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Injection Teaching 733

Caregiver was instructed that most people pinch up a fold of skin and insert the needle at aangle to the skin fold. To pinch the skin properly, follow these steps: Squeeze a couple of inches of skin between the thumb and two fingers, pulling the skin and fat away from the underlying muscle. (If use a 5 millimeter mini-pen needle to inject, you don't have to pinch up the skin when injecting at aangle; with this shorter needle, you don't have to worry about injecting into muscle.)" Insert the needle, Hold the pinch so the needle doesn't go into the muscle, Push the plunger, "release the grip on the skin fold. Remove the needle from the skin.

Respiratory infection Teaching 1243

Patient was instructed on respiratory infection. Sometimes accompanied by 'pink eye', muscle aches, fatigue, malaise, headaches, muscle weakness, uncontrollable shivering, and loss of appetite, fever and extreme exhaustion are rare during a cold and are more usual in influenza. The symptoms of a cold usually resolve after about one week, but can last up to two.

Coronary Artery Disease Teaching 1679

Patient instructed in Coronary Artery Disease (CAD) is when the heart vessels become narrow, which decreases the blood flow to the heart muscle. The narrowing of the heart vessels can be caused by plaque build-up from high cholesterol, fat, and calcium. The decrease in blood flow decreases the oxygenation of the heart muscle and leads to heart damage.

Pain Management Teaching 1768

SN instructed patient about ways to relieve muscle stiffness such as performing exercises including gentle muscle stretching as tolerated, obtaining adequate rest or uninterrupted sleep in order to reduce stress, massaging affected body parts if not contraindicated and to avoid lifting heavy objects. Instructed to inform doctor or skilled nurse if discomfort progress or when severe or unexplained pain is felt.

Glucose rise Teaching 2150

SN explain about a couple of things going on that make your glucose rise in the morning. One of these is insulin resistance, a condition that means your body's muscle and fat cells are unable to use insulin effectively to lower blood glucose. However, insulin resistance also affects how your liver processes, stores, and releases sugar, particularly at night. The liver is supposed to release small amounts of glucose when you're not eating. But in type 2 diabetes, the liver dumps more glucose than is needed into the bloodstream, especially at night. So, while your hormones are causing a natural rise in blood glucose, your liver is releasing even more sugar into your system. Because your insulin resistance prevents your muscle and fat cells from using the sugar, your blood glucose level rises.

Fibromyalgia Teaching 2207

Fibromyalgia is one of a group of chronic pain disorders that affect connective tissues, including the muscles, ligaments (the tough bands of tissue that bind together the ends of bones), and tendons (which attach muscles to bones). The cause of fibromyalgia is unknown. Various physical or emotional factors may play a role in triggering symptoms; most common symptoms are fatigue, sleep disturbances, headaches, and mood disturbances such as depression and anxiety. SN instructed patient to take fibromyalgia medications as prescribed by the doctor, and do regular cardiovascular exercises, such as walking, swimming, or biking, which are helpful in reducing muscle pain and improving muscle strength and fitness in fibromyalgia.

Hyponatremia Teaching 2261

SN instructed caregivers/patient on hyponatremia, which means your blood level of sodium (salt) is too low. Salt is needed for the body and brain to work. Very low blood levels of sodium can be fatal. Symptoms can include headache, confusion, fatigue, muscle cramps, hallucinations, seizures, and coma. To help prevent hyponatremia, take all medicines exactly as directed. Certain medicines can lower blood sodium levels. Have your sodium levels checked often. This is vital if you take a diuretic (medicine that helps your body get rid of water). Call your provider right away if you have any of the following: Severe tiredness, Fainting, Dizziness, Loss of appetite, Nausea or vomiting, Confusion or forgetfulness, Muscle spasms, cramping, twitching Seizures, or Gait disturbances. Caregiver voiced understanding.

Cerebral Palsy Teaching 2445

Rn instructed caregiver , about complications about patient with cerebral palsy , muscle weakness, muscle spasticity and coordination problems can contribute to a number of complications either including, contracture, malnutrition. Swallowing or feeding problems can make it difficult for someone who has cerebral palsy,mental health conditions. People with cerebral palsy might have mental health conditions, such as depression. Social isolation and the challenges of coping with disabilities can contribute to depression. Caregiver verbalized.

Cardiac Teaching 181

Instructed in diagnosis of ASHD/CAD. This occurs when there is a narrowing of the blood vessels supplying the heart muscle, restrincting flow of blood.

Cardiac Teaching 188

Instructed in diagnosis of Myocardial Infarction. This occurs when there is a prolonged lack of oxygenated blood supply to a portion of the heart muscle, causing pain, resulting in damage to that area of the heart.