bedbound-patient
Others
Instructed patient Be sure to treat any skin redness or skin changes right away, when the problem is still small. Do not allow the sore area to become larger or more irritated before asking your doctor about it.
Instructed patient about the skin around your stoma should look like it did before surgery. The best way to protect their skin is by: using a bag or pouch with the correct size opening, so waste does not leak, taking good care of the skin around your stoma.
Instructed patient assess bowel sounds in all 4 quadrants, assess effluent from ostomy. Empty pouch when 1/3-1/2 full, assess abdomen, report any abnormal findings immediately.
Instructed patient/CG the importance of increasing consumption of foods high in Probiotics while on antibotic therapy.
SN instructed patient that diabetes may lead to skin problems that range from itching to infections that are hard to control. To reduce your chances for getting skin problems, take good care of your skin every day: Bathe daily with mild soap and lukewarm water. Apply a small amount of moisturizing lotion while your skin is moist. Avoid scratches, punctures, and other injuries.
Instructed patient what are the risks of having a Jackson-Pratt drain. The JP drain site may be painful. You may have trouble lying on the side with your JP drain. Your JP drain site may leak. The JP drain may be pulled out by accident. The tubing may get blocked, crack, or break. The tubing may damage your tissue. You may have a scar. The JP drain site may get infected. This infection could spread inside your body.
Instructed patient When should I contact my healthcare provider. You drain less than 30 milliliters (2 tablespoons) in 24 hours. This may mean your drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than 101.5°F (38.6°C). You have increased pain, redness, or swelling around the drain site. If you have questions about your JP drain care contact your physician.
SN instructed patient and caregiver on how to stop a nosebleed. Make a thumbs up with hand on same side as nose bleed. Press side of nose that is bleeding closed and tilt head slightly down to prevent blood from going down into throat. Stay still for 5-10 minutes then gently release. Refrain from blowing nose or putting a tissue in nose x 24 hours. If bleeding does not stop seek medical attention.
SN provided teaching regarding hypokalemia. Low potassium (hypokalemia) refers to a lower than normal potassium level in your bloodstream. Potassium helps carry electrical signals to cells in your body. It is critical to the proper functioning of nerve and muscles cells, particularly heart muscle cells. S/s include weakness, muscle cramps, heart palpitations, and constipation. SN instructed that patient should report any of these to her nurse promptly. Verbal understanding noted.
SN instructed patient and caregiver that the key difference between a suspected deep tissue injury (sDTI) and an unstageable pressure ulcer is that sDTI involves intact skin, whereas an unstageable ulcer involves a breakdown into at least the subcutaneous tissue. An unstageable ulcer is covered with necrotic tissue, such as slough or eschar, formed from remnants of the collagen matrix of subcutaneous tissue. So it’s always a full-thickness ulcer either stage III or stage IV.