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Doxycycline Teaching 1592

Caregiver/A.L.F's staff was instructed in new medication; Follow your doctor's instructions carefully. Give the patient Doxycycline with a full glass of water or other liquid to avoid irritating your esophagus. Doxycycline can be taken with or without food. If stomach upset occurs, you can give him a glass of milk or after meals. Give the medicine at about the same time each day.

Colostomy Teaching 1635

Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.

Parkinson Teaching 1678

Patient instructed on how Levodopa and Carbidopa are used in combination to treat the symptoms of Parkinson's disease. Carbidopa prevents the breakdown of Levodopa in the bloodstream so more Levodopa can enter the brain. This can reduce some of Levodopa's side effects such as nausea and vomiting, and it may also allow your doctor to increase your Levodopa dose more quickly to find the best dose.

Fistula Teaching 1748

SN instructed patient the skin around a fistula needs to be clean, dry, and grease-less for effective pouch adherence. Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition.

Fistula Teaching 1749

Instructed patient Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition. Adequate protein and calories must be provided to maximize healing and minimize complications.

Dehydration Teaching 1756

Patient was instructed to drink adequate amounts of fluids to prevent dehydration. Sports drinks and fruit juices are helpful too, but they don't provide the ideal balance of water, sugar, and salt. However, drinking more fluid than your body can process can reduce the amount of sodium (salt) in your blood.

Gallbladder surgery Teaching 1779

Instructed patient It can take a few weeks for your body to get used to this change, and you may experience bloating, diarrhea, and gas after eating fatty foods during this time. Instructed patient if you feel ready and are not nauseated, you can slowly begin introducing solid foods back into your diet as you start feeling better. But you may need to avoid certain types of foods for a while.

Insulin Teaching 1804

Patient was instructed about another reason to get your blood sugar levels under control and keep them that way doing so can help you avoid many diabetes skin problems, still, skin conditions related to this disease are common. As many as 1 out of 3 people with diabetes will have one. Fortunately, most can be or successfully treated before they turn into a serious problem.

Gallbladder surgery Teaching 1848

Instructed patient gradually increase the fiber in your diet. This can help normalize bowel movements by reducing incidents of diarrhea or constipation. However, it can also make gas and cramping worse. The best approach is to slowly increase the amount of fiber in your diet over a period of weeks.

Peg Tube Teaching 1913

SN instructed patient / caregiver to always flush your PEG tube before and after each use. This helps prevent blockage from formula or medicine. Use at least 2 tablespoons (30 ml) of water to flush the tube. Follow directions for flushing your PEG tube. If the PEG tube becomes clogged, try to unclog it as soon as you can. Flush your PEG tube with a 60 ml syringe filled with warm water. Never use a wire to unclog the tube. A wire can poke a hole in the tube. Your healthcare provider may have you use a special medicine or a plastic brush to help unclog your tube.