bedbound-patient
Procedures
SN instructed patient about Jackson Pratt care. The JP drain removes fluids by creating suction in the tube. The bulb is squeezed flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid. SN instructed patient use soap and water or saline ( saltwater ) solution to clean your JP drain site. Dip a cotton swab or gauze pad in the solution and gently clean your skin.
Physical assessment done to patient after chemotherapy . Medication checked and reconciled. Hydration and nutritional status checked. Diet reviewed. Denies chest pain. Tube care done per physician ( MD ) order. Dressing changed. Still complained in pain in fingers, patient taught that one side effect of chemotherapy is pain in fingers which is called peripheral neuropathy, it results from some type of damage to the peripheral nerves. Certain chemotherapy drugs can cause peripheral neuropathy such as Vinca alkaloids ( vincristine ), cisplatin, Paclitaxel, and the podophyllotoxins ( etoposide and tenoposide) . Other drugs used to treat cancer such as thalidomide and interferon also can cause peripheral neuropathy.
Instructed patient always clean your hands before and after you come in contact with any part of the PICC line. Your caregivers, family members, and any visitors should use good hand hygiene, too. Instructed patient keep the PICC dry. The catheter and dressing must stay dry.
Tracheostomy care Instructed patient patients with a tracheostomy have altered upper airway function and may have increased oral care requirements. Mouth care should assessed by the nurse caring for the patient.
Instructed patient on hip precautions after a hip replacement. Hip precautions are various maneuvers a patient who has undergone a hip replacement needs to avoid. Hip precautions include: Do not cross your legs, do not bend our legs up beyond 90 degrees, do not sit on sofas or in low chairs, do not sleep on your side.
Instructed caregiver about care Plan for patient with mental Retardation Education on Parents, Expected results children to function optimally the relevant level. Families and children are able to use coping with challenges due to disability. Families are able to obtain the resources community facilities. patient verbalized.
SN instructed patient and caregiver about Blood pressure. When checking blood pressure at home, Use the cuff's right size for the most accurate reading. Take a few deep breaths and relax for up to 5 minutes before measuring blood pressure do not talk or cross your feet or legs during the test. Measure the blood pressure at a few different times during the day. Patient and caregiver shown correct placement for blood pressure cuff, and is able to return demonstrate home blood pressure monitoring with 100% understanding.
Patient instructed Signs that your pacemaker isn't working as it should or you have developed an infection or blood clot include breathlessness, dizziness, fainting, prolonged weakness. A swollen arm on the side of the pacemaker.chest pains.prolonged hiccups.a high temperature of 38C or above. Patient instructed Tell your doctor if you gain weight, if your legs or ankles get puffy, or if you faint or get dizzy.
SN monitored the insertion site, including its appearance and the condition of the dressing. Palpated the site to determine if it's edematous or tender. Instructed the patient to report any pain or discomfort as soon as possible and reinforced caregiver knowledge on proper IV medication administration, Advised the patient and caregiver to keep the IV access site clean and dry at all times, make sure the site is covered before bathing, and use hand wipes for hand hygiene.
SN instructed patient eat an overall healthy dietary pattern that emphasizes: a variety of fruits and vegetables, whole grains, low-fat dairy products, skinless poultry and fish nuts and legumes non-tropical vegetable oils, ensure safe effective nutrition. Patient verbalized understanding.