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Glaucoma Teaching 1449

The patient was instructed in glaucoma and the causes that rise intraocular pressure and should be evaded, constrictive clothing around the neck or torso, lifting heavy objects. The patient was advised of the need to wear an eye patch or sunglasses to evade anxiety with light exposure. The patient was reviewed the meaning of not touching the eye. The patient was taught in the way for cleansing the eye. The patient was instructed in the significance of using glaucoma medication in the unoperated eye. The patient was instructed in the home safety precautions wanted because of reduced bordering vision, turn the head to visualize either sideways, use up-and-down head movements to reviewer stairs and oncoming objects and walk slowly.

Stroke Teaching 1489

The patient was instructed in stroke cerebrovascular accident in the need to get correct devices like as walkers, specialty beds, and aids to safety, feeding, toileting, and grooming. The patient was instructed to deal with chronic pain. The patient was encouraged to use vision on the affected side. The patient was encouraged to use hearing on the affected side. The patient was encouraged to use of the unaffected extremity to assist the affected side in locating and movement. The patient was taught in the use of a hang for the affected arm to care the arm and shoulder. The patient was taught to support affected extremities when repositioning. The patient was advised to limit rotating to and lying on the affected side to 1 hour. The patient was instructed to do range-of-motion exercises of the affected extremities using the unaffected extremities. The patient was instructed to watch the affected leg whereas walking.

Hepatitis Teaching 1517

The patient was instructed in hepatitis viral to wash hands meticulously after toileting. The families of the patient were reviewed to wear gloves if interaction with feces. The patient was instructed not to make food for others during the symptomatic time of the illness. The patient was recommended not to share stuffs, like eating utensils, razors, toothbrushes, toys, needles. The patient was advised to use an electric razor and soft-bristled toothbrush to help prevent bleeding. The families of the patient were reviewed for injection of gamma globulin. The patient was taught to exercise blood and body fluid protections until is free of the disease. The patient was advised to handle scratches and slashes carefully. The patient was encouraged to provide separate bed and bathroom. The patient was advised to evade using alkaline soaps and to use mild soaps. The patient was advised to save the skin moist with soothing ointments.

Thrombolytic Therapy Teaching 1536

The patient was instructed in thrombolytic therapy in the need that bed rest will be continued during the process and for 12 hours after an intracoronary infusion. The patient was advised that common blood sampling will be done to monitor coagulation times and that signs and symptoms of successful myocardial reperfusion, coronary reocclusion and bleeding will be checking. The patient was reviewed that signs of bleeding below the skin are probable and will clear with time.

Catheter Teaching 1556

Instructed patient about your Foley catheter daily Care: Always wash your hands before and after
doing catheter care. Use soap and warm water. Keep your skin and catheter clean. Clean the skin
around your catheter at least once each day. Clean your skin area and catheter after every 
bowel movement. These will help prevent a bladder or kidney infection and will keep you more
comfortable.

Bicalutamide (Casodex) Teaching 1575

Instructed patient in new medication side effects ; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.

Bicalutamide (Casodex) Teaching 1584

Instructed patient in new medication side effects; the most common side effect is hot flashes (50% of patients) and facial flushing. Alcohol may worsen this reaction, and so it should be cautiously consumed. Other common side effects of the combination are diarrhea, constipation and overall pain including pain in the back, hips and stomach. Less common side effects are breast enlargement and breast pain, which may be due to the bicalutamide alone.

Exercises Teaching 1601

Perform stretching and relaxation exercises before getting out of bed. Use a tub seat and handheld showerhead when bathing when bathing. Rest before difficult tasks. Take frequent rest periods during the activity. Pace activities, and do not rush. Plan trips before going up and down stairs. Roll, push, or pull instead of lifting. Sit to perform an activity instead of standing, when possible. Hold objects close to you instead of away from your body. Use arm supports to perform an activity (i.e., resting elbows on table while shaving, brushing teeth, and eating). Limit activity on days of high air pollution.

Hyperthermia Teaching 1616

SN instructed on hyperthermia. Explained that hyperthermia is when the body's core temperature is below the normal and one start to shiver tremendously which and can turn worse into a glassy stare, pale in color, even frost bite, also altered mental status if severe enough. If by chance pt or any loved one was to start experiencing this, and if in wet clothes, one must get out of them into warm dry clothes. Gradually start warming the body with blankets and avoid giving any liquids if in the stage of altered mental state, due to possibility of person going unconscious. Never give person alcohol, or anything with caffeine. Skin to skin contact can help bring ones body temperature up. If frost bit occurs, one can warm body part usually fingers and toes up in warm to hot water up to 110degrees by soaking for awhile, if person is going to moved out of warm place do not re-warm feet just apply 4x4's in-between toes to avoid them sticking to each other.

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.