wound care
General
SN instruction patient and care giver on fall prevention starts with creating a safe living space. Clean up clutter. Repair or remove tripping hazards. Avoid wearing loose clothing. Light it right. Wear shoes.
SN instructed patient and caregiver to monitor circulation r/t Unna boots. Report if dressing is tight and constricting esp. in back of leg. Check color of feet and report if bluish or purple in color. Report any c/o numbness or tingling. Dressing should be removed immediately if any s/s occur. and notify physician or nurse.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood present in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Moving and using the muscles in the part of your body affected by edema, especially your legs, may help pump the excess fluid back toward your heart. Ask your doctor about exercises you can do that may reduce swelling. Patient verbalized understanding.
Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Massage or stroking the affected area toward your heart using firm, but not painful, pressure may help move the excess fluid out of that area. Patient verbalized understanding.
Instructed patient in lifestyle and home remedies that may help decrease edema and keep it from coming back. Before trying any self-care techniques, talk to your doctor about which ones are right for you. Compression, if one of your limbs is affected by edema, your doctor may recommend you wear compression stockings, sleeves or gloves, usually worn after your swelling has gone down, to prevent further swelling from occurring. These garments keep pressure on your limbs to prevent fluid from collecting in the tissue. Patient verbalized understanding.
SN to assess cardiovascular status, identify any signs and symptoms of impaired cardiovascular function. Patient was instructed how can you care for yourself at home when you have a legs pain. Take pain medicines exactly as directed, rest your leg while you have pain, and avoid standing for long periods of time, make sure you are eating a balanced diet that is rich in calcium, potassium, and magnesium, your leg may be in a splint, a brace, or an elastic bandage.
SN instructed caregiver that the medical home can schedule health maintenance visits frequently enough to be proactive about new issues, ensure that the family has access to reliable information, community services, and resources and coordinate care and interpret information or advice from specialists
SN advised the patient that if you develop fever, cough and difficulty breathing, seek medical advice promptly as this may be due to a respiratory infection or other serious condition. Call in advance and tell your provider of any recent travel or contact with travelers. Calling in advance will allow your health care provider to quickly direct you to the right health facility. This will also help to prevent possible spread of COVID-19 and other viruses.
SN instructed patient and caregiver on importance good hydration, drinking plenty of water; apply skin lotion after bath and after wash hands , to keep skin hydrated/moisturized.