General

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.

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.

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.

Colostomy Teaching 1887

Instructed patient / caregiver having a stoma is a major event and patients can become very anxious and depressed. Adequate counseling is vital and this may need to include mental health specialists.

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.

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.

Hypoglycemia Teaching 1909

SN instructed that symptoms of low blood sugar (hypoglycemia) include sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet. It is a good habit to carry glucose tablets or gel to treat low blood sugar. If you don't have these reliable forms of glucose, rapidly raise your blood sugar by eating a quick source of sugar such as table sugar, honey, or candy, or drink fruit juice or non-diet soda. Tell your doctor about the reaction immediately. Low blood sugar is more likely if you drink large amounts of alcohol, do unusually heavy exercise or do not consume enough calories from food. To help prevent low blood sugar, eat meals on a regular schedule, and do not skip meals. Check with your doctor or pharmacist to find out what you should do if you miss a meal.

Migraine Teaching 1912

SN instructed that at the first sign of a migraine, retreat from your usual activities if possible. Instructed on ways to help treat migraine headaches such as, turn off the lights. Migraines often increase sensitivity to light and sound. Relax in a dark, quiet room. Sleep if you can.Try temperature therapy. Apply hot or cold compresses to your head or neck. Ice packs have a numbing effect, which may dull the sensation of pain. Hot packs and heating pads can relax tense muscles; warm showers or baths may have a similar effect. Suggested him to massage painful areas. Apply gentle pressure to your scalp or temples. Alleviate muscle tension with a shoulder or neck massage.

Loss of appetite Teaching 1919

SN instructed that the Loss of appetite can be a serious problem; it can lead to malnutrition and severe weight loss. Eating enough of the right kinds of foods can be difficult when you do not feel like eating at all. Here are some tips to help you increase your appetite: Avoid drinking liquids before a meal, because they can fill you up. If you want to drink, then drink juices or milk—something nutritious. Eat with family or friends if possible.  Eat a variety of foods. Spice up your food with herbs, spices, and sauces. Use butter, bacon bits, croutons, wine sauces, and marinades to provide taste-pleasing meals.  Do not fill up on salads or “diet” foods. Eat vegetables and fruits along with meats, poultry, and fish to make sure you get enough calories and nutrition.  Eat smaller meals more often, especially if you fill up before you’ve eaten all your dinner.

Friction Teaching 1923

SN instructed the reason it is important to help or use proper turning techniques to prevent friction and shearing of skin. Friction usually, but not always, accompanies shear. Friction is the force of rubbing two surfaces against one another. Shear is the result of gravity pushing down on the patient's body and the resistance between the patient and the chair or bed. When combined with gravity/force (pressure), friction causes shear, and the outcome can be more devastating than pressure alone.