wound healing
Diseases Process
Instructed patient Enterocutaneous fistulas (ECFs) can cause contents of the intestines or stomach to leak through a wound or opening in the skin. It also can cause: Dehydration, Diarrhea, and Malnutrition. Adequate protein and calories must be provided to maximize healing and minimize complications.
SN instructed patient about how the thyroid hormone helps regulate metabolism. When this hormone is abnormally low the energy production decreases, disrupting many vital functions. This can include skin issues such as: Coldness in the fingers and feet with pale and dry coarse skin, eczema, a yellowish hue to the skin, sparse and brittle hair, which comes out in handfuls, loss of hair in the outer third of eyebrows, slow growing, ridged and brittle nails, edema in face, eyelids, hands and feet, and delayed wound healing. Some of these things can be avoided if you are taking your replacement medication daily as ordered and are getting regular blood work to assure the medication is at the correct dose.
Instructed to contact physician inmediately if uncontrolled bleeding or excruciating pain occurs at wound site.
Instructed in management and control of wound through activity such as frequent rest periods, no overexertion, no lifting, bending or stooping. Passive and active exercises to increase vascular tone. Elevate affected extremity to promote venous return. Give pain medication, if prescribed, 30 minutes prior to any activity.
Instructed in S/S of complications which require need for medical intervention, including redness, increase or change in drainage, heat at the wound site, fever, bleedind or increased pain.
Instructed in overall dressing change technique, and observed SN during wound care.
Instructed in wound care per MD order using aseptics technique.
Instructed in refusal to observe wound care or participate with care if they feel unable/uncomfortable with this procedure.
Patient was instructed on adequate nutrition and hydration to minimize wound development. Encourage protein, calorie-dense foods and fluids (unless contraindicated), monitor intake, weight and skin turgor, assess and address impairments in dentition and swallowing.
Patient was instructed on eliminate or minimize pain of wound. Address the cause (remove the source if external, treat the infection or medicate based on physiological stimulus), pharmacological strategies