skin
Diseases Process
SN explained that the Chronic venous insufficiency ( CVI ) can’t be cured, but you can control leg swelling to reduce the likelihood of ulcers ( sores ). Recognizing the symptoms Be aware of the following: If you stand or sit with your feet down for long periods, your legs may ache or feel heavy. Swollen ankles are possibly the most common symptom of Chronic venous insufficiency ( CVI ). As swelling increases, the skin over your ankles may show red spots or a brownish tinge. The skin may feel leathery or scaly, and may start to itch. If swelling is not controlled, an ulcer ( open wound ) may form. What you can do Reduce your risk of developing ulcers by doing the following: Increase blood flow back to your heart by elevating your legs, exercising daily, and wearing elastic stockings. Boost blood flow in your legs by losing excess weight. If you must stand or sit in one place for a period of time, keep your blood moving by wiggling your toes, shifting your body position, and rising up on the balls of your feet. Pt verbalizes understanding.
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.
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.
Instructed patient caregiver some foods can produce odor: eggs, cabbage, cheese, cucumber, onion, garlic, fish, dairy foods, and coffee are among them. If you find that certain foods bother you, avoid them. Use an odor-resistant pouch. Check to see that the skin barrier is stuck securely to your skin, empty the pouch often. Place special deodorant liquids and/or tablets in the pouch.
Instructed in factors that contribute to poor skin integrity such as immobilization, poor circulation, moisture, heat, anemia, shearing forces, poor nutritional status.
Instructed in complications of diabetes such as frequent infections. Instructed to manage frequent infections, to learn to spot the first signs of infections and what to do about them, bathe every day with mild soap and lukewarm water. Lotion may be applied to keep skin moist. Wear gloves when working outside. Always wear shoes and treat injuies promptly by cleansing with soap and water.
Instructed in the use of absorptive products with polymer gel and in change when wet. Wash skin with incontinence wipe or cleanser but avoid excess friction. Avoid soap as it removes natural protective lubricants.
Instructed in signs and symptoms of anemia such as headaches, palpitations, paleness of skin, dizziness, increased sensitivity to cold, brittle fingernails and hair, difficulty swallowing, tiredness, etc.
Instructed in how to recognize signs and symptoms of low blood sugar such as fatigue, headache, drowsiness, tremors, pale, moist skin, hunger anxiety, impared vision, etc.
Instructed in possible complication of urinary incontinence such as urinary tract infections (cloudy, foul-smelling, urine), depression and loss of self-esteem, skin breakdown, etc.