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Colostomy Teaching 1870

Instructed patient measure your stoma once a week for the first 6 to 8 weeks after your ostomy surgery. Your stoma shrinks while it is healing and you need to keep measuring so you can make sure that the opening in the skin barrier is the right size for your stoma. Remeasure your stoma if any irritation develops between the stoma and skin barrier wafer.

Colostomy Teaching 1871

Instructed patient to check your skin and the back of your skin barrier each time you change your pouching system. You can use a mirror to check your skin under the stoma. Look for any places where stool or urine may have leaked under the skin barrier and onto your skin. When you apply your next pouching system these areas may need some extra reinforcement with skin barrier strips, rings or paste.

PICC Line Teaching 1876

Instructed patient Home care nurses will teach you and help you become comfortable with the procedures before you do them yourself. These are the special things that need to be done preventing infection, flushing the PICC line, giving the medicine, solving problems, knowing when and who to call for help.

Heart Surgery Teaching 1889

Instructed patient a particular diet, it's important that you follow it. If a special diet has not been recommended, balanced, heart-healthy nutrition can speed healing and lessen fatigue. Patient weight control is also important for your heart health; excess weight increases the work of the heart and slows recovery.

Heart Surgery Teaching 1890

Instructed patient during your recovery, find out what pace is right for you as you work your way toward a physically active lifestyle. Under your practitioner’s guidance, you should gradually build up your exercise and activity level. Before you begin a new strenuous activity, make sure it’s okay and find out if you have any guidelines to follow concerning your heart rate or level of exertion. To improve overall cardiovascular health, follow a regular exercise program that includes moderate physical activity for 150 minutes a week.

Heart Surgery Teaching 1892

Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you will be encouraged to cough and deep breathe. You may be given a spirometer, a device for breathing exercises to keep fluid out of your lung, once all your tubes have been removed, you will be encouraged to shower daily and wash your incision with a mild soap to prevent infection.

Urine drainage bag Teaching 1918

SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.

Tracheotomy Teaching 2036

SN instructed patient about tracheotomy care suctioning always involves: assessment , oxygenation management, use of correct suction pressure,
 liquefying secretions, using the proper-size , suction catheter and insertion distance appropriate patient positioning, 
evaluation, using the proper - size suction catheter and insertion distance appropriate patient positioning evaluation.

Foot care Teaching 2213

Instructed patient to cleanse feet daily, dry thoroughly especially in between toes. Examine feet daily for bruises/sores/blisters, if any noted, notify MD asap. (use a mirror if needed to visualize) Wear proper fitting shoes and wear slippers/shoes at all times, and exercise feet daily. Demonstrated feet exercises, verbalized understanding.

Peg Tube Teaching 2222

Instructed patient you may need to keep track of how much formula and other liquids you have each day. You may also 
need to keep track of how much you urinate and how many times you have a bowel movement each day. Bring this record to
 your follow-up visits.