bedbound-patient
Diseases Process
The patient was advised in pain management in arthritis applying heat or cold to a painful joint for temporary relief avoiding temperatures extremes. The patient was recommended to maintain a regular exercise program that provides stretching and joint mobility. The patient was encouraged to coordinate pain medication with activities. The patient was recommended to use assistive and/or protective devices, as needed, to support affected joints. The patient was advised in the importance of maintaining a safe home environment to prevent falls (removal of small rugs, handrails in showers, tubs, or toilets etc. The patient was encouraged that eating well-balanced diet.
The patient was instructed in cystic fibrosis the importance of breathing exercises, percussion and postural drainage techniques. The patient was taught to use the home nebulizer, metered-dose nebulizer, and other respiratory equipment necessary to release secretions and dilate the bronchi. The patient was reviewed the need to avoid known respiratory irritants such as smoke and air pollutants and persons with upper respiratory infections. The patient was taught on methods of clearing secretions, such as coughing, positioning, or suctioning. The patient was instructed on adaptive breathing techniques to decrease work of breathing. The patient was encouraged to participate in a program of aerobic exercise; swimming helps strengthen the muscles of respiration and promotes good breathing habits.
The patient was instructed in diabetes mellitus ketoacidosis discussing blood sugar monitoring, when the test will take place, the technique, the necessary blood sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.
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.
The patient was instructed in lung cancer the importance of evading persons with higher respiratory area infections. The patient was advised that after release should evade heavy lifting. The patient was instructed in examine radiation places daily. The patient was advised in skin precaution, including care of color markings and the need to evade use of soap and other ointments. The patient was instructed to evade close-fitting or compressing clothing around the radiation place. The patient was advised that weakness and other side effects begin during the first week of therapy and slowly disappear 2 to 4 weeks after therapy ends.
The patient was instructed in spinal cord injury to use a mirror to check skin for break. The patient was instructed on perineal care after removal. The patient was taught in intermittent self-catheterization. The patient was taught in the attention of the indwelling urinary catheter. The patient was taught in the need to use anesthetic jelly abundantly for urinary catheterization and insertion of suppository or enema. The patient was advised in the importance of following the prescribed rehabilitation program.
The patient was instructed in venous thrombosis in amount and records the size of the affected extremity daily. The patient was taught in the good skin care, using mild soap, rinse well, and dry gently. The patient was instructed in the use of antiembolic stockings for ambulation and times of extended sitting. The patient was instructed to remove them every 8 hours to evaluate the leg and skin. The patient was recommended to use of the bed cradle. The patient was recommended to apply of warm packs to the affected extremity.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
SN instructed patient / caregiver on headache which is a pain in any region of the head. SN instructed patient / caregiver that headache can occur on one or both sides of the head, be isolated to a certain location, radiate across the head from one point, or have a vise -like quality. SN instructed patient / caregiver on that headache may be a sharp pain, throbbing sensation or dull ache. SN instructed patient / caregiver that headache can appear gradually or suddenly. SN instructed patient / caregiver that headache can be triggered by lifestyle factors such alcohol (particularly red wine), certain foods (processed meats that contain nitrates), lack of sleep, poor postures, skipped meals and stress. SN instructed patient / caregiver on emergency preparedness and to encourage to report any new or severe symptoms.
The patient was instructed in compartment syndrome if surgical treatment was performed such as fasciotomy emphasize there is an increased potential for infection. The patient was reviewed in the proper technique for care of the surgical incision and aseptic procedures for dressing changes. The patient was advised to inspect the wound daily to check for increased drainage. The patient was recommended the need for rest and elevation of the extremity postoperatively. The patient was encouraged to use of assistive devices.