bedbound-patient
Others
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Take care of the Skin Inspect the skin at least once every day. Pay attention to any red areas that remain even after changing position.
The patient was instructed in burns and its classification. The patient was advised that the curative process with new skin progress is expected in 6 weeks with mature healing within 6 to 12 months, depending on the extended of injury. The patient was taught to care of healed burns, avoiding exposure to direct sunlight, harsh detergent, fabric softeners etc., avoid contact with persons with infections especially upper respiratory infections. The patient was recommended to obtain medical supplies for dressing and any special assistive devices for home care management. The patient was encouraged in the importance of physiotherapy to assist in the exercise regimen and water exercises to maintain limb mobility.
The patient was instructed in head trauma in the importance of the wound/incision care in any laceration or medical cut. The patient was advised that possible remaining effects like dizziness, headaches, memory loss can be continue for up to 3 to 4 months after trauma. The patient was reviewed that may experience variations in character, inappropriate social behavior, hallucinations. The patient was taught in finding assistive devices for ambulation. The patient was reviewed in concussion to evade Valsalva maneuvers like pulling during defecation, coughing, nose blowing, sneezing.
SN instructed patient / caregiver on service authorization, advance directives, rights and responsibilities, rights of the elderly and obtained necessary signatures. Instructed patient / caregiver on 24 hour nurse availability and provided / posted the agency telephone number. Also instructed that after hours, weekends and holidays an answering service will reach the nurse and he / she will return the patient / caregiver call and answer any questions or make a visit if needed. Patient and caregiver stated understanding. Patient and caregiver educated on diabetic diet, diabetic foot care, symptoms / signs ( s / s ) of depression, managing pain with medications, healthy skin, and pressure ulcer prevention. Leaflets left in home.
SN educated patient and caregiver on the importance of always using assistive device with ambulation and transfers to avoid falls or injuries. Nurse instructed patient and caregiver on the importance of home safety such as proper lighting, and to keep walkways free of debris and clutter. Patient was instructed to contact PCP or home health agency if they fall or if current health status declines. Patient was instructed to not walk unassisted when not feeling steady . Patient verbalized understanding
SN assessed patient 's home for adverse extreme temperatures. Today the patient home is adequately heated. Patient was instructed to call their city's local warming center as needed. Patient verbalized understanding.
Skilled received patient sitting on the chair, noted difficulty when patient was trying to get up with the crutches, patient is at risk for fall. SN instructed pt to avoid sitting on low chair or chair without a hand rest for support in order to prevent fall.
Instructed patient not to use more than 50 feet of tubing between the oxygen source and the patient. Do not place oxygen tanks within 1/2 feet of windows/doors or items.
Patient was instructed on list of measures to prevent falls at home: If feel dizzy and lose the vision checked regularly. With poor vision condition patient may lose important cues that help to avoid objects and keep the balance.
Patient was instructed on foot care: a podiatrist can also fit patient with shoe inserts called orthotics to support the feet if have diabetic nerve pain or the muscles have become weak from nerve damage. If pain or weakness is so severe that it's too painful or even impossible to walk, a foot brace or orthopedic shoes might help. Further teaching is needed.