bedbound-patient
General
Patient instructed on stress avoidance techniques such as: listening to relaxing music, meditation, distracting oneself from the stressor/s, and to engage in immersive yet relaxing activities.
Instructed caregiver reducing additional risk factors, such as , high cholesterol, and elevated blood glucose, are important in prevention and treatment of a diabetic foot ulcer. Wearing the appropriate shoes and socks will go a long way in reducing risks. the patient podiatrist can provide guidance in selecting the proper shoes.
Instructed patient unlike gauze bandages that merely cover a wound, V.A.C. therapy actively works to help the wound healing process. The V.A.C.therapy system helps: promote wound healing, provide a moist wound healing environment, draw wound edges together, remove fluid and infectious materials, reduce wound odor, reduce the need for daily dressing changes.
Instructed patient when should I call my clinician when on V.A.C. Therapy: immediately report to your clinician if you have any of these symptoms: fever over 102°, diarrhea, headache, sore throat, confusion, sick to your stomach or throwing up, dizziness or feel faint when you stand up, redness around the wound, skin itches or rash present, wound is sore, red or swollen, pus or bad smell from the wound, area in or around wound feels very warm.
Instructed patient It will take 4-6 weeks to heal completely after surgery. During this time, it is normal to: Have mild trouble with short-term memory or feel confused or “fuzzy-headed”Feel tired or have little energy,Have mild trouble with short-term memory or feel confused or “fuzzy-headed”, Feel tired or have little energy, Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath, Have weakness in your arms for the first month, Have trouble sleeping. You should be sleeping normally within a few months. Have some shortness of breath. Have weakness in your arms for the first month
Instructed patient call your doctor or nurse if: You have chest pain or shortness of breath that does not go away when you rest. You have pain in and around your incision that does not continue to get better at home.Your pulse feels irregular it is very slow (fewer than 60 beats a minute) or very fast (over 100 to 120 beats a minute).
Instructed patient watch for these problems: a hole in the skin where the IV is -- medicine or fluid can go into the tissue around the vein. This could harm the skin or tissue.Swelling of the vein -- this can lead to a blood clot (called thrombophlebitis).
Instructed patient supplies that can be cleaned and disinfected for re-use: Trach tubes Trach swivel adapters Trach ties, Aerosol masks ,T-Pieces, Speaking valves, Nebulizers, Most hard plastic supplies. Cleaning your respiratory equipment: (Weekly),Cleaning and Disinfecting the Humidifier: (Daily)
Instructed patient the following is a list of preventive measures that may help to avoid some problems: Make sure that the trach is open to air and that nothing is blocking it such as clothing or bedding. Always have a child nap or sleep with their apnea monitor or pulse oximeter on. Do not discontinue their use unless discussed with your ENT doctor.
Instructed patient t other S/S of cardiac complications requiring medical intervention such as: increased SOB, palpitations, irregular heart beat, faintness, and weakness. Replace butter and margarine with heart-healthy oils such as olive oil and canola oil. Other heart-healthy foods include walnuts, fatty fish like salmon and tuna, whole-grain breads, low-fat dairy products, beans, and lean meats. Ask your caregiver how much salt you can eat each day. Avoid salt substitutes.