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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.

Colostomy Teaching 2368

Instructed patient caregiver when you should call the doctor cramps lasting more than 2 or 3 hours continuous nausea and vomiting, no ostomy output for 4 to 6 hours with cramping and nausea.

Colostomy Teaching 2369

Instructed patient caregiver when you should call the doctor: Severe watery discharge lasting more than 5 or 6 hours bad odor lasting more than a week this may be a sign of infection, a cut in the stoma.

Colostomy Teaching 2370

Instructed patient caregiver when you should call the doctor: Injury to the stoma, bad skin irritation or deep sores (ulcers) a lot of bleeding from the stoma opening or a moderate amount in the pouch that you notice several times when emptying it. Eating beets will cause some red discoloration.

Colostomy Teaching 2371

Instructed patient caregiver when you should call the doctor: continuous bleeding where the stoma meets the skin unusual change in your stoma size or color anything unusual going on with your ostomy.

Cardiac Teaching 2372

Instructed patient and caregiver what not do with her LVAD. Kink, bend or pull your driveline, disconnect the driveline from the controller (under normal circumstances), Sleep on your stomach, Take a bath or swim, Play contact sports, Have an MRI (CT Scans or X-Rays are OK), Attempt to repair LVAD equipment yourself, Leave the house without backup equipment. understanding was verbalized.

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.

Walker safety Teaching 2374

Instructed patient to remember that shorter "trips" take planning too: Any time you leave your home whether it’s a one-hour drive to visit friends or a ten-minute walk to get groceries you will need to bring your backup controller and power sources with you, plus any medications you’re scheduled to take. 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 2376

Instructed patient her LVAD team will give you detailed instructions on what you need to do on a daily basis for your specific device and medical condition. They will also most likely give you a chart (sometimes called a “flowsheet”) customized for your specific device, to fill out daily. Flowsheets make it easy to keep track of your weight, medications, device settings (such as pump speed, power, etc.) and other daily maintenance items. Sample flowsheets are included at the bottom of the page (they vary slightly based on manufacturer). It is a sample only; use the flowsheet provided by your LVAD team. Understanding was verbalized.