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Nausea Teaching 2144

SN instructed patient on ways of reducing nausea such as, get some fresh air, open a window and take a walk outside. Apply a cool compress to the forehead or back of the neck. Sit up for about an hour after eating to relieve any pressure on the stomach. Try alternative therapies like meditation and acupuncture. Eat smaller meals. Patient nods head in understanding.

Incentive spirometer Teaching 2170

SN instructed patient that the incentive spirometer is used to improve the function of their lungs, and for patient to breathe in from the device as slowly and as deeply as possible, then holds their breath for 2 – 6 seconds, which provides back pressure that pops open alveoli. Patient should do this ten times and repeat 2 to 3 times a day.

Paget disease Teaching 2184

SN instructed patient on Paget disease. Paget disease is a chronic bone disorder. Most people who have Paget disease of bone have no symptoms. When symptoms occur, the most common complaint is bone pain. Paget disease can cause pain in the bones or joints, headaches and hearing loss, pressure on nerves, increased head size, bowing of limb, or curvature of spine. Because this disease causes your body to generate new bone faster than normal, the rapid remodeling produces bone that's softer and weaker than normal bone, which can lead to bone pain, deformities and fractures. To reduce your risk of complications associated with Paget disease of bone, try these tips, prevent falls by using assistive devices like a walker or cane, fall - proof your home. Remove slippery floor coverings, use nonskid mats in your bathtub or shower, eat well. Be sure your diet includes adequate levels of calcium and vitamin D, which helps bones absorb calcium and exercise regularly. Regular exercise is essential for maintaining joint mobility and bone strength.

Cardiac Teaching 2461

SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. SN to instruct patient on disease process, typical symptoms of an underlying cardiovascular issue include: pain or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats

Constipation Teaching 2468

SN instructed that infrequent passage of hard, dry stool, low back pain, abdominal fullness and/or abdominal discomfort, decreased appetite, nausea and/or vomiting, and rectal pressure may constitute as signs/symptoms of constipation. Patient verbalized understanding.

Skin Care Teaching 2496

SN instructed patient and caregiver that the key difference between a suspected deep tissue injury (sDTI) and an unstageable pressure ulcer is that sDTI involves intact skin, whereas an unstageable ulcer involves a breakdown into at least the subcutaneous tissue. An unstageable ulcer is covered with necrotic tissue, such as slough or eschar, formed from remnants of the collagen matrix of subcutaneous tissue. So it’s always a full-thickness ulcer either stage III or stage IV.

General information Teaching 2498

Instruct patient and caregiver regarding self-management of total knee replacement. Instructed patient about how is life different after a knee replacement it’s also normal to have temporary swelling, pressure and/or bruising in your ankles and feet, and these may last for a few months. Here are a couple things you can do to help: ice your knee (always cover ice packs in a towel to avoid frostbite, wear compression stockings, elevate your leg with a pillow, ankle exercises verbalized.

Leg edema Teaching 2510

Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Massage or stroking the affected area toward your heart using firm, but not painful, pressure may help move the excess fluid out of that area. Patient verbalized understanding.

Leg edema Teaching 2511

Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Compression, if one of your limbs is affected by edema, your doctor may recommend you wear compression stockings, sleeves or gloves, usually worn after your swelling has gone down, to prevent further swelling from occurring. These garments keep pressure on your limbs to prevent fluid from collecting in the tissue. Patient verbalized understanding.

Bedbound Teaching 2552

Sn educated caregiver on Hoyer Lift, when a patient is in a bed, roll them on their side toward you. Roll patient away from you onto their other side and pull sling flat and center it under patient. Position arm of hoyer lift over patient. Attach hooks and adjust links to provide proper position and flex. Before attempting to raise the patient, check to make sure that the hydraulic pressure release knob located near the pump handle is completely closed. Understanding was verbalized.