diverticulosis-and-diverticulitis
Patient was instructed on measures to prevent falls when bathing. Install grab handles and nonskid mats inside and outside the shower/tub and near the toilet and sinks. Use shower chair and bath benches.
Patient was instructed about how to get a balanced diet: choose a variety of nutrient-dense foods and beverages among the basic food groups, balance calories from foods and beverages with physical activity to manage body weight, choose fiber-rich fruits, vegetables, and whole grains often, eat 2 cups of fruit and 2 1/2 cups of vegetables daily (for someone eating 2,000 calories) and other way to get the goals will be explained in next teaching. Further teaching is needed.
SN instructed patient that Rheumatoid Arthritis is a systemic disease characterized by chronic inflammation of the joint. Rheumatoid Arthritis causes pain and swelling in the wrist and small joints of the hand and feet. Rheumatoid Arthritis can also affect other tissues throughout the body and cause problems in organs such as the lungs, heart, and eyes. Patient verbalized understanding.
SN put on non-sterile gloves. Remove old dressing. Remove gloves and place them in the trash bag, Wash hands and put on a clean pair of gloves. SN cleaned wound with NS solution using gauze pads, checked wound for signs of infection. Then opened new foam sponge dressing, cut it to size, and place it in the wound. Open the drape package. Cut the drape to the size needed. Place the drape over the wound site. Smooth the drape as you stick it around the wound to prevent any wrinkle that may leak. Connect the tubing to the sponge dressing and the tubing to the pump unit. Open the clamp on the tubing. Turn on the VAC pump. Listen and watch for leaks.
The patient was encouraged importance of keeping the extremity elevated above heart level on firm pillows and the need for applying ice bags to the surgical arthroscopy to control swelling and relieve pain. The patient was advised not to apply the ice pack directly to the skin, but to wrap the ice in a small towel. The patient was instructed avoid bathing until able to stand for 10 to 15 minutes, then showering with the extremity covered by a plastic bag may be permitted. The patient was instructed the use of hot tubs, whirlpool baths, and heating pads should be avoided. The patient was encouraged of moving extremities to improve circulation and prevent blood clots. The patient was instructed physical therapy exercises needed for a gradual increase in strength and mobility.
The patient and family will be educated in brain tumors depending on the location, the type of tumor, its malignancy, and the prescribed treatment. The patient and family will be advised in any residual deficits and physical limitations. The patient was taught in obtaining appropriate devices for self-care, rehabilitation, mobilization, and sensory functions such as hearing aids or eyeglasses etc.
The patient was instructed in cataract surgery need to wear an eye shield at night for 2 to 6 weeks to avoid eye injury, warn that depth perception may be lost and 50% of peripheral vision will be lost because of the eye patch. The patient was advised to avoid falls by turning the head fully to the affected side to view objects. The patient was taught to use up-and-down head movements to judge stairs and oncoming objects and to move slowly. The patient was recommended to wear dark glasses during the day to avoid pupil constriction and glare.
The patient was instructed in fixator devices external fixator on pin and fixator care, wash fixator with sterile water and cover each pin head with plug or rubber tip to prevent injury. The patient who has gone through external fixation was reviewed in stress the need to increase movements and weight manner slowly to reduce tenderness and to permit muscles to recover strength. The patient was advised do not use the external fixator as a handle or support for the extremity but to support the extremity with pillows, two hands, or a sling to prevent excessive stress on the pins. The patient was advised to elevate the extremity when sitting or lying down. The patient was recommended of not changing or adjusting the fixator’s bars, since this can cause misalignment. The patient was explained that showering is permitted but that swimming should be evaded because chlorine and salt can corrode metal.
The patient was instructed in fractures in stress the importance of turning and moving frequently to evade skin breakdown. The patient was advised to handle hurt tissues softly by supporting the joint above and below the location. The patient was explained in how to wound care. The patient was recommended to elevate the extremity and apply ice bags. The patient was instructed in the use of ambulatory aids, crutch walking, cane, and walker. The patient was explained in the importance of range-of-motion exercises to maintain function of natural joints. The patient was taught in exercises to maintain strength and facilitate resolve of inflammation.
The patient was instructed in gastrointestinal bleeding in how to observer stools for blood and show stool occult blood test. The patient was instructed the status of smoking termination and complete abstinence from alcohol. The patient was advised to evade coughing, sneezing, lifting, straining during defecation, or vomiting. The patient was reviewed whether medicines should be taken with food or require an empty stomach. The patient was advised to evade use of aspirin having medications like ibuprofen and other nonsteroidal anti-inflammatory medicines. The patient was taught to design a diet high in vitamin K. The patient was instructed to eat small, frequent meals, to chew food well, and to eat slowly. The patient was instructed to drink water with meals. The patient was taught with a list of irritating foods and drugs to evade like coffee, tea, caffeine, spicy foods, rough foods, citric acid juices, hot foods. The patient was advised to evade milk because it occasionally gives to increase gastric acid secretion.