HEALTH TEACHING

Name: Birondo and Canlas Date Of Submission: November 8, 2021

Yr/Sec/Grp.: BSN 3G Group 1 Area: Female Medical Ward
Objectives: After 20 minutes of health teaching, the patient will be able to:
1. Discuss the importance of taking the medication as directed.
2. Enumerate other treatment aside from the given medication and the benefits of exercise, good hygiene and healthy diet.
3. Practice the guidelines on self-care ( exercise, hygiene and diet) that is to be presented.

Exercise Treatment Hygiene Outpatient Diet

Medication
Generic Name:
Paracetamol, Metoclopramide,
Cytoxan, Adriamycin
Brand Name:
Ifimol IV, Reglan, Neosar,
Rubex
C- Analgesics and antipyretics,
prokinetic agents, alkylating
agent, Anthracycline
chemotherapy
H-
Paracetamol: Paracetamol takes
up to an hour to work. It keeps on
working for about 5 hours.
Metoclopramide: Tablets and
liquid usually start to work after
30 to 60 minutes.
Cytoxan: Onset: 7 days. Nadir:
10-14 days. Recovery: 21 days.
Adriamycin: This typically
begins two to three weeks after
treatment starts
E-
Paracetamol: Every 4 hours,
PRN.
Metoclopramide: Every 4 hours,
PRN.
Cytoxan: Every 3 weeks.
Adriamycin: Every 3 weeks.
C- Educate the client and client’s
guardian about the adverse effect
of the drug and also the purpose of
taking the medications.
Administer antibiotics as
indicated.
K-
- Assess if patient is capable
of doing a certain exercise
program.
- Advice patient to do
aerobic, cardio, and
flexibility activities.
1. Flexibility Exercises -
Virtually everyone can do
flexibility exercises.
"Stretching is important to
keep moving, to maintain
mobility.
2. Aerobic Exercise - builds
cardiovascular fitness,
which lowers the risk of
heart attack, stroke, and
diabetes.
- Advice patient to start
slowly with an activity they
enjoy and gradually build
up the amount they do.
- Setting realistic goals,
keeping a record of how
much activity they do and
sharing your progress with
other people may help the
patient to stay motivated.
1. Surgery
- Surgery is the removal of the
tumor and some surrounding
healthy tissue during an
operation. Surgery is also used
to examine the nearby axillary
lymph nodes, which are under
the arm.
2. Radiation Therapy
-Radiation therapy is almost
always recommended along
with breast conserving
therapy (lumpectomy) to try
and ensure that all cancer
cells within the breast are
destroyed. In certain
circumstances, it may also be
used after mastectomy.
3. Chemotherapy
- Chemotherapy given before
surgery (called preoperative or
neoadjuvant chemotherapy) is
used to shrink bigger tumors
or those that cannot easily be
treated by surgery at the time
they are first found. The goal
of this treatment is to shrink
the tumors so that the tumor
can then be removed by
surgery.
4. Music therapy, meditation,
stress management, and yoga
for reducing anxiety and
stress.
5. Acupressure and
acupuncture to help with
nausea and vomiting from
chemotherapy.
1. Bed Bath and Bathing
- For bed bound patients that have
difficulties in movement, bed bath
helps to improve blood circulation
and keep them clean by removing
dead skin, sweat, excess oils.
Shampooing the hair can improve
blood circulation in the scalp and
provide as a treat especially for
female recipients.
2. Oral Hygiene
- Some drugs taken orally may
cause a bad taste in the mouth, or
form a coating around the tongue.
A dry mouth can also be common
for patients that have difficulty
breathing through his/ her nose.
Oxygen treatment, decreased fluid
intake and some medications can
also cause dry mouth. Proper
mouth care is needed to prevent
bad breath and infections, reducing
the risk for tooth decay and gum
disease.
3. Hand Hygiene
- Help patient understand - Consume whole,
the risk of recurrence nutrient-dense foods
and the treatment options like fruits and
to help them feel more vegetables, whole
prepared if the cancer grains, legumes,
does return. protein sources like
chicken and turkey,
- Advise patient to talk fatty fish like trout or
with their doctor about salmon, and plant-
the best ways to check based proteins
for heart problems. sources like lentils
Patients treated with and nuts.
chemotherapy also have
a risk of other long-term - Meet with a
side effects, such as registered dietitian. A
menopausal symptoms, dietitian can help you
fatigue, chemo-brain, design a healthy meal
permanent numbness plan that suits your
and tingling of the food preferences and
fingers and toes, and nutritional needs.
weight gain.
- Add more fluids. If
- Advise patient to your mouth hurts too
practice good oral much to eat solid
hygiene. Chemotherapy foods, get your
can cause dry mouth or nutrition from liquids
sores. This can lead to an like smoothies or
increase in bacteria in nutritional beverages.
their mouth. The bacteria
can cause infection in - Limit caffeine and try
your mouth, which can to eat foods high in
spread to other parts of moisture such as
your body. fruits.
- Instruct patient to - Avoid beer, wine, and
contact doctor if there liquor as these could
are signs of infection interact with the
such as fever or chills, cancer drugs you
diarrhea, severe nausea take.
and vomiting, burning - If you have breast
sensation when cancer, you’re at a
urinating. higher risk of
developing infections.
Avoid raw foods like
sushi and oysters
during your
treatment. Cook
meats, fish, and
poultry to a safe
Teaching points: temperature before
eating them.
Encourage verbalization of
thoughts or concerns and accept
expressions of sadness, anger,
rejection. Acknowledge normality
of these feelings.

Tell client to acknowledge and

report difficulties may be
experiencing.

Tell client to reposition

frequently; keep linens dry and
wrinkle-free in order to reduces
pressure and irritation to tissues
and may prevent skin breakdown
(potential site for bacterial
growth).