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Leg edema Teaching 2509

Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Moving and using the muscles in the part of your body affected by edema, especially your legs, may help pump the excess fluid back toward your heart. Ask your doctor about exercises you can do that may reduce swelling. Patient verbalized understanding.

Sleep Teaching 2620

SN to educate patient on CPAP machine as follows: CPAP stands for continuous positive airway pressure. The machines help people with sleep apnea breathe more easily and regularly every night while they are sleeping. A CPAP machine increases the air pressure in your throat to prevent your airway from collapsing when you inhale. Patient admits that most nights he goes to bed with Cpap, but finds mask on floor after waking in AM. SN to advise patient of importance of wearing Cpap as follows: The CPAP breathing machine is used by people with chronic obstructive sleep apnea, a disorder which causes airways to close up during sleep. People with obstructive sleep apnea stop breathing while sleeping. When breathing stops the individual is suddenly jolted awake, gasping for air. Patient to deny any sleep issues lately. People with sleep apnea often do not remember these episodes, but instead experience chronic fatigue that they have no explanation for. Over time, sleep apnea can increase the risk of hypertension, heart failure, heart attack, and stroke. Patient verbalized understanding of teaching today. SN to continue to monitor.

Cardiac Teaching 1866

Instructed patient Eat a heart-healthy diet Eating a healthy diet 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.

Swelling Teaching 1907

SN instructed that Swelling occurs whenever the organs, skin, or other parts of your body enlarge. It is typically the result of inflammation or a buildup of fluid. Swelling can occur internally (within the body) or it can affect your outer skin and muscles. A range of conditions can cause swelling.

Fall precautions Teaching 2005

SN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid-proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet. SN also instructed on side effects of most medications taking that could possibly cause dizziness and to report it so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.

Massage Teaching 2034

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.

Infection Teaching 1673

Patient educated that there is good and bad bacteria in our body’s and the ABT will kill both which result in the yeast infection. Yeast infection is identify by area is likely an area that is moist it is red and has raised pumps. Patient instructed on possible yeast infections related to long term use of ABT, in areas that include but is not limited to between legs, under breast, and in between groin. Patient instructed to report any symptoms to MD or SN during visit.

Colostomy Teaching 1886

Instructed patient a really important part of planning patients for stomas is to ensure the site is appropriate. Poor siting leads to a stoma which the patient has difficulty in changing and cleaning. This leads to increased risk of skin, and other, complications.

Intertrigo Teaching 1903

SN instructed Patient about intertrigo: It is usually a chronic with insidious onset of itching, burning, and stinging in skin folds. Intertrigo commonly is seasonal, associated with heat and humidity or strenuous activity in which chafing occurs. In addition to obesity and diabetes, hyperhidrosis may be a risk factor for intertrigo. Additional factors that predispose individuals to perineal intertrigo include urinary or fecal incontinence, vaginal discharge, or a draining wound.

Gastric ulcer Teaching 1968

SN instructed patient about on gastric ulcer. Gastric ulcers occur on the inside of the stomach. Pain is the most common symptom. The pain is caused by the ulcer and is aggravated by stomach acid coming in contact with the ulcerated area. The pain typically may: Be felt anywhere from your navel up to your breastbone. Be worse when your stomach is empty. Flare at night. Often be temporarily relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication. Disappear and then return for a few days or weeks. See your doctor: If vomiting of blood — which may appear red or black. Dark blood in stools or stools that are black or tarry. Nausea or vomiting. Unexplained weight loss. Appetite changes.