bedbound-patient
Diseases Process
Sn instructed patient about diabetic wounds / ulcers have poor or delayed healing. Healing problems are caused by the peripheral arterial diseases and peripheral neuropathy that can occur with diabetes, wherein the small blood vessels in different parts of the body, especially in the extremities ( hands and feet ), grow narrower and reduce the blood circulation to those areas. A lack of circulation in the extremities can result in a reduced supply of oxygen and nutrients to the body tissue and nerves, which is necessary for healing. Over time, nerves in these areas may become damaged, decreasing the sensation of pain, temperature and touch, making patients vulnerable to injury.
Sn instructed about patient symptoms of ( OA ). Joint pain and stiffness. Pain and stiffness may get worse with periods of inactivity or overuse. People with osteoarthritis ( OA ) have more stiffness first thing in the morning ( usually for less than 30 minutes ) or after sitting for a prolonged period of time. Many people have more pain in their hips or knees if they walk farther than they usually do. They have weak muscles, grinding or crackling noise with motion, swelling or bumps, or loss of range of motion.
SN instructed patient on Paget disease. Paget disease is a chronic bone disorder. Most people who have Paget disease of bone have no symptoms. When symptoms occur, the most common complaint is bone pain. Paget disease can cause pain in the bones or joints, headaches and hearing loss, pressure on nerves, increased head size, bowing of limb, or curvature of spine. Because this disease causes your body to generate new bone faster than normal, the rapid remodeling produces bone that's softer and weaker than normal bone, which can lead to bone pain, deformities and fractures. To reduce your risk of complications associated with Paget disease of bone, try these tips, prevent falls by using assistive devices like a walker or cane, fall - proof your home. Remove slippery floor coverings, use nonskid mats in your bathtub or shower, eat well. Be sure your diet includes adequate levels of calcium and vitamin D, which helps bones absorb calcium and exercise regularly. Regular exercise is essential for maintaining joint mobility and bone strength.
Fibromyalgia is one of a group of chronic pain disorders that affect connective tissues, including the muscles, ligaments (the tough bands of tissue that bind together the ends of bones), and tendons (which attach muscles to bones). The cause of fibromyalgia is unknown. Various physical or emotional factors may play a role in triggering symptoms; most common symptoms are fatigue, sleep disturbances, headaches, and mood disturbances such as depression and anxiety. SN instructed patient to take fibromyalgia medications as prescribed by the doctor, and do regular cardiovascular exercises, such as walking, swimming, or biking, which are helpful in reducing muscle pain and improving muscle strength and fitness in fibromyalgia.
Instructed patient Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg Fever of 100.4 F (38.0 C) or higher Chills Signs of infection at the catheter site (pain, redness, drainage, burning, or stinging)
Tracheostomy care Instructed patient caregiver Signs and symptoms of difficulty breathing are: Retractions Pulling of the skin between the ribs, under the breastbone or around the trach itself. Also symptoms of difficulty breathing are: Sweaty and pale skin, a person is sweaty and pale and seems to be working hard to breathe while at rest, dusky lips or nail beds. The lips or nail beds look dark, dusky or blue.
Instructed patient it’s important to routinely clean catheters to prevent infections. Wash your hands well before and after you handle your catheter. Clean the skin around the catheter twice a day using soap and water.
Instructed patient when to call the doctor the stoma is swollen and is more than a 1/2 inch (1 cm) larger than normal. The stoma is pulling in, below the skin level. The stoma is bleeding more than normal.
SN instructed caregivers/patient on hyponatremia, which means your blood level of sodium (salt) is too low. Salt is needed for the body and brain to work. Very low blood levels of sodium can be fatal. Symptoms can include headache, confusion, fatigue, muscle cramps, hallucinations, seizures, and coma. To help prevent hyponatremia, take all medicines exactly as directed. Certain medicines can lower blood sodium levels. Have your sodium levels checked often. This is vital if you take a diuretic (medicine that helps your body get rid of water). Call your provider right away if you have any of the following: Severe tiredness, Fainting, Dizziness, Loss of appetite, Nausea or vomiting, Confusion or forgetfulness, Muscle spasms, cramping, twitching Seizures, or Gait disturbances. Caregiver voiced understanding.
Patient instructed on the importance of alternating insulin injection sites, reviewed alternative injection sites. Instructed injecting into the same spot can cause lipohypertrophy, the buildup of fat under the skin, which can slow the absorption of insulin, or lipoatrophy, the wasting of fat under the skin, which can be unsightly.