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 Introduction to Home Health Care

Introduction to Home Health Care Often, seniors undergo a lot of stress with long-term hospitalization and rehab stays. Prolonged in-patient stays in seniors are common and secondary to various factors, such as, poor management of chronic disease processes, non-healing wounds, falls, repeated infections, and both planned & unforeseen surgeries with accompanying complications. With hospitalization and rehab stays, patients may not recover completely and often fall short on goal accomplishment by the time they are discharged [...]

Safety Measures and Patient Education for Supplemental Oxygen Use

Safety Measures and Patient Education for Supplemental Oxygen Use Instruct all oxygen dependent patients and caregivers on safety measures and precautions to be observed with oxygen use. Reinforce strict instructions regarding “no smoking” in the room, irrespective to oxygen use. Oxygen can get trapped in the bedsheets and curtains for long periods of time and can be a potential source of fire accident. Educate the patient and family on posting “no smoking” and “oxygen in [...]

Nurse Teaching on Safety Measures for Alzheimer’s Patients

Nurse Teaching on Home Safety Measures for Alzheimer’s Patients Nurse educated the patient and caregiver on home safety measures to be observed for Alzheimer’s patients as follows: Avoid/limit the use of mirrors in patient’s room and restroom, as mirror images can be extremely confusing to an individual with Alzheimer’s. It is very common for an Alzheimer’s patient to interpret the image of self in the mirror as a different person and fearing a threat from this [...]

Nurse Teaching on Side Effects of Humalog Use

Nurse Teaching on Side Effects of Humalog Use Nurse educated the patient/caregiver upon the side effects of Humalog use as follows: Hypoglycemia: Hypoglycemia happens to be the most common side effect with Humalog. The risk for this complication multiplies with the patient being noncompliant with the time of Humalog administration, stacking up the doses of insulin too close, and highly irregular eating habits with improper mealtimes. During the episode of hypoglycemia, patients can present with dizziness, [...]

Nurse Teaching on Complications of Diabetic Foot Ulcers

Nurse Teaching on Complications of Diabetic Foot Ulcers Nurse educated the patient/caregiver upon the complications of diabetic foot ulcers as follows: Diabetic foot ulcer usually is an ulcer with full-thickness skin loss and a circular punched out appearance. The ulcer site is surrounded by hard callus, which is thickened and hardened portion of the skin. Due to the neuropathy in poorly managed diabetics, individuals often have poor sensation at the ulcer site, which contributes to the [...]

Nurse Teaching on Types of Stroke

Nurse Teaching on Types of Stroke Nurse educated the patient/caregiver upon the types of stroke as follows: The brain is richly supplied with blood, which delivers oxygen and nutrients to all the brain cells that are highly dependent on them for optimal function. Stroke, also called cerebrovascular accident (CVA) is caused by interruption of blood supply to the brain tissue, which can result in compromised oxygen and nutrient delivery to the affected portions of the [...]

Nurse Teaching on Nephrotic Syndrome

Nurse Teaching on Nephrotic Syndrome Nurse educated the patient and caregiver on the complications of nephrotic syndrome as follows: Glomeruli are the small blood vessels in the kidneys that filter excess fluid and wastes from the blood. Usually protein are bigger molecules and so, cannot pass through the glomeruli, to be filtered out. Proteins in the blood usually draw extra water from the body into the blood stream. This extra water in the blood stream can [...]

Nurse Teaching on Causes and Risk Factors for Myocardial Infarction

Nurse Teaching on Causes and Risk Factors for Myocardial Infarction Nurse educated the patient and caregiver on the causes and risk factors for myocardial infarction as follows: Like every other body organ, even the heart will need oxygen-rich blood to survive. Oxygenated blood is supplied to the heart muscle through arterial system called coronary circulation. Two major coronary arteries branch from the aorta, right and left coronary arteries. Coronary arteries further branch off into smaller [...]

Nurse Teaching on Complications of Unresolved Osteoarthritis

Nurse Teaching on Complications of Unresolved Osteoarthritis Nurse educated the patient and caregiver on the complications of unresolved osteoarthritis as follows: Damage to the cartilage: Osteoarthritis involves damage to the articular cartilage that covers the ends of bones and allows the bones to glide over each other. Articular cartilage minimizes the friction between the joints and makes the movement easier and pain free. Chronic unresolved osteoarthritis leads to complete lysis of the articular cartilage resulting in loose [...]

Nurse Teaching on Risk Factors and Causes of Stroke

Nurse Teaching on Risk Factors and Causes of Stroke Nurse educated the patient and caregiver on risk factors and causes of stroke as follows: Transient ischemic attack (TIA): TIA is defined as a mini stroke, caused by a brief interruption of blood supply to parts of the brain. The symptoms of TIA are the same as stroke but less in intensity and usually resolve in 24 hours timeframe. Since the episode of short-lived, individuals experiencing [...]

