Saturday, May 16, 2015

Week 7: How nurses can help you!

Since individuals with shingles do not usually require inpatient care, much of the nursing care includes education for the patient, and pain management techniques.  It is important for the nurse to assess your level of pain.  They will ask you the intensity of your pain (rating from 0 to 10, 0 being no pain and 10 being the worst pain you have ever felt in your life).  Along with intensity, the nurse will want to know the location, quality, and aggravating and relieving factors of this pain.  Once the nurse knows the condition of the pain, and then she can appropriately administer the medications she has on hand.   To improve the pain reduction, nurses can teach how to apply wet dressings, or calamine lotion on the hurting tissue (Nursing Crib, 2009).  There are also relaxation techniques that the nurse may teach such as guided imagery and deep breathing.  Guided imagery is a technique that directs and focuses the imagination (Health Journeys, 2015).  Here are two websites that you can learn more about the techniques of guided imagery now!


http://www.self-guided.com/guided-imagery.html 


These nurses will also help you with the delivery and timing of your medications. They will explain what you need to take, why you need to take it, how it works inside of the body, and specific side effects to look for.  If you are using an ointment to control the rash, then they will teach you proper application (Nursing Crib, 2009). 

Nurses will teach you how to prevent the spread of this virus.  Some of this teaching may include proper hand washing (Nursing Crib, 2009).  Hand washing is the single best way to prevent transmission of infectious disease.  When washing your hands with soap and water, first wet your hands in warm water.  Making sure to keep your hands lower than your elbows, lather the soap on all surfaces of your hands for 30 seconds (palms, backs of hands, between fingers, thumbs, fingernails). Rinse until all soap is off and then dry hands.  Turn off faucet with another paper towel. 

http://msutoday.msu.edu/news/2013/eww-only-5-percent-wash-hands-correctly/

Since this may elicit an emotional experience for the patient, nurses will also assess for emotional distress.  They will be there to listen and guide you in the appropriate direction with your thoughts and feelings.  They will explain the pathophysiology of the disease to make sure you understand the process that is occurring within your body.

With all of this teaching, the nurses should elicit a teach back method.  The nurses will ask you to show them what they have taught you, or you teach them the medication schedule.  This makes sure you understand all of the proper treatments and methods of prevention that you should be practicing.

References:

Health Journeys. (2015). The 3 principles of guided imagery. Retrieved from

Mills, H., Reiss, N., & Dombeck, M., (2015). Visualization and guided imagery techniques for stress reduction.  Retrieved from http://sevencounties.org/poc/view_doc.php?type=doc&id=15672&cn=117


Nursing Crib. (2009). Herpes zoster (Shingles). Communicable Diseases. Retrieved from http://nursingcrib.com/communicable-diseases/herpes-zoster-shingles/

Photos:


Borchgrevink, C., Henion, A., (2013). Eww! Only 5 percent wash hands correctly. Michigan State University. Retrieved from http://msutoday.msu.edu/news/2013/eww-only-5-percent-wash-hands-correctly/

Self guided. (2009). Guided imagery for relaxation and stress management. Retrieved fromhttp://www.self-guided.com/guided-imagery.html


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