bedbound-patient
The patient was instructed in carotid endarterectomy about daily care of the surgical incision and dressing changes. The patient was advised the atherosclerotic process and explain the importance of risk factor modification to reduce the chance of future plaque buildup in the carotid and other arteries. The patient was encouraged to avoid bending from the waist or lifting and straining.
The patient was instructed in carpal tunnel syndrome to avoid activities that increase stress on inflamed tissues, grasping and gripping action of hand and wrist, to keep the wrist in neutral position, to avoid the wrist in a bent flexed, twisted, turned position, and to minimize repetitive movements, including holding an object for extended periods of time. The patient was advised to wear a wrist splint to help keep the wrist in neutral position. The patient was taught on range-of-motion exercises and their importance for strengths of muscles.
The patient was instructed in diabetes insipidus in how to measure and record intake and output, stressing that intake should equal output. The patient was taught to check the urine’s specific gravity. The patient was advised to avoid fluids that may have diuretic effects, coffee, tea, alcohol.
The patient was instructed in encephalitis and meningitis to swim only in chlorinated water to evade amebic infection. In this case for a patient with bacterial meningitis encourage to inform all friends to be evaluated for recognition and treatment. The patient was advised to prophylactic procedures to prevent bacterial transmission, immunization may be indicated for close contacts.
The patient was instructed in gastroenteritis obtaining appropriate supplies, such as oral glucose electrolyte solutions. The patient was taught in defensive actions, like wash hands before eating and after toileting, drink pasteurized milk and chlorinated water; maintain foods at the appropriate hot or cold temperatures. The patient was advised that gastroenteritis is transmissible although the organisms are present in the feces.
The patient was instructed in heart failure to take and record the pulse. The patient was advised to avoid hot, humid, weather. The patient was taught for home oxygen therapy.
The patient was instructed in hyperthyroidism to care for eyes from sunny lights, corneal ulcerations, and infections and to wear sunglasses or eye patches. The patient was advised to put on calm compresses to the eyes if irritated. The patient was reviewed to apply lubricants to protect the cornea.
The patient was instructed in hypertrophic cardiomyopathy the necessity to record daily weight to notice fluid retention. The patient was advised not to stop the use of beta blockers. The patient was reviewed that prophylactic antibiotic will be required before dental and surgical procedures to decreases the risk of endocarditis.
The patient was instructed in liver biopsy providing him/her pain controlling. The patient was encouraged to use minor painkillers. The patient was advised to evade taking no steroidal anti-inflammatory medications and hepatotoxic medications.
The patient was instructed in lyme disease to evade tick infested areas. The patient was advised to dress shirt inserted into pants and long pants inserted into boots when going into a wooden area. The patient was recommended to put on repellent before going into the wood.