wound
Procedures
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.
Instructed caregiver the patient are at high risk if the patient have or do the following: Neuropathy, Poor circulation, A foot deformity (e.g., bunion, hammer toe), Wear inappropriate shoes, Uncontrolled blood sugar, History of a previous foot ulceration.
Instructed caregiver inspect patient's feet every day—especially the sole and between the toes—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health-care provider, remove your shoes and socks so your feet can be examined. Any problems that are discovered should be reported to patient's podiatrist as soon as possible; no matter how simple they may seem to you.
Instructed caregiver learning how to check patient's feet is crucial so that you can find a potential problem as early as possible.
Instructed patient about vacuum assisted closure ( VAC ) therapy Therapy, promotes wound healing and how its unique mechanisms of action differentiate it from other NPWT devices.
Skilled nurse flush blader catheter and performed urostomy care was done. Instructed patient When should I contact your caregiver? You have a fever, You have blood in your urine, and your urine has a strong odor, your incision wound or stoma is red or swollen, or you have a rash.
Instructed patient eat healthy foods. Getting the right nutrition will help you heal.Lose excess weight. Get plenty of sleep.Ask your provider if it's OK to do gentle stretches or light exercises. This can help improve circulation.
Instructed patient avoid slipping or sliding as you move positions. Try to avoid positions that put pressure on your sore.
Instructed patient take care of your health. Eat healthy foods. Getting the right nutrition will help you heal. Lose excess weight.Get plenty of sleep. Ask your provider if it's OK to do gentle stretches or light exercises. This can help improve circulation.
Instructed patient DO NOT massage the skin near or on the ulcer. This can cause more damage. DO NOT use donut-shaped or ring-shaped cushions. They reduce blood flow to the area, which may cause sores.