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Teachings for Nurses & Patients

Wound Care Teaching 153

Instructed in materials used in wound care. However, even with proper treatment, a wound infection may occur. Check the wound daily for signs of infection like increased drainage or bleeding from the wound that won’t stop with direct pressure, redness in or around the wound, foul odor or pus coming from the wound, increased swelling around the wound and ever above 101.0°F or shaking chills.

Labetalol Teaching 940

Instructed on the importance, when taking Labetalol, of do not stopping abruptly its intake as some conditions may become worse when this drug is suddenly stopped.

Angina pectoris Teaching 1094

Instructed on some measures aimed to controlling/managing Angina Pectoris, such as: dress warmly in cold weather, avoid sleeping in cold rooms and avoid becoming overheated, among others.

Activity Intolerance Teaching 1157

Instructed on some potential factors of decreased tolerance in response to increased physical activity, such as: sedentary life-style and/or prolonged bed rest, among others.

Gastroenteritis Teaching 1445

The patient was instructed in gastroenteritis obtaining appropriate supplies, such as oral glucose electrolyte solutions. The patient was taught in defensive actions, like wash hands before eating and after toileting, drink pasteurized milk and chlorinated water; maintain foods at the appropriate hot or cold temperatures. The patient was advised that gastroenteritis is transmissible although the organisms are present in the feces.

Congestive Heart Failure Teaching 1646

Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.

Emergency preparedness Teaching 1921

Instructed on emergency preparedness. Planning ahead to ensure adequate care in case of severe weather or natural disaster is imperative. Here are a few key tips that warrant consideration in any elderly person’s disaster plan: Create an emergency contact card listing all of the emergency contact numbers and family information, including a list of doctors and relatives or friends who should be notified in case of injury. Discuss what to do in case of an emergency. Create a “disaster kit” that includes: Water for three days, Non-perishable food for three days (examples include protein and fruit bars, dried fruit, nuts, peanut butter, crackers, canned juices and canned food), plus a manual can opener Battery-operated radio with extra batteries, Flashlight with plenty of extra batteries Change of clothes, plus extra blankets First aid supplies, Prescription medicine list, plus copies of prescriptions Extra eyeglasses and hearing-aid batteries, Copies of medical insurance and Medicare cards, Some cash on hand, as a bank or ATM machine may be inaccessible Extra warm clothing

Migraine Teaching 1925

SN instructed that self-care measures can help ease the pain of a migraine headache. Such as, muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. SN instructed that relaxation techniques may include progressive muscle relaxation, meditation or yoga. SN also instructed that it is best to get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. SN instructed on the importance of being able to rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp.

Neosporin Teaching 1947

SN instructed patient about Triple antibiotic ointment Neosporin, it is an antibiotic product marketed for the prevention of infections and speeding the healing of wounds. Neosporin is recommended for burns, scratches, and minor cuts. It is most effective when affected area is cleaned before application of ointment. It is for external use only and should not go near mucus membranes such as the eyes or mouth. It is not recommended for children under the age of two. There are no known side effects when using neosporin, however users should immediately seek medical attention when experiencing hives, rashes, or itching. Any skin irritations such as pain, burning, or cracked skin that were not present prior to use of ointment must receive immediate care.

supplemental drinks Teaching 1993

SN instructs us on different ways to make supplemental drinks taste more appetizing, heating the drink in a mug (hot chocolate or warm vanilla milk) -blending it with ice to make a milkshake -blending the ensure with frozen fruit ( esp. bananas or frozen strawberries ) -making a "latte" by foaming/warming the drink and adding coffee -adding coffee to heated ensure -freezing the ensure and eating it like a slushy -add 2 TB peanut butter, 1 TB cocoa powder. Blend, freeze or heat.