diabetic foot care
Discharge planning initiated on today's visit. Reviewed with patient /PCG s/s of disease exacerbation that need to be reported to health care providers including steps on what to do in an event of an emergency. Medication pill box set up checked and emphasized the importance of timely refill of medications to prevent missing or skipping doses, pain management, continue following prescribed diet regimen. Re-instructed on infection control measures and practicing standard precautions, most importantly, frequent proper hand washing to prevent disease complications.
SN instructed patient / caregiver on proper incontinence care as to check every 2-3 hours if needed. Educated on pressure reduction measures as to change patient's position in bed/chair every 2-3 hours, avoid positioning on affected areas and use pressure reduction mattress or chair cushion.
SN instructed patient/ caregiver that Bradycardia can be a serious problem if the heart doesn't pump enough oxygen-rich blood to the body. For some people, however, bradycardia doesn't cause symptoms or complications.SN explained that If you have bradycardia, your brain and other organs might not get enough oxygen, possibly causing these symptoms: Near-fainting or fainting (syncope) Dizziness or lightheadedness, Fatigue, Shortness of breath, Chest pains, Confusion or memory problems, Easily tiring during physical activity.If you faint, have difficulty breathing or have chest pain lasting more than a few minutes, get emergency care or call 911 or your local emergency number.
Patient instructed cyanocobalamin is a form of vitamin B12. Vitamin B12 is used to treat vitamin B12 deficiency in people with pernicious anemia and other conditions. Other drugs may interact with cyanocobalamin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
SN educated patient about Neutropenia. Neutropenia is an abnormally low count of neutrophils, which is a type of white blood cell. Neutrophils are made in the bone marrow, so anything that inhibits or disrupts that process can result in neutropenia. Instructed patient to prevent infection; Promote oral care, Promote hygiene, Prevent skin breakdown, Promote nutrition and ensure food is prepared and stored appropriately. Educated on signs and symptoms of infection; which include fever, Red, swollen, warm, or painful skin areas or wounds, An area of orange, bumpy skin with blisters, Cough, chest pain, or trouble breathing, Burning feeling while you urinate. Patient verbalized understanding.
PICC line removal Education provided on site care following PICC line removal: positioning, keep dressing clean, dry and intact 24 hrs, do not lift over 5 lbs, report immediately S&S complications to on call RN: fever; chills;redness at site, swelling or purulent drainage at site, bruising or bleeding at site, increased shortness of breath.
SN instructed patient to eat a balanced diet and drink fluids, eat protein like red and white meat, eggs, beans and take vitamins from vegetables/fruits , to promote wound healing.
SN instruction patient and care giver on fall prevention starts with creating a safe living space. Clean up clutter. Repair or remove tripping hazards. Avoid wearing loose clothing. Light it right. Wear shoes.
Instructed patient to seek immediate medical care if any of the following situations occur besides vomiting: blood present in the vomit, severe headache, severe abdominal pain, fever over 101 degrees Fahrenheit, diarrhea or rapid breathing or pulse.
Instructed caregiver provide consistent care. Increase communication verbal and tactile stimulation . Give simple instructions and repeat, give positive reinforcement on child outcomes. Caregiver verbalized.