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Wound Care Teaching 1807

Instructed caregiver reducing additional risk factors, such as , high cholesterol, and elevated blood glucose, are important in prevention and treatment of a diabetic foot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks. the patient podiatrist can provide guidance in selecting the proper shoes.

Wound Care Teaching 1808

Instructed caregiver inspect patient's feet every day—especially the sole and between the toes—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health-care provider, remove your shoes and socks so your feet can be examined. Any problems that are discovered should be reported to patient's podiatrist as soon as possible; no matter how simple they may seem to you.

PICC Line Teaching 1819

Skilled nurse performed PICC line dressing change , prepare to change your dressing in a sterile (very clean) way , 
Remove the dressing and check patient's skin, clean the area and catheter, place a new dressing, Tape the catheter to
 secure it and write down the date you changed your dressing.

Mastectomy Teaching 1850

Patient with bilateral mastectomy with strips with moderate serosanguineous drainage, and two Jackson-pratt skilled nurse performed JP Drain Care , the JP drain removes fluids by creating suction in the tube. JP#1 drain 30 ml and JP#2 drain 25 Ml serosanguineous drainage .The bulb is squeezed flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid.

Tracheostomy Teaching 1862

Instructed patient what to do if a person has trouble breathing The most common reason for breathing problems, other than an illness, is If you have trouble passing the catheter into the trach and it feels tight, put a few drops of saline into the tube and try to suction again. Do not force the catheter; it may push the plug in further. If you are unable to remove the mucus plug, change the trach tube and try to suction again.

PICC Line Teaching 1883

Instructed patient how prevent infections: rub your hands together vigorously for at least 15 seconds. Make sure to rub the front and back of each hand up to the wrist, your fingers and fingernails, between the fingers, and each thumb. Rinse your hands with warm water. Dry your hands completely with a new, unused paper towel. Don’t use a cloth towel or other reusable towel. These can harbor germs.

Colostomy Teaching 1887

Instructed patient / caregiver having a stoma is a major event and patients can become very anxious and depressed. Adequate counseling is vital and this may need to include mental health specialists.

Heart Surgery Teaching 1893

Instructed patient common post-operative guidelines following minimally invasive heart valve surgery include the following: you will be encouraged to walk, gradually increasing the distance and frequency. Your doctor may recommend an outpatient cardiac rehabilitation program for exercise and education, you will have soreness and bruising around the incision site. You will be given pain medication to keep you comfortable.

Intertrigo Teaching 1903

SN instructed Patient about intertrigo: It is usually a chronic with insidious onset of itching, burning, and stinging in skin folds. Intertrigo commonly is seasonal, associated with heat and humidity or strenuous activity in which chafing occurs. In addition to obesity and diabetes, hyperhidrosis may be a risk factor for intertrigo. Additional factors that predispose individuals to perineal intertrigo include urinary or fecal incontinence, vaginal discharge, or a draining wound.

Angina pectoris Teaching 1904

SN instructed caregiver on some measures aimed to controlling/managing Angina Pectoris, such as: have blood pressure monitored, eat a diet high in fiber, exercise regularly (as directed by MD) and take stool softeners, as needed, dress warmly in cold weather, avoid sleeping in cold rooms and avoid becoming overheated, eat small, frequent meals and rest after meals, learn stress management techniques.