patient-unable
Procedures
The patient was instructed in nephrectomy on caring for the incision and changing dressing. The patient was advised to wash hands, examine the incision, clean the part with Betadine, cover the incision with sterile gauze, if there are not drainage leave the place open to the air. The patient was taught how to care for nephrostomy tube.
The patient was instructed in steroid therapy corticosteroid therapy in the need to fill-up medicines prescriptions 1 to 2 weeks before the supply runs out and to store medicine in a cool place. The patient was instructed to take oral steroids with milk or antiacids to reduction gastric irritation. The patient was taught that the oral method of the medicine comes in various dosages.
The patient was instructed in thoracentesis in the need that movement or coughing during the process is prohibited to prevent unintentional needle injury to the lung or pleura. The patient was advised that if coughing is inavoidable the physician can remove the needle a little to prevent hole. The patient was reviewed to evade persons with upper respiratory tract infections.
The patient was instructed in thrombolytic therapy in the need that bed rest will be continued during the process and for 12 hours after an intracoronary infusion. The patient was advised that common blood sampling will be done to monitor coagulation times and that signs and symptoms of successful myocardial reperfusion, coronary reocclusion and bleeding will be checking. The patient was reviewed that signs of bleeding below the skin are probable and will clear with time.
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.