bedbound-patient
General
Sn instructed on monitoring vital signs blood pressure, temperature, oxygen and weight instructed on what equipment is needed and SN will instruct on equipment logging and reporting of vital signs. Sn instructed on importance in logging vital signs and monitoring if medication is working or change of condition. Sn will instruct patient after vitals are done on what to report to physician / nurse ( MD / SN ). Patient verbalized understanding.
Sn Instructed patient / caregiver on the importance in logging blood pressure, blood sugar, oxygen and temperature daily to ensure medication treatment is working. Sn instructed on parameters and what to report to Physician / nurse ( MD / SN ). Instructed that it is important to know parameters and when to contact physician. Instructed this is a good practice to manage medical condition. Patient / caregiver verbalized understanding.
SN instructed patient on ways to prevent Urinary tract infection ( UTI ). Cranberry juice contains active compounds that are able to survive the digestive process. In the urinary tract system, these compounds actively work to fight bacteria. Its effectiveness at treating urinary tract infections has been proven, and regularly consuming cranberry juice can help prevent them. You don’t have to choose straight cranberry juice, it can be blended with apple juice or even water for taste without losing its effectiveness. Water helps to keep the system flushed out, preventing bacteria from accumulating and causing problems. Cranberry juice or cranberry juice cocktails should be offered on a regular basis and water intake should be tracked daily to ensure the patients are consuming enough water. Never Force yourself and wait - when you need to go the bathroom, your needs should be tended to immediately. Do not, under any circumstances, wait for a long period of time. Holding a full bladder for long periods of time can quickly lead to a urinary tract infection. Patient / caregiver verbalized understanding.
Instructed patient check for redness, swelling, any drainage or excess skin growing around the tube. A small amount of clear tan drainage can be normal. Call your care team with any concerns. Instructed patient remove old dressing (if dressing is being used). Look at the area where the tube enters the skin
Instructed patient you may need to check your weight daily or weekly, Your healthcare provider may need to change your feeding if your weight changes too quickly. Instructed patient watched closely for any complications, such as an infection or bleeding.
Instructed patient do not take a bath in a bathtub. Cover the insertion site with clear, plastic wrap and tape to keep it dry before showering. Instructed patient avoid a lot of arm movement and coughing. Avoid lifting weight.
SN instructed the patient about care of incision site. Patient was instructed to check the incision daily for signs and symptoms of infection like increased drainage or bleeding from the incision site, redness in or around it, foul odor or pus coming from the incision, increased swelling around the area and fever above 101.0°F or shaking chills.
SN instructed patient to increase fluid intake after discharge for constipation due to anesthesia and pain medication. Patient may also try warm prune juice, stool softener (Senokot) or magnesium citrate.
Instructed patient ensure that tube is kept straight and not bent to allow proper flow of urine. Also patient waterproof the dressing before shower and to change the urine drainage bag every 7 days.
SN instructed patient/ CG about thickened liquids. SN explained that thickened liquids are used to treat patients with Dysphagia. Thick liquids decrease aspiration. Thick liquids may give the patient more time to perform additional swallows or other swallowing strategies. Thickened liquids slow down the bolus flow to compensate for a delayed swallow and reduced airway closure.