bedbound-patient
SN instructed patient instructed patient caregiver how to do Ostomy Care, as follow: Preparing, Applying, and Removing an Ostomy System to make the process easier and more effective, here are several easy steps you and your patients can follow when applying and removing an ostomy system: Remove Use an Adhesive Remover Wipe, Clean Clean & Dry Clean peristomal skin with non-moisturizing or non-oily soap, rinse well with clean water and pat dry, Measure Measure Stoma Place the stoma measuring guide over the stoma, measuring the stoma at the base., Protect use an Adhesive Remover Wipe, Apply New Pouching System/Skin Barrier. Make sure to have a good seal around the stoma.
Instructed patient a really important part of planning patients for stomas is to ensure the site is appropriate. Poor siting leads to a stoma which the patient has difficulty in changing and cleaning. This leads to increased risk of skin, and other, complications.
Instructed patient a particular diet, it's important that you follow it. If a special diet has not been recommended, balanced, heart-healthy nutrition can speed healing and lessen fatigue. Patient weight control is also important for your heart health; excess weight increases the work of the heart and slows recovery.
SN instructed caregiver that symptoms of low blood pressure may include: blurry vision, confusion, dizziness, fainting (syncope), lightheadedness, nausea or vomiting, sleepiness, weakness. Treatment depends on the cause of your low blood pressure and your symptoms. If any symptoms from a drop in blood pressure, lie patient down right away, then raise patient's feet above heart level.
SN instructed patient / caregiver on factors that increase risk of HTN, such as: age, race, family history, stress, high sodium intake, high cholesterol intake, obesity and sedentary lifestyle. SN instructed patient / caregiver on measures to control/manage HTN, such as: exercise as tolerated, achieve/maintain healthy/ideal weight, decrease sodium intake to decrease fluid retention and the workload of the heart. SN Instructed importance of eating foods rich in calcium, protein and fiber.
SN instructed the reason it is important to help or use proper turning techniques to prevent friction and shearing of skin. Friction usually, but not always, accompanies shear. Friction is the force of rubbing two surfaces against one another. Shear is the result of gravity pushing down on the patient's body and the resistance between the patient and the chair or bed. When combined with gravity/force (pressure), friction causes shear, and the outcome can be more devastating than pressure alone.
SN instructed patient about Tramadol. SN instructed that it is an opiate pain medication used to treat moderate to moderately severe pain. SN Taught that the most common adverse effects of tramadol include nausea, dizziness, dry mouth, indigestion, abdominal pain, vertigo, vomiting, constipation, drowsiness and headache. SN Instructed patient to take pain medication before pain becomes severe to achieve better pain control.
SN instructed patient to take pain medication before pain becomes severe to achieve better pain control. Always refill your meds before you run out of them. SN instructed patient on nonpharmacologic pain relief measures, including relaxation techniques, positioning ,etc. SN instructed to report to physician if experiencing pain level not acceptable , pain level greater than 6/10, pain medications not effective, unable to tolerate pain medications, and pain affecting ability to perform normal activities
SN instructed patient thas the albuterol it is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. SN instructed patient that albuterol belongs to a class of drugs known as bronchodilators. It works in the airways by opening breathing passages and relaxing muscles. Side effects: Nervousness, shaking (tremor), headache, nausea or dizziness may occur. Understanding was verbalized.
SN instructed patient on signs of central catheter problems. The signs of catheter infection and problems are similar for all types of central venous catheters. If you have any sign of infection or catheter problem, call your doctor immediately. In addition signs of infection, clotting, or other problems include: Redness, tenderness, drainage, warmth, or odor around the catheter site Fever of 100.5F (38 C) or greater, or chills, swelling of the face, neck, chest, or arm on the side where your catheter is inserted, leakage of blood or fluid at the catheter site or the cap, inability to flush the catheter, or resistance to flushing the catheter, displacement or lengthening of the catheter. Patient verbalized understanding