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Tracheotomy Teaching 2037

SN instructed patient about tracheotomy care dressing changes promote skin integrity and help prevent infection at the stoma site and
 in the respiratory system. The patient should be instructed at least once per shift, apply a new dressing to the stoma site to absorb secretions and insulate the skin
. After applying a skin barrier, apply either a split - drain or a foam dressing. Change a wet dressing immediately.

Colostomy care Teaching 2196

Ostomy care Rinse the soap off the skin around your stoma very well because the residue may keep your skin barrier from sticking and may also cause skin irritation.

Pain Management Teaching 661

Patient was instructed on pain management. Diabetes pain usually strikes first in the hands and feet. A common pain syndrome from diabetes is described as

Pain Management Teaching 664

Patient was instructed on pain management. Diabetes alters sensation in the smallest nerves, which happen to lie at the end of the peripheral nervous system, in the hands and feet. Diabetes starves these tiny nerves. As a result the nervous system becomes confused about what is and isn

Hyperglycemia Teaching 1719

Instructed patient to eat healthy food, as people with diabetes do not need special foods. The foods on your diabetes eating plan are the same foods that are good for everyone in your family. Try to eat foods that are low in fat, salt, and sugar and high in fiber such as beans, fruits and vegetables, and grains. Eating right will help you reach and stay at a weight that is good for your body, keep your blood sugar in a good range and prevent heart and blood vessel disease.

Hyperglycemia Teaching 1720

Instructed to patient exercise is good for those with diabetes. Walking, you can even get exercise when you clean house or work in your garden. Exercise is especially good for people with diabetes because exercise helps keep weight down. Exercise helps insulin work better to lower blood sugar, exercise is good for your heart and lungs. Exercise after eating, not before, test your blood sugar before, during, and after exercising. Don't exercise when your blood sugar is over 240, avoid exercise right before you go to sleep, because it could cause low blood sugar during the night.

Catheter Teaching 1633

SN instructed patient/CG keep the skin around your biliary catheter dry. You can take showers if you cover the area with plastic wrap. If the area does get wet, dry the skin completely after you shower.

PICC Line Teaching 1820

Instructed patient about when should you seek 
immediate help? Call nurse or go to the emergency room if: The area around where the catheter enters your skin looks red, 
feels warm or painful, or it is oozing fluid. You see a red line going up your arm from the place where the catheter enters your
 skin. Your arm will also be painful.

Tracheostomy Teaching 1853

Instructed patient as much as possible, the skin should be kept clean and dry. You may need to clean the skin around the trach tube several times throughout the day. Call your doctor if you notice thick secretions that are yellow or green in color.

Colostomy Teaching 1868

Instructed patient in some cases of colostomy, skin irritation or infection can result from stool that leaks under the bag. A hernia can develop around a colostomy, and the bowel may become narrow. Taking good care of your stoma and eating a balanced diet can help you avoid these problems. Pouching systems are waterproof. However, you may feel more secure if you wear an ostomy belt or put 
tape around the edges of your skin barrier when you are in the water.