high blood pressure
The patient was instructed in glaucoma and the causes that rise intraocular pressure and should be evaded, constrictive clothing around the neck or torso, lifting heavy objects. The patient was advised of the need to wear an eye patch or sunglasses to evade anxiety with light exposure. The patient was reviewed the meaning of not touching the eye. The patient was taught in the way for cleansing the eye. The patient was instructed in the significance of using glaucoma medication in the unoperated eye. The patient was instructed in the home safety precautions wanted because of reduced bordering vision, turn the head to visualize either sideways, use up-and-down head movements to reviewer stairs and oncoming objects and walk slowly.
Instructed caregiver that treatment includes proper positioning, always avoid placing any weight or pressure on the wound site.
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 all bed-bound and chair-bound persons, or those whose ability to reposition is impaired, to be at risk for pressure ulcers.
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Take care of the Skin Inspect the skin at least once every day. Pay attention to any red areas that remain even after changing position.
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
Patient with biliary catheter SN instructed patient when to call the doctor or go to emergency: Active bleeding at the drain site that does not stop after you put finger, pressure on it, more pain or swelling at or around the drain site, your temperature is greater than 101 degrees fahrenheit, with or without chills
Instructed patient about vacuum assisted closure ( VAC ) therapy as it promotes wound healing through negative pressure wound therapy.
Instructed caregiver vacuum-assisted closure (VAC) therapy is intended to manage the environment of surgical incisions that continue to drain following sutured or stapled closure by maintaining a closed environment and removing exudates via the application of negative pressure wound therapy
Instructed patient through the use of negative pressure wound therapy, a standard surgical drain, and optimized nutrition, fistula drainage was redirected and the abdominal wound healed, leaving a drain controlled enterocutaneous fistula. Patient control of fistula drainage and protection of surrounding tissue and skin is a principle of early fistula management.