pressure ulcer prevention
Instructed caregiver to keep patient's ulcer from becoming infected, it is important to: keep blood glucose levels under tight control; keep the ulcer clean and bandaged; cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.
SN instructed patient and caregiver about Blood pressure. According to the American Heart Association, normal blood pressure is anything below 120/80 mm Hg. If these numbers go higher than 120/80 mm Hg, it is often an indication that the heart is working too hard to pump blood through the arteries. High blood pressure, hypertension is when your blood pressure is 140 / 90 mm / Hg or above most of the time Accurate blood pressure readings are important, as high blood pressure may not cause any symptoms until it is dangerously high. Both parties verbalized understanding.
SN instructed patient and caregiver about Blood pressure. When checking blood pressure at home, Use the cuff's right size for the most accurate reading. Take a few deep breaths and relax for up to 5 minutes before measuring blood pressure do not talk or cross your feet or legs during the test. Measure the blood pressure at a few different times during the day. Patient and caregiver shown correct placement for blood pressure cuff, and is able to return demonstrate home blood pressure monitoring with 100% understanding.
Instructed patient to report to nurse or MD at the first sign or symptom of pressure ulcer formation, for example: redness that remains half an hour after pressure has been removed from area.
Patient was instructed on the risk and factors that contribute to the development of pressure ulcers, such as malnutrition, dehydration, impaired mobility, chronic conditions, impaired sensation, infection, advance age and pressure ulcer present.
Patient was instructed on the importance of a good foot care. Calluses indicate that areas of the feet are receiving too much pressure. If the increased pressure continues, the skin may break down and it is possible to get a foot ulcer.
SN teaching patient / caregiver on measures to prevent pressure ulcers, such as: Clean skin at times of soiling, avoid irritating cleaning agents, use moisturizers on dry skin, do not message bony prominences, keep skin clean and dry, and comply with proper lifting and positioning techniques.
Instructed patient keep pressure off your ulcer, especially if it’s on your foot. This may mean you need to use crutches, special footwear, a brace, or other devices. Reducing pressure and irritation helps ulcers heal faster.
SN instructed patient about high blood pressure. Normal blood pressure is when your blood pressure is lower than 120 / 80 mm / Hg most of the time. High blood pressure ( hypertension ) is when your blood pressure is 140 / 90 mm / Hg or above most of the time.
Skilled nurse educated patient and caregiver on HTN disease process. HTN also known as high blood pressure is a chronic condition where the blood pressure in the arteries is elevated. It is important to seek medical attention for uncontrolled HTN and develop a plan of care with your PCP. It is recommended to check your blood pressure and pulse daily before taking blood pressure medications and logging in a journal. If your blood pressure is elevated wait 1-2 hours and recheck. Contact your doctor or home health agency if problems with blood pressure continue . Patient and caregiver verbalized understanding.