Nurse Teaching on Precautions for Trimipramine

Nurse Teaching on Precautions to be Exercised While Taking Trimipramine Patient/caregiver was educated on precautions to be observed while taking Trimipramine as below: Follow closely on the expiration date of the medication. If using a pillbox, check the expiration date on the medication container every time you fill the pillbox. If you are taking this medication for longer periods of time, set enough reminders on your phone for medication pick-up. You can have a reminder [...]

Nurse Teaching on Safety Precautions For Using the Transfer Board

Nurse Teaching on Safety precautions to be Observed while Using the Transfer Board Nurse educated the patient and caregiver on the safety precautions to be observed while using the transfer board as follows: Make sure the transfer board chosen can handle your weight. Check for the weight limitations allowed on the transfer board. Having a most recent weight reading available can help choose the board that best suits your needs. Make sure the transfer board [...]

Nurse Teaching on Overflow Incontinence and Risk Factors for Overflow Incontinence

Nurse Teaching on Overflow Incontinence and Risk Factors for Overflow Incontinence Nurse educated the patient and caregiver on overflow incontinence as follows: Overflow incontinence occurs when the individual is unable to empty the bladder completely. When the bladder is incompletely emptied, a portion of urine is retained in the bladder. Gradually more volume of urine is accumulated in the bladder, thus resulting in overflow and sudden leaking of a portion of the accumulated urine. Backup [...]

Nurse Teaching on Timed Voiding for Bladder Retraining

Nurse Teaching on Timed Voiding for Bladder Retraining Nurse educated the patient and caregiver on how to practice timed voiding as follows: Timed voiding pattern is a behavior therapy of bladder retraining. By frequently emptying the bladder and thereby, reducing the back-up of urine in the bladder, timed voiding helps prevent development of urinary tract infections. This nurse teaching covers some important steps on how to educate or practice timed voiding. The goal of timed voiding [...]

Nurse Teaching on Signs and Symptoms of of Inflammation

Nurse Teaching on Signs and Symptoms of Inflammation Nurse educated patient and caregiver on signs and symptoms of inflammation as follows: Pain: Pain at the site of injury is secondary to chemical mediators of pain, such as, histamine, bradykinin, and prostaglandins. Heat: Heat is secondary to increased blood flow to the site of injury, providing more oxygen and cells needed for protection and healing of the site. Redness: Redness is secondary to increased blood flow [...]

Nurse Teaching on Observing Hand Hygiene Protocol during Wound Care

Nurse Teaching on Observing Hand Hygiene Protocol during Wound Care Nurse educated the patient and caregiver upon when to observe hand hygiene protocol during wound care as follows: Perform hand hygiene before donning the gloves and starting to gather wound care supplies in the patient environment. The supplies are considered a clean environment and accessing the supplies without proper hand hygiene can potentially contaminate them. Read through the wound care orders carefully and gather all [...]

Nurse Teaching on Measures to Prevent Exacerbation of Hypertension

Nurse Teaching on Measures to Prevent Exacerbation of Hypertension Nurse educated the patient and caregiver on measures to prevent exacerbation of hypertension as below: Observe compliance with log maintenance of everyday blood pressure and heart rate readings. Report to your physician regarding any consistent systolic readings below 90 and above 160. Report consistent diastolic readings below 60 and above 90. Report any consistent heart rate readings below 55 and above 100. Observe compliance with all [...]

Nurse Teaching on Risk Factors for Developing ARDS

Nurse Teaching on Risk Factors for Development of Acute Respiratory Distress Syndrome (ARDS) Nurse educated the patient and caregiver on the risk factors for development of ARDS as follows: ARDS usually occurs in patients, who are severely ill, hospitalized, and have many factors of comorbidity. Injury to the lungs and alveoli can occur secondary to conditions such as, Severe sepsis Excessive inhalation of exhaust fumes Unresolving pneumonia Near drowning with fluid accumulation in the lungs Major [...]

Nurse Teaching on Signs and Symptoms of Polycystic Kidney Disease (PKD)

Nurse Teaching on Signs and Symptoms of Polycystic Kidney Disease (PKD) Nurse educated the patient and caregiver on signs and symptoms of polycystic kidney disease as follows: UTIs: Patients with multiple cysts of the kidney frequently present with UTIs. Enlarged cysts in the kidneys can compress onto the urinary tubules and result in obstruction to the urine flow and retention of urine in the kidney. Retained urine is always a risk factor for development of UTI. [...]

Nurse Teaching on Functions of Different Parts of the Brain

Nurse Teaching on Functions of Different Parts of the Brain Nurse educated the patient and caregiver on the functions of different parts of the brain as follows: Brain is broadly divided into cerebrum or the cerebral cortex, cerebellum, and brainstem, each part performing different functions and put together contribute to the normal function of the brain. Cerebrum is the big dome-shaped part of the brain, divided into many lobes, and occupies major part of the [...]

