General

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.

Pain relief Teaching 1927

SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, massage, stretching, positioning, and hot/cold packs. SN instructed patient to report to physician if patient experiences pain level greater than 6, pain medications not effective, patient unable to tolerate pain medications, pain affecting ability to perform patient’s normal activities.

Healthy diet Teaching 1958

SN Instructed patient on diabetic dinner and snack example: Dinner- 3 ounces meat or protein, such as baked cod or salmon / 2 starches, such as 2/3 cup cooked brown rice, / 2 vegetables, such as 1 cup steamed asparagus and 1/2 cup cooked carrots / 1 fat, such as 1 tsp margarine or 1 tsp olive oil / 1 fruit, such as 3/4 cup fresh pineapple / 1 milk, such as 1 cup skim milk. Evening Snack - 1 bread, such as 3 cups air-popped popcorn / 1 meat or protein, such as 1/4 cup lowfat cottage cheese or 1 ounce turkey breast.

Alzheimer's disease Teaching 1962

SN instructed caregiver that Alzheimer’s disease progresses and a loss of appetite often becomes apparent. Primary caregiver may notice that the patient does not eat as much or refuses to eat at all. Possible causes of a poor appetite include: inability to recognize food, poorly fitting dentures, certain medications, lack of physical activity, diminished sense of smell and taste.

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.

Steri Strips Teaching 1981

SN instructed patient that steri strips may fall off the skin after 10 days. Leave the steri strips in place until they fall off on their own accord or until your doctor determines it is appropriate to remove them. If the wound has healed and your doctor says you can remove the strips, use lotion or a small amount of water to loosen them from your skin.

Dementia Teaching 1996

SN instructed patient/ ALF that the dementia is not a specific disease. It's an overall term that describes a wide range of symptoms associated with a decline in memory or other thinking skills severe enough to reduce a person's ability to perform everyday activities.

Cast care Teaching 2001

SN instructed that keeping your regular cast dry is very important! There are no devices that are 100% effective in keeping any cast dry. Sponge baths are the safest way to keep the cast dry. If you have to take a bath or shower, please follow these instructions: place a towel or washcloth around the upper portion of the cast. Cover the entire cast with 2 plastic bags ( use two in case one has a leak, secure the bag at the top with tape or a rubber band, if the cast gets moist, dry the top or bottom of the cast using a blow dryer. Use only the cool or low setting, if the cast is soaked all the way through, it needs to be changed ( call doctor office )

Steri Strips Teaching 2002

SN instructed that the steri strips may fall off the skin after 10 days. Leave the steri strips in place until they fall off on their own accord or until your doctor determines it is appropriate to remove them. If the wound has healed and your doctor says you can remove the strips, use lotion or a small amount of water to loosen them from your skin.

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.