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Ulcerative Colitis Teaching 1531

The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.

Docusate Teaching 1552

Patient was instructed in a list measures to meet diet requirements to avoid constipation such as: increase fiber foods (grains, vegetables, legumes) and increase sugar free liquids, avoid prolonged sitting or bed to promote bowel movement, also take medication as order, Docusate Ca 240 mg 1 tab PO PRN for constipation

Docusate Teaching 1553

Patient was educated to follow an adequate diet, high in vegetables cereals and increase the sugar free liquid intake as tolerated and recommended by MD to avoid constipation, also take medication as order, Docusate Ca 240 mg 1 tab PO PRN for constipation.

Teaching 1564

PATIENT IS INSTRUCTED THAT Rather than avoiding vitamin K, PATIENT should maintain a consistent intake of vitamin K by maintaining a consistent diet. In other words, from week to week, you should eat the same types of foods. THERE ARE MANY FOOD RICH IN VITAMIN K SUCH AS green vegetables, especially leafy green vegetables, and certain oils have a high content of vitamin K. Most fruits, meats, dairy products, and grains are low in vitamin K.

Coumadin Teaching 1568

Instructed about diet as a major factor that can affect the stability of your Coumadin level. Explained about Vitamin K and its importance for blood to clot and why it's important in patients taking Coumadin, because high amounts of Vitamin K (e.g.green and leafy vegetables like lettuce, spinach and broccoli)can work against the drug. Instructed patient to eat what he normally eats just as long as he's consistent with his vitamin K foods. Verbalized understanding.

Diabetes Teaching 1579

SN instructed patient on diabetic diet:it is commonly thought that people with diabetes should avoid all forms of sugar. Most people with diabetes can eat foods containing sugar as long as the total amount of carbohydrates (carbs) for that meal or snack is consistent.Many research studies have shown that meals which contain sugar do not make the blood sugar rise higher than meals of equal carbohydrate levels which do not contain sugar. However, if the sugar-containing meal contains more carbs, the blood sugar levels will go up.

Diabetes Teaching 1599

SN assessment done on all body systems. Checked blood sugar daily monitoring on patient's log book, hydration, dietary, and medication compliance. Instructed patient on keeping blood glucose within normal range and preventing the development of long-term complication. Careful monitoring of diet, exercise and blood sugar levels are as important as the use of oral medications in preventing complications of diabetes. Also taught infection control, safety/fall precautions and preventions, and to contact MD for any emergency and/or medical concerns and changes.

Diabetes Teaching 1600

SN complete assessment done on all body systems, checked vital signs, blood sugar monitoring, hydration, nutrition intake, and medication compliance. SN refilled patient’s medication box for daily routine. Taught patient to carefully manage her blood sugar with diet, physical activity, and medication to prevent diabetes complication and avoid hypo/hyperglycemia.

Colostomy Teaching 1654

SN instructed patient and family on how to change the colostomy bag. Patient also educated on to drink more water and fruit juices, up to six to eight glasses per day. Include fresh fruits and vegetables in your diet, as well as fibrous foods such as whole-grain breads and cereals to prevent constipation

Dexamethasone Teaching 1710

Skilled nurse instructed patient about medication Dexamethasone is a corticosteroid that prevents the release of substances in the body that cause inflammation. Dexamethasone is also used to treat certain types of cancer. Your doctor may instruct you to follow a low-sodium, low-salt, potassium-rich, or high-protein diet. Follow these directions. Dexamethasone may cause an upset stomach. Take dexamethasone with food or milk. Dexamethasone may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: upset stomach, stomach irritation, vomiting, headache, dizziness.