Nurse Teaching on Sites for Insulin Administration

Nurse Teaching on Sites for Insulin Administration Nurse educated the patient and caregiver on sites for insulin administration as follows:  Insulin is administered into the less sensitive layer of fatty tissue, just underneath the skin (subcutaneous fat). Injecting insulin into the fat layer beneath the skin can help absorption of insulin into the blood stream at a desired and consistent rate. Insulin can be injected into the subcutaneous fat available at various body sites by using insulin [...]

Nurse Teaching on Route of Insulin Administration

Nurse Teaching on Route of Insulin Administration Nurse educated the patient and on route of insulin administration as follows: Insulin is administered into the less sensitive layer of fatty tissue, just underneath the skin (subcutaneous fat). Injecting insulin into the fat layer beneath the skin can help absorption of insulin into the blood stream at a desired and consistent rate. To facilitate insulin administration into the subcutaneous fat, insulin is administered via insulin syringe, insulin pen, or [...]

Nurse Teaching on Systematic Factors Contributing to Delayed Wound Healing

Nurse Teaching on Systematic Factors Contributing to Delayed Wound Healing Nurse educated the patient and caregiver upon overall systematic factors contributing to delayed wound healing as follows: Poor nutritional status: Adequate nutrition intake, especially protein intake, is needed for timely wound healing. Protein is essential for development of granulation tissue, resulting in quickening of the healing process. Individuals with history of malnutrition can present with poor protein intake, which can compromise growth of granulation tissue, [...]

Nurse Teaching on Distraction Technique for Pain Management

Nurse Teaching on Distraction Technique for Pain Management Nurse educated the patient and caregiver regarding practicing distraction technique for pain management as follows: Distraction is an alternative pain management technique of shifting the attention away. Distraction can help with masking and reducing the experience of pain, by consciously training the mind to focus on an activity, but does not completely terminate the pain. Practice distraction technique by listening to some soothing music or a song [...]

Nurse Teaching on Hypoglycemia in Diabetic Individuals

Nurse Teaching on Common Causes of Hypoglycemia in Diabetic Individuals Nurse educated the patient and caregiver regarding common causes of hypoglycemia in diabetic individuals as follows: Irregular eating habits: Appropriate eating habits at regular intervals is very important to maintain the blood sugar levels in a healthy range. Individuals practicing intermittent fasting or those with irregular eating habits can often miss a meal and consequently, stand the risk for presentation with low blood sugars. Advanced [...]

Nurse Teaching on Coping Measures for Depression

Nurse Teaching on Self-help and Coping Measures for Individuals with Depression nurse educated the patient and caregiver upon self-help and coping measures for depressed individuals as follows: Do not shy away from seeking expert opinion on your condition. Always involve your physician/psychiatrist, family, well-wishers in your depression management and seek their advice, as needed. Notify your doctor appropriately on your response to treatments, any side-effects experienced with medications prescribed, any uncontrolled or worsening symptoms of [...]

Nurse Teaching on Exercises to Help Prepare for Shoulder Replacement Surgery

Nurse Teaching on Exercises to Help Prepare for Shoulder Replacement Surgery Nurse/physical therapist educated the patient/caregiver regarding exercises to help prepare shoulder joint replacement surgery as follows: Pain in the joint can be a deterrent for participation in the exercise schedule. Taking a pain medication 30 minutes before the exercise schedule can help with better pain control and improved compliance with therapy. Placing an ice pack on the shoulder joint for 30 minutes before and [...]

Nurse Teaching on Risk Factors for Development of Varicose Veins

Nurse Teaching on Risk Factors for Development of Varicose Veins Nurse educated the patient and caregiver on the risk factors for development of varicose veins as below: Age: With advancing age, the valves in the veins helping with unidirectional blood flow in the lower limbs, towards the heart, lose their ability to regulate the blood flow. Also, the veins lose their elasticity with age, allowing them to stretch beyond limits and accommodate increasing volume of venous [...]

Nurse Teaching on Local Factors Contributing to Delayed Wound Healing

Nurse Teaching on Local Factors Contributing to Delayed Wound Healing Nurse educated the patient and caregiver upon local factors, inherent to the wound condition, contributing to delayed wound healing as follows: Excessive edema involving the wound site: Healthy blood flow to the wound site is needed for quicker wound healing, as it brings in oxygen and nutrients to the healing wound tissue. Ample blood flow also brings in white blood cells into the wound tissue, [...]

Nurse Teaching on Mechanism of Insulin Action

Nurse Teaching on Mechanism of Insulin Action Nurse educated the patient and caregiver on mechanism of insulin action as follows: Insulin is a hormone naturally produced by the pancreas in your body. Insulin helps with shifting the glucose from the blood into the cells of body tissues. This helps with regulating the blood sugar levels. Also, glucose transported into the cells provides nutrition to the cells and thus is utilized for the metabolism and normal [...]