Patient instructed about to controlled copd complications; avoid heavy lifting, avoid outdoors when it is too cold, hot, or humid. High humidity might cause you to become fatigued more quickly. Avoid breathing in quickly and deeply through your mouth after coughing.
Instructed caregiver A.L.F's staff on relieving and preventing patient's leg edema. The first line of defense is: leg elevation. Elevate legs above the level of the heart which puts minimal pressure on the back of the knees and thighs and lower back. Other help to decrease swelling is limiting salt intake, drink plenty of water, avoid sitting with the feet dependent.
Instructed patient about your Foley catheter daily Care: Always wash your hands before and after doing catheter care. Use soap and warm water. Keep your skin and catheter clean. Clean the skin around your catheter at least once each day. Clean your skin area and catheter after every bowel movement. These will help prevent a bladder or kidney infection and will keep you more comfortable.
Instructed patient about your Foley catheter daily Care: Keep your skin and catheter clean. Clean the skin around your catheter at least once each day. Clean your skin area and catheter after every bowel movement. Always keep your urine bag below the level of your bladder. Keeping the bag below this level will prevent urine from flowing back into your bladder from the tubing and urine bag. Back flow of urine can cause an infection. These will help prevent a bladder or kidney infection and will keep you more.
Instructed patient all bed-bound and chair-bound persons, or those whose ability to reposition is impaired, to be at risk for pressure ulcers.
Instructed patient consider nutritional supplementation/support for nutritionally consistent with overall goals of care.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent with overall goals of care.
Instructed caregiver reduce friction by making sure when lifting a patient in bed that they are lifted, not dragged during repositioning, prevent ulcers from occurring and can also help them from getting worse .
Make sure the skin remains clean and dry. Examine the skin daily. Inspect pressure areas gently. Make sure the bed linens remain dry and free of wrinkles. Pat the skin dry, do not rub
SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.