including damage eyes retinopathy which can lead blindness damage nerves neuropathy
SN instructed about Care of teeth. Brush twice daily. After getting up from bed and before going to the bed. Rinse mouth after taking food. Once in year dental check up. Clean the tongue with tongue cleaner after brushing. Neem stick, salt or charcoal can be used for brushing.
Ostomy care It is not necessary to use soap to clean around your stoma. But if you prefer to use soap, use a very mild soap. Avoid using soaps and cleansers with oils, per - fumes, or deodorants since these can sometimes cause skin problems or keep your skin barrier from sticking.
Ostomy care instructed patient unless recommended, do not apply powders or creams to the skin around your
stoma because they can keep your skin barrier from sticking.
Urostomy care Instructed patient When to Change the Pouch. Most urostomy pouches need to be changed 1 to 2 times a week. It is
important to follow a schedule for changing your pouch. DO NOT wait until it leaks because urine leaks can harm your skin.
SN Instructed to the urostomy care: How to change the Urostomy bag: Prepare the new bag. Gather everything you need in the bathroom: plastic bags, toilet paper, paper towels or a soft washcloth, a clean cloth wipe, an additional skin barrier in the form of a paper towel (if desired) and a new bag.If the bag you use does not come with a skin barrier already made, take the measurements and now form the opening with scissors. Slowly remove the skin barrier lining. Put aside the skin barrier. Empty the used bag before removing it. To empty the bag, sit on the toilet or stand in front of it: Remove the used bag. To remove the used bag, sit on the toilet or stand in front of it. Carefully separate the skin from the skin barrier with one hand. To do this, start at the top edge of the skin barrier. With the other hand, slowly release the skin barrier from top to bottom. Seal the used bag tightly inside a plastic bag and dispose of it in the trash: Clean the area around the stoma. Use toilet paper to clean urine and mucus in the stoma or the skin around it. Clean the skin with warm water and a soft cloth wipe or a paper towel. Clean up to the stoma border. You can also do this while showering. Dry the skin without rubbing, using a clean towel; and Place the new bag. Use a folded paper towel or a piece of gauze to keep the stoma dry while placing the new pouch. Once you have changed the bag, wash your hands.
Skilled Nursing visited PT, PT alert and oriented x 3 PERRL. SN assessed PT head to toe , Vital signs taken and recorded using universal precaution standard . Lungs Bilateral even , unlabored respiration, abdomen soft non distended, skin warm and dry to touch , no distress and complications noted at this time. Osteoarthritis can occur in any joint. It occurs most often in the hands, knees, hips, and spine. Warning signs are: Stiffness in a joint after getting out of bed or sitting for a long time. Swelling or tenderness in one or more joints. A crunching feeling or the sound of bone rubbing on bone. Taught that eating well-balanced meals and avoiding.Taught that avoiding excess sugar intake and avoiding excess salt intake are measures aimed to preventing/controlling Osteoarthritis.Taught that using assistive and/or protective devices, as needed, is a measure aimed to preventing/controlling Osteoarthritis.
Instructed patient check for redness, swelling, any drainage or excess skin growing around the tube. A small amount of clear tan drainage can be normal. Call your care team with any concerns. Instructed patient remove old dressing (if dressing is being used). Look at the area where the tube enters the skin
Instructed patient for the first 4-6 weeks after placement of a new PEG, bath water should not be so deep that the tube is
under the water. Shower water should fall on your back only. For a balloon, low profile, or older PEG tube you can take a
bath or shower as you normally do. Instructed patient call nurse or doctor if your body changes: your skin around tube has signs of infection: redness, warm to touch, firm to touch , tender.
SN instructed patient What can you do to control blood pressure? To minimize the risk of hypertension, control sodium, potassium, and other essential electrolytes the body uses to maintain fluid balance. The recommendation for patients with kidney disease: limit sodium intake to no more than 1,500 mg per day. Most sodium in today’s diet comes from processed foods and restaurants foods. Unhealthy lifestyles choices, such as smoking tobacco, obesity, and excessive alcohol consumption, may also contribute to hypertension.
Instructed patient To care for your skin:Wash your skin with warm water and dry it well before you attach the pouch.
Avoid skin care products that contain alcohol. These can make your skin too dry.