bedbound-patient
Patient requires skilled intervention of physical therapy for exercises to increase strength and endurance, implementation of safety measures and evaluation for assistive devices due to impaired function or declining functional ability as demonstrated by increased weakness. Patient requires skilled intervention of physical therapy to teach and train patient/caregiver on exercises to increase strength and endurance, implementation of safety measures and use of assistive devices due to impaired function or declining functional ability to perform ADLs/IADLs. Patient with moderate pain interfering with functional status, thereby impacting activities of daily living.
SN did head to toe assessment and vital signs monitoring done. Received patient sitting on the chair with elevated blood pressure. SN instructed patient on the disease process, and management of CHF. Heart failure occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. Certain heart conditions gradually leave the heart too weak or stiff to fill and pump blood properly. SN instructed patient to have a healthy lifestyle. Try to lose weight, exercise, use less salt and manage stress. SN will continue to assess and instruct the patient.
Instructed patient that during a hurricane he/she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to his/her house. In the event that the patient has no family or friends he/she should go to the closest shelter for proper assistance.
Instructed patient that during a hurricane she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to her house. In the event that the patient has no family or friends she should go to the closest shelter for proper assistance.
Advised the patient receives complete instructions in the care of the prosthesis. Instructed patient how to apply the elastic sleeve or wrap the stump for molding and shaping. Encouraged patient that the stump should not be wrapped too strongly, since this will prejudice circulation. Encouraged the importance of daily hygiene to prevent infection and skin breakdown.
The patient was instructed to stop any anticoagulant or antiplatelet medications 1 week before the arterial revascularization surgery. The patient was advised to use antiembolic stockings. The patient with axillofemoral bypass graft was advised to evade strong use of the affected side, not to wear close-fitting or obstructive clothes (belts, suspenders) over graft site.
The patient was advised on factors that initiate asthmatic attacks (food, pollens, animals, dust, weather, etc). The patient was instructed in the correct use of oral inhaler, home oxygen or incentive spirometer as ordered. The patient was reviewed to avoid persons with infections.
The patient was advised the importance of preventing respiratory infections by evading persons with infections to prevent atelectasis. The patient was instructed in coughing and deep breathing techniques. The patient was advised to use an incentive spirometer and how often to use it.
Instruct the patient to note the time of the first bowel movement after anorectal abscess, fistula, and fissure surgery if no bowel movement occurs or if constipation advances. Advised the patient to shave the perianal area weekly to keep hair out of the affected area. Advised the patient to sit on thick foam pillows or pads and to avoid air or rubber donuts because they spread the buttocks apart.
Taught the patient using heart models or diagrams the location of the aortic insufficiency and show the affected valve. Encouraged the patient the importance of avoiding strenuous activities. Advised the patient for frequent rest periods and avoid fatigue.