bedbound-patient
Diseases Process
Instructed patient about the many causes of hypothyroidism, which are: autoimmune disorders, radioactive therapy, thyroid surgery, congenital defects, inflammation and viral infections of the thyroid gland.
Instructed patient about chronic forms of hypothyroidism. These are lifelong disorders that are usually treated with synthetic forms of thyroid hormone. Dosage must be adjusted carefully to prevent hyperthyroidism.
Instructed patient to perform daily exercises as taught by physical therapist to prevent muscles atrophy, decrease joint contractures and improve circulation.
Instructed patient about possible complications of urinary incontinence, such as, urinary tract infections (cloudy, foul-smelling, urine), depression and loss of self-esteem, skin breakdown, etc.
Instructed patient about factors that increase risk for pneumonia, such as smoking and air pollution, upper respiratory infections, prolonged immobility, malnutrition; chronic diseases: diabetes, cancer, renal disease, cardiac disease; exposure to cold, damp weather, inhalation of noxious substances, use of immunosuppressive drugs; age: very young or very old, frequent intoxication from alcohol.
Instructed patient about signs and symptoms of pneumonia: high fever and chills, chest pain, cough that may be productive, green, yellow or rust-colored sputum, malaise, loss of appetite, rapid pulse and rapid breathing.
Instructed patient about measures to prevent or treat pneumonia: eating well balanced meals, adequate rest, avoiding upper respiratory infections or getting promptly treatment for early symptoms, drinking large amounts of fluids to thin secretions and replace fluid loss, avoiding spread of infections by washing hands and properly dispose of tissues. Avoid smoking; perform coughing and deep breathing exercises.
Instructed patient about S/S of possible urinary tract infection, such as, back pain, burning, oliguria, dysuria, retention, fever, etc.
Instructed patient to call MD whether dehydration is present or a known injury has occurred, such as head injury or infection, that may be causing vomiting.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood presence in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.