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Instructed patient to keep feet dry, especially between toes, to use lotion to keep skin soft and moist and to keep feet clean. Wash daily with lukewarm water.
Instructed patient on how to recognize the signs and symptoms of angina such as: SOB, chest pain, anxiety, indigestion, sweating, and shortness of breath. Contact your primary care physician if the condition worsens, or if you exhibit other symptoms.
Patient was instructed on measures for fire safety: Store flammable substances in a well-ventilated area. Use candles with caution. Put doors and screens on fire places.
Taught that scheduling activity when most tolerated (after rest periods and, at least, one hour after meals) is a measure aimed to increasing tolerance in response to increased physical activity.
The patient was instructed in coronary artery bypass graft surgery that complete curative and recovery take 8 to 12 weeks. The patient was informed that the sternum was wired together and that a feeling of movement or a clicking sound is normal during the healing period. The patient was taught that minor itching, redness, numbness, soreness, swelling, or a drawing feeling is normal during the healing period. The patient was advised to avoid lifting or carrying heavy objects or performing isometric activities.
The patient was instructed in fractures in stress the importance of turning and moving frequently to evade skin breakdown. The patient was advised to handle hurt tissues softly by supporting the joint above and below the location. The patient was explained in how to wound care. The patient was recommended to elevate the extremity and apply ice bags. The patient was instructed in the use of ambulatory aids, crutch walking, cane, and walker. The patient was explained in the importance of range-of-motion exercises to maintain function of natural joints. The patient was taught in exercises to maintain strength and facilitate resolve of inflammation.
The patient was instructed in hypothyroidism the need to evade infections. The patient was advised not stopping thyroid medications.
Patient was given teaching on good body mechanics to avoid injury such as: keep your back straight as you walk and also when lifting making sure to never bend at the waist. If sitting put a pillow or rolled towel to support your lower back.
Instructed caregiver about adequate hydration is necessary to keep secretions thin and mobile. Humidified tracheostomy collars provide some moisture but are not a source of hydration.
SN instructed patient about tracheotomy care dressing changes promote skin integrity and help prevent infection at the stoma site and in the respiratory system. The patient should be instructed at least once per shift, apply a new dressing to the stoma site to absorb secretions and insulate the skin . After applying a skin barrier, apply either a split - drain or a foam dressing. Change a wet dressing immediately.