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Catheter Teaching 1954

SN instructed patient on signs of central catheter problems. The signs of catheter infection and problems are similar for all types of central venous catheters. If you have any sign of infection or catheter problem, call your doctor immediately. In addition signs of infection, clotting, or other problems include: Redness, tenderness, drainage, warmth, or odor around the catheter site Fever of 100.5F (38 C) or greater, or chills, swelling of the face, neck, chest, or arm on the side where your catheter is inserted, leakage of blood or fluid at the catheter site or the cap, inability to flush the catheter, or resistance to flushing the catheter, displacement or lengthening of the catheter. Patient verbalized understanding

Joint pain Teaching 2124

Sn explain that the joint pain can affect one or more joints. The joint pain can be caused by many types of injuries or conditions. It may be linked to arthritis, bursitis, and muscle pain. No matter what causes it, this can be very bothersome. Some things that can cause joint pain are: Autoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Crystals in the joint: Gout ( especially found in the big toe ) and Calcium pyrophosphate deposition (CPPD ) ( pseudo gout ) Infections caused by a virusInjury, such as a fracture Osteoarthritis Osteomyelitis ( bone infection ), Septic arthritis ( joint infection ) Tendinitis Unusual exertion or overuse, including strains or sprains.

Flu Teaching 2477

Instructed patient to get a flu shot each year and decrease the exposure to the flu. Avoiding the flu is especially important for people who have or are at risk for heart disease. This highly contagious infection causes symptoms similar to the common cold, only more severe, other symptoms include debilitating muscle or body aches, vomiting and diarrhea, and fever. Having a serious infection puts extra stress on your heart, which increases your heart's need for oxygen. Coughing and congestion can make breathing more difficult. As a result, your heart may not get sufficient oxygen. Patient verbalized understanding.

Skin Care Teaching 637

Patient was instructed on proper skin care after bathing. Do not put oils or creams between the toes. The extra moisture can lead to infection. Also don't soak the feet that can dry the skin.

Miscellaneous Teaching 964

Instructed on the importance of reporting early signs and/or symptoms of infection.

Cough Teaching 1395

The patient was instructed in chest trauma flail chest how to splint the chest when coughing to avoid pain. The patient was encouraged to review upper respiratory infection, shortness of breath, persistent cough, and persistent chest pain.

Teaching 1519

Infection control measures and proper hand washing techniques. Hand washing has to be done to prevent the growth of microorganisms on the nails, hands, and forearms. When hands are visibly dirty or contaminated with proteinaceous material or are visibly soiled with blood or other body fluids, wash hands with soap and water, if hands are not visibly soiled, use an alcohol-based hand rub for routinely decontaminating hands. Wash hands before eating and after using a restroom. Wash hands for at least 15 seconds, covering all surfaces of the hands and fingers, rinse hands with water and dry thoroughly with a disposable towel, use towel to turn off the faucet, use hand lotions or creams to minimize the occurrence of irritant contact dermatitis associated with hand antisepsis or hand washing.

Lobectomy Care Teaching 2044

SN instructed patient on Lobectomy Care. The deep breathing and coughing will decrease your risk for a lung infection. Take a deep breath and hold it for
 as long as you can. Let the air out and then cough strongly. Deep breaths help open your airway. You may be given an 
incentive spirometer to help you take deep breaths. Put the plastic piece in your mouth and take a slow, deep breath. Then let the air out and cough. Repeat these steps 
10 times every hour.

Wound Care Teaching 2107

SN teaching the patient / caregiver on S / S ( signs / symptoms) of wound infection to report to physician, such as increased temp >100.5, chills, increase in drainage, foul odor, redness, or unrelieved pain.

Peg Tube Teaching 2234

Instructed patient for the first 4-6 weeks after placement of a new PEG, bath water should not be so deep that the tube is 
under the water. Shower water should fall on your back only. For a balloon, low profile, or older PEG tube you can take a 
bath or shower as you normally do. Instructed patient call nurse or doctor if your body changes: your skin around tube has signs of infection: redness, warm to touch, firm to touch , tender.