bedbound-patient
Procedures
Instructed caregiver although the formula has water in it, patient may need extra water to keep from getting dehydrated. Patient may need more water when sweating, such as during hot weather or if you have a fever. Patient may also need more water if you have diarrhea or if you are vomiting.
SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.
RN performed supervision with HHA present and reviewed that the HHA Care Plan is followed as ordered. Patient is satisfied with rendered services. RN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid - proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non - slip footwear and not walking in stocking feet. RN also explained that side effects of most medications taking can cause dizziness and advised to immediately report the occurrence of dizziness so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.
SN instructed patient about tracheotomy care suctioning always involves: assessment , oxygenation management, use of correct suction pressure, liquefying secretions, using the proper-size , suction catheter and insertion distance appropriate patient positioning, evaluation, using the proper - size suction catheter and insertion distance appropriate patient positioning evaluation.
SN instructed patient in knee replacement to get self - help devices to limit knee bending, elevated toilet seat, bath seat, and long - handled grippers. The patient was reviewed to evade putting extra weight on the knee and should use a walker, until totally recuperated. The patient was instructed the importance of joining in physical therapy to recover muscle strength and guarantee adequate lower extremity strength for ambulating with a walker or cane.
Instructed patient While the stoma site heals, clean around the stoma site daily. Follow these steps: Allow skin to dry. 2-Instructed patient While the stoma site heals, clean around the stoma site daily. Follow these steps:Observe your stoma site daily for redness, pain , swelling, or unusual drainage around the tube. If you notice any of these signs, call your doctor 3-Instructed patient If you cannot unclog your tube, call your doctor. It is important not to miss your prescribed liquid food and water.
SN instructed patient and care giver to call 911 anytime you think you may need emergency care. For example, call if: Patient passed out (lost consciousness). patient have signs of severe bleeding, such as: A severe headache that is different from past headaches.
Instructed caregiver patient drink plenty of water, and relieve herself often. The simplest way to prevent a patient 's UTI is to flush bacteria out of her bladder and urinary tract before it can set in. If the patient have well-hydrated, it will be tough to go too long without urinating.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.
Patient instructed about safety measures during hurricane season. Instructed patient not to use a generator inside the house, carbon monoxide poisoning may occur and it is usually fatal.