxygen canisters should be kept at least 5 - 10 feet away from gas stoves, lighted fireplaces, wood stoves, candles or other sources of open flames. Do not use electric razors while using oxygen ( These are a possible source of sparks ). Do not use oil, grease or petroleum - based products on the equipment. Do not use it near you while you use oxygen. These materials are highly flammable and will burn readily with the presence of oxygen. Avoid petroleum - based lotions or creams, like Vaseline, on your face or upper chest. Check the ingredients of such products before purchase. If a skin moisturizer is needed, consider using cocoa butter, aloe vera or other similar products. For lubrication or rehydration of dry nasal passages, use water - based products. Your pharmacist or care provider can suggest these.
SN instructed patient / caregiver about a few simple precautions that can be taken to create a safe home environment when using oxygen. Post signs in every room where oxygen is in use. Make sure that absolutely no smoking occurs in the home or in the car when oxygen is in use. Secure an oxygen cylinder to a solidly fixed object to avoid creating a missile out of the tank. This might happen if it was accidentally knocked over and gas was allowed to escape. Use caution with oxygen tubing so you do not trip over it or become entangled in furniture. Be familiar with the equipment and the safety checks established by the medical equipment provider. Keep their contact telephone numbers, and the numbers for other emergency services, posted near a phone. Do not try to repair broken equipment on your own. Request this service from the oxygen provider. Make sure smoke detectors in the home are working. Have fresh batteries installed. Perform monthly checks. Have a fire extinguisher available in the home as well ( Use type ABC ). Create and practice an escape and rescue plan in the event of a fire. Notify the local fire department, gas and electric companies and telephone company when home oxygen therapy is started. Request a "priority service listing". This is for those times when there is a power or telephone failure or repairs are needed on any utility.
SN instructed patient on spontaneous coronary artery dissection ( SCAD ) and stent placement. A stent is a small rod made out of metal or fabric. It is inserted into a coronary artery when there is a blockage or when the artery is narrow. A coronary artery is a blood vessel that carries oxygen to the heart muscle. You received a stent due to coronary artery disease ( also called SCAD). That is caused by a thickening of the inside walls of the coronary arteries. This thickening is called atherosclerosis. A fatty substance called plaque builds up inside the thickened walls of the arteries, blocking or slowing the flow of blood. If your heart muscle doesn't get enough blood to work properly, you may have angina ( chest pain ) or a heart attack. The stent will help hold the artery open so blood can flow and help keep the artery from narrowing again. You will need to take medicine that keeps the stent open and blood flowing. It is very important to take the medicine exactly how your doctor tells you to take it. In addition to taking medicine, the best way to keep your heart healthy is to maintain a healthy lifestyle. Quit smoking. Make sure you keep your blood pressure and cholesterol at healthy levels. Exercise as recommended by your doctor. Eat a heart - healthy diet. Patient verbalized understanding well.