back-pain
Procedures
The patient was instructed in craniotomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
The patient was instructed in craniectomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
The patient was instructed in laminectomy in the use of antiembolism tube to stop thrombus formation. The patient was taught in techniques for ankle rotating and calf driving to increase venous movement in legs. The patient was reviewed in the use of braces or corsets. The patient was recommended in the use of assistive devices to help decrease trauma on the back, elevated toilet seats, tub railings. The patient was instructed to have the incision place clean and dry until sutures and staples are removed.
Caregiver instructed about feeding and tube care to prevent a clogged feeding tube, flush your tube with water each time after giving a feeding or medication. If your feeding tube becomes clogged, you can use these methods: Place the syringe into your feeding tube, and pull back on the plunger. Flush your tube with warm tap water.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
SN instructed patient that water helps flush your urinary tract, make sure you drink plenty of plain water daily. Don't hold it when you need to urinate. Holding it when you need to go can help any bacteria that may be present develop into a urinary tract infection. Wipe from front to back after a bowl movement. This is especially important to help prevent bacteria from the anus from entering the vagina or urethra.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
Instructed patient Call your doctor if the skin around your stoma: Pulls back, Is red or raw, has a rash, is dry, hurts or burns, swells or pushes out.
Instructed patient It can take a few weeks for your body to get used to this change, and you may experience bloating, diarrhea, and gas after eating fatty foods during this time. Instructed patient if you feel ready and are not nauseated, you can slowly begin introducing solid foods back into your diet as you start feeling better. But you may need to avoid certain types of foods for a while.
Instructed patient high-fiber and gas-producing foods can also cause some people discomfort after gallbladder surgery, so you may want to introduce them slowly back into your diet. These include: Brussels sprouts, Broccoli, Cauliflower and Cabbage.