bedbound-patient
Diseases Process
The patient was instructed in iron deficiency anemia that stools will appear dark or black as the effect of iron additional treatment. The patient was advised the importance of checking for blood loss in the stool if has gastrointestinal bleeding predispositions. The patient was taught the correct use of guaiac exams. The patient was reviewed to take iron with meals to make best use of absorption. The patient was recommended the need to increase vitamin C consumption.
The patient was instructed in osteomyelitis in the necessity of wound care using aseptic method for dressing changes. The patient was advised to care of a casted extremity. The patient was reviewed to care for external fixator device. The patient was recommended how to use and care for the Hickman catheter for home antibiotic therapy. The patient was encouraged in the importance of immobilizing the affected part to reduction the spread of infected material.
The patient was instructed in ovarian cancer in the need to care for the incision with general hygiene and daily bathing. The patient was advised to evade constipation by taking mild laxatives and stool softeners. The patient was taught to care of the suprapubic catheter. The patient was reviewed that no interaction tampons, douching, or tub baths. The patient was explained that menstruation will no longer happen.
The patient was instructed urolithiasis (kidney stones, renal calculi) in the need to put on warm blankets or pads to the affected area. The patient was advised that a warm bath or shower may help to relax muscles. The patient was instructed to quantity and straining urine and recognizing sand elements. The patient was reviewed to monitor the urine for quantity, color, and smell. The patient was recommended to keep the drainage bag below the level of the kidney when up or lying down.
SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.
Sn instructed patient / caregiver on upper respiratory infection also called common cold. Sn instructed patient / caregiver that upper respiratory infection affect the nose, ears, throat and sinuses. Sn instructed patient / caregiver that upper respiratory infection is caused by virus. Sn instructed patient / caregiver on s/s of uri such as: sneezing and coughing, sore throat and hoarseness , red, watery and sore eyes. Sn instructed patient / caregiver on home treatment like keeping self warm and getting plenty of rest, using humidifier to.
SN instructed patient / caregiver about urinary tract infection(uti), an infection in any part of the urinary system (kidneys, ureters , bladder and urethra). SN instructed patient / caregiver that most infections involve the lower urinary tract (the bladder and urethra). SN instructed symptoms / signs of uti such as a strong, persistent urge to urinate, a burning sensation when urinating, passing frequent, small amounts of urine. SN instructed patient / caregiver on possible causes such as infection of the urethra and bladder. SN instructed patient / caregiver on lifestyle/ home remedies such as drinking plenty of water daily to help flush the urinary tract, avoid holding it when there's need to go to prevent development of bacteria which can cause uti. SN instructed patient / caregiver to wipe from front to back after movement, to help prevent bacteria from the anus from entering the vagina or urethra.
The patient was instructed to develop skills need to self-care and improve independence with blindness (visual impairment). The patient was reviewed to explore furniture, steps, and doorways in his/her home through guidance and touch. When walking alone use cane or walking stick to identify obstacles. The patient was taught on caring for the eyes. The patient was reviewing the method of administering eyes drops or ointment.
The patient was instructed in bone marrow suppression that will be more susceptible to infection, bleeding, and anemia. The patient was encouraged in the prevention of the infection by eating healthy meals, keep mouth, teeth and gums clean, avoid people who are sick. The patient was encouraged in the prevention of the bleeding avoiding physical activities that could cause injuries. The patient was encouraged in the prevention in the anemia by eating a high-protein diet, and multivitamin supplement with minerals.
The patient was reviewed in breast cancer the prescribed surgical procedure and adjuvant therapy to be carried out. The patient was instructed that the decision is based on the phase of breast cancer, age, menopausal stage, hormonal receptor status, and patient preference. The patient was encouraged to discuss the feelings and emotions concerning awaiting surgery, adjuvant therapies, and prognosis. Explain misconceptions.