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Colostomy Teaching 2362

Instructed patient/caregiver about some things you can do to help move things through your ostomy: Sometimes changing 
your position, such as drawing your knees up to your chest, may help move along the food in your gut.

Colostomy Teaching 2363

Instructed patient/caregiver about some things you can do to help move things through your ostomy: do not take laxative.

Colostomy Teaching 2364

Instructed patient caregiver If you keep having pain and cramping with no output from your stoma for more than 2 hours, 
and you can’t reach your doctor or ostomy nurse, go to the emergency room. Take all your ostomy supplies with you.


Colostomy Teaching 2367

Instructed patient caregiver Loss of appetite, drowsiness, and leg cramps may be signs of sodium loss. Fatigue, muscle weakness, and shortness of breath may be signs of potassium loss. Dehydration, low sodium, and low potassium can all be dangerous and should be treated right away. Call your doctor or 911 right away if you are dizzy, weak, or having other serious symptoms.

Cardiac Teaching 2373

Instructed patient that when traveling with an LVAD will involve some extra planning and preparation.When scheduling a trip, discuss your plans ahead of time with your LVAD team. They‘ll help you be as independent as possible, and still stay safe and healthy. They can also provide you with the necessary travel documents, as well as helpful tips. Understanding was verbalized.

Healthy diet Teaching 2375

Instructed patient that good nutrition and a heart-healthy, low-sodium diet are very important for everyone especially people with heart conditions. By choosing the right kinds of foods and maintaining a healthy weight, you can help minimize strain on your heart and vascular system, and feel your best. Understanding was verbalized.

Cardiac Teaching 2381

SN taught patient on sleeping with LVAD, and it was explained that many LVAD patients actually find that they’re able to sleep more comfortably with their LVAD than they did before because they’re feeling better and breathing more easily. There are, however, two major ways that having an LVAD affects your sleep routine: You may not be able to sleep on your stomach. Stomach sleeping can compress or pull on the driveline. Sleeping on your back is the best option, although some LVAD patients find it comfortable to sleep on their sides. You’ll also need to make sure that the driveline doesn’t get tangled in clothing or blankets. At first, sleeping with the LVAD may feel awkward, but most patients get used to it after a few days. Understanding was verbalized.

Energy conservation Teaching 2384

SN instructed patient on ways to conserve energy due to muscle weakness dx such as small frequent meals, avoiding large meals/overeating, take frequent rest periods to prevent from becoming tired, exercise as often as you can without tiring yourself out, stretching and range of motion is good to help build strength and controlling stress.

Hypertension Teaching 2387

Instructed patient on medication Irbesartan, it is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood vessels so that blood can flow more easily. Dizziness, lightheadedness, or upset stomach may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Blood pressure Teaching 2412

SN instructed pt on ways to lower blood pressure urge at home. Exercising 30 to 60 minutes a day is an important part of healthy living.Along with helping lower blood pressure, regular physical activity benefits your mood, strength, and balance. It decreases your risk of other types of heart disease. Diet changes such as eating fruits, vegetables, and whole grains eating low-fat dairy products, lean meats, fish, and nuts, eliminating foods that are high in saturated fats, such as processed foods, full-fat dairy products, and fatty meats. It also helps to cut back on desserts and sweetened beverages, such as soda and juice. Keeping your sodium intake to a minimum can be vital for lowering blood pressure. don't smoke.