Instead of red toothpaste on the nails, I would suggest painting black streaks with a fine line magic marker on your nails and fingertips to show the splinter hemorrhages of acute bacterial endocarditis (see pic: http://220.127.116.11/images/scan_013.jpg
). Also, with a fine red tip marker, make small dots on your palms and soles of your feet for the "Janeway lesions" (see pic: http://www-clinpharm.medschl.cam.ac....aneway_sbe.jpg
I would also do something with your teeth--most, if not all of the clients I have seen with endocarditis had serious dental problems--very poor dental hygiene, caries, rotten teeth. May want to black out a few of your front teeth to get the point across.
May want to make a colorful poster about heart valves and "vegetation" that is attracted to and grows there. (Pic of vegetation on the mitral valve: www.pathology.vcu.edu/education/
Prevention: antibiotic prophylaxis before ANYTHING that is potentially invasive (such as dental work, etc.).
May want to include a pictorial description of antibiotics with an infusaport, as the patient will require MONTHS of parenteral antibiotic therapy.
Once the infection is finally cleared up, the patient will probably require open heart surgery for heart valve replacement surgery
. Might include some info about this also.