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Spontaneous coronary artery dissection ( SCAD ) Teaching 2134

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 hearthealthy 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 - healthydiet. Patient verbalized understanding well.

Cardiac Teaching 1866

Instructed patient Eat a heart-healthydiet Eating a healthydiet can reduce your risk of heart disease. A diet rich in fruits,
 vegetables and whole grains can help protect your heart. Beans, other low-fat sources of protein and certain types of fish 
also can reduce your risk of heart disease. Stop your activity if you feel short of breath, dizzy, or have any pain in your chest. Do not do any activity
 or exercise that causes pulling or pain across your chest, (such as using a rowing machine, twisting, or lifting weights.

Cardiac Teaching 1865

Instructed patient t other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations,
 irregular heart beat, faintness, and weakness. Replace butter and margarine with 
heart-healthy oils such as olive oil and canola oil. Other heart-healthy foods include walnuts, fatty fish like salmon and tuna, 
whole-grain breads, low-fat dairy products, beans, and lean meats. Ask your caregiver how much salt you can eat each day. Avoid salt substitutes.

anxiety Teaching 2330

SN educated patient on some ways to cope with stress and anxiety. explained to the patient that anxiety can be a normal part of life when faced with stressors such as changes in relationships, presenting in front of a crowd, or making decisions. There is no one right answer to eliminate anxiety. It is important to find healthy coping skills that will work for you. Consult with your primary care physician when anxiety becomes persistent or unmanageable. SN Instructed patient about some coping skills to consider when struggling with anxiety include: Reaching out to support system (i.e. family/friends, counselors, psychiatrists, or support groups). Deep breathing Meditation, Yoga, Avoiding caffeinated beverages, Healthydiet, and Calming music. Patient Verbalized fair understanding of anxiety teaching.

Cardiac Teaching 2377

Instructed patient that for healthy living with your LVAD, you’ll need to make sure that: the equipment is working properly,you have sufficient power sources at all times, your driveline exit site is clean and dry, following a healthydiet, exercising regularly, as you’re able to tolerate it, are taking your medications and supplements as directed by your doctor. Understanding was verbalized.

Dehydration Teaching 2430

Patient instructed on the importance of drinking 6-8 glasses of water per day. Hydration is important for wound healing, healthy skin, digestion, healthy kidneys, and electrolyte balance. Instructed on the increased risk for dehydration during the summer months.

Heart attack Teaching 2616

Instructed patient 1 in 4 heart attack and stroke survivors has another. Managing high blood pressure and cholesterol, making healthy lifestyle choices and taking medications like aspirin as recommended by your doctor, may help lower your risk of a second event.

Healthy diet Teaching 1958

SN Instructed patient on diabetic dinner and snack example: Dinner- 3 ounces meat or protein, such as baked cod or salmon / 2 starches, such as 2/3 cup cooked brown rice, / 2 vegetables, such as 1 cup steamed asparagus and 1/2 cup cooked carrots / 1 fat, such as 1 tsp margarine or 1 tsp olive oil / 1 fruit, such as 3/4 cup fresh pineapple / 1 milk, such as 1 cup skim milk. Evening Snack - 1 bread, such as 3 cups air-popped popcorn / 1 meat or protein, such as 1/4 cup lowfat cottage cheese or 1 ounce turkey breast.

Heart Failure Teaching 2610

SN instructed patient about treatment of heart failure may include: controlling risk factors: quitting smoking losing weight and increasing moderate exercise restricting salt and fat from the diet avoiding alcohol proper rest controlling blood sugar if diabetic controlling blood pressure limiting fluids.

Cardiac Teaching 1867

Instructed patient what lifestyle choices can help me feel my best: Stay active. If you are not active, your symptoms are
 likely to worsen quickly. Walking, and other types of physical activity help maintain your strength and improve your 
mood. Physical activity also helps you manage your weight. Eat heart-healthy foods and limit sodium (salt An easy way to 
do this is to eat more fresh fruits and vegetables and fewer canned and processed foods.