bedbound-patient
Diseases Process
The patient was instructed in multiple sclerosis disseminated sclerosis in the need to control bath water temperature because of the loss of sense of temperature. The patient was advised to evade persons with upper respiratory infections. The patient was recommended to get suitable devices like assistive aids for ambulation and self-care. The patient was advised to use incontinence pads.
The patient was instructed in muscular dystrophy in locating correct devices like aids for ambulation and self-care activities. The patient was advised to recognize variations in the home location like bed trapezes, handrails, railed toilet seats, and ramps for wheelchairs. The patient was taught in the good skin care and placing using a bed or a wheelchair. The patient was reviewed in pain controlling methods to deal with chronic pain.
The patient was instructed in osteoporosis in the significance of creating home safety measures to prevent falls and injuries. The patient was advised to use ambulatory assist devices like cane or walker. The patient was reviewed of the need for sunlight (15 minutes/day) to let beginning of vitamin D. The patient was recommended to use of calcium supplements.
The patient was instructed in pernicious anemia (hyperchromic macrocytic anemia) that the debilitated disorder may incline the patient to infection. The patient was advised in the importance of evading large multitudes and persons who have or are supposed of having infections. The patient was instructed in the importance of taking vitamin B12 on a lifelong basis.
The patient was instructed in polycystic kidney disease in the need of stopping urinary zone infections. The patient was advised to rise fluid intake. The patient was taught in good perineal area care after urination and defecation. The patient was reviewed in proceeds, monitor, and record blood pressure.
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
SN instructed patient / caregiver on abnormal glucose also known as impaired glucose tolerance which is a term that refers to people who have blood glucose level that are higher than normal, but are not high enough to be classified as diabetes. SN instructed patient / caregiver on symptoms of abnormal glucose such as increased thirst, frequent urination, fatigue, blurred vision. SN instructed patient / caregiver on risk factors such as weight, waist size, inactivity, age, family history. SN instructed patient / caregiver on healthy lifestyle choices that can help prevent diabetes such as eating healthy foods, getting more physical activity, losing excess pounds.
SN instructed patient on arthropathy: Encouraged frequent changes of position. Assisted patient to move in bed, supporting affected joints above and below, instructed her to avoid jerky movements. Recommend that patient take warm bath or shower upon arising or at bedtime. Apply warm, moist compresses to affected joints several times a day. Monitor water temperature of compress, baths, and so on. Encouraged patient on stress management techniques such as progressive relaxation, biofeedback, visualization, guided imagery, self-hypnosis, and controlled breathing.Verbalized understanding.
SN instructed about the Lifevest wearable defibrillator . Is a treatment option for sudden cardiac arrest that offers patients advanced protection and monitoring as well as improved quality of life. The Lifevest is the first wearable defibrillator. Unlike an implantable cardioverter defibrillator ( ICD ), the Lifevest is worn outside the body rather than implanted in the chest. This device continuously monitors the patient's heart with dry, non-adhesive sensing electrodes to detect life - threatening abnormal heart rhythms. If a life - threatening rhythm is detected, the device alerts the patient prior to delivering a treatment shock, and thus allows a conscious patient to delay the treatment shock. If the patient becomes unconscious, the device releases a Blue™ gel over the therapy electrodes and delivers an electrical shock to restore normal rhythm.
SN did head to toe assessment and vital signs monitoring done. Received patient sitting on the chair with elevated blood pressure. SN instructed patient on the disease process, and management of CHF. Heart failure occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. Certain heart conditions gradually leave the heart too weak or stiff to fill and pump blood properly. SN instructed patient to have a healthy lifestyle. Try to lose weight, exercise, use less salt and manage stress. SN will continue to assess and instruct the patient.