hand washing
Diseases Process
The patient was instructed in carpal tunnel syndrome to avoid activities that increase stress on inflamed tissues, grasping and gripping action of hand and wrist, to keep the wrist in neutral position, to avoid the wrist in a bent flexed, twisted, turned position, and to minimize repetitive movements, including holding an object for extended periods of time. The patient was advised to wear a wrist splint to help keep the wrist in neutral position. The patient was taught on range-of-motion exercises and their importance for strengths of muscles.
Patient is unable to performed insulin injection by herself due to low vision and hand tremors. No caregiver able/willing to do that procedure due to ALF's policies. Nurse will continue search a c/g able and willing to administer insulin to patient.
Patient also instructed on Clostridium difficile colitis (C. diff) and the increase risk due to the multiple ABT. Patient instructed that the most common symptoms of Clostridium difficile colitis (C. diff) infection include: watery diarrhea, fever, loss of appetite, nausea, belly pain and tenderness. Instructed to clean their hands with soap and water or an alcohol-based hand rub often and every after going to the restroom.
COPD Instructed patient about effective coughing by following these steps: While sitting in a chair, take several deep breaths as like for diaphragmatic breathing. Placing the hand over their stomach while breathing normally. Tightening up the stomach and chest muscles with the mouth open. Forcing air out while whispering the word "huff."
Instructed what can you do to manage shortness of breath (SOB) share your feelings shortness of breath can make you feel worried and anxious. Share your feelings with family, friends and your health care team. Use abdominal breathing when walking up slopes, climbing stairs or standing up. To climb stairs: stand close to the stairs with one hand on the railing beside you. Breathe in as you lift your leg up. Breathe out as you place your leg on the step and raise yourself up. Change the way you eat chew your food slowly, taking breaks in between bites. Try smaller meals more often. If you are having trouble eating, ask your health care team about trying nutrition drinks.