patient-unable
Instructed patient once you empty your drainage, clean your hands again and check the area around your insertion site for: tenderness, swelling, pus, warmth, more redness than usual. Sometimes the drain causes redness about the size of a dime at your insertion site and this is normal.
SN instructed that infrequent passage of hard, dry stool, low back pain, abdominal fullness and/or abdominal discomfort, decreased appetite, nausea and/or vomiting, and rectal pressure may constitute as signs/symptoms of constipation. Patient verbalized understanding.
SN instructed patient and caregiver on measures to prevent constipation: increasing fluids (prefer approx. 8 glasses of water daily) eating a diet high in fiber, and avoiding foods with sugars (pasta, pastries, cheese, rice, etc.), exercise regularly at a slow, steady pace, as directed by md if you are able. Both parties verbalized understanding.
SN instructed patient and caregiver on some measures aimed to controlling/managing constipation, such as: establish regular times for evacuations usually after a meal and drink a warm liquid one-half hour before breakfast to stimulate bowel movement, avoid laxative and enema abuse. Instructed on some potential complications of constipation, such as: stool impaction bowel blockage, liquid bowel movement may ooze around hard stool in the colon, pain, valsalva maneuver may be caused by straining, causing a slowed pulse, decreased blood return and increased venous pressure, rectal bleeding and rectal pain.
Sn instructed patient and caregiver about blood pressure and home monitoring. Explained the blood pressure measures the amount of force blood places on the blood vessels in the body. A blood pressure reading includes two numbers that indicate the pressure inside the arteries as the blood flows through the body. The upper number, called the systolic pressure, measures the pressure inside the arteries as the heart contracts to pump blood. The lower number, called the diastolic pressure, is the pressure inside the artery as the heart rests between each beat. Both parties verbalized understanding.
SN instructed patient and caregiver about Blood pressure. According to the American Heart Association, normal blood pressure is anything below 120/80 mm Hg. If these numbers go higher than 120/80 mm Hg, it is often an indication that the heart is working too hard to pump blood through the arteries. High blood pressure, hypertension is when your blood pressure is 140 / 90 mm / Hg or above most of the time Accurate blood pressure readings are important, as high blood pressure may not cause any symptoms until it is dangerously high. Both parties verbalized understanding.
SN instructed patient and caregiver about Blood pressure. To check the blood pressure manually, sit in a relaxed position with the arm at rest on a table. Secure the cuff on the bicep, follow the machine instructions for starting the reading. If you move suddenly or are startled during the test, you should wait approximately 5 minutes before attempting to test again. Both parties verbalized understanding.
Instructed patient what are the risks of having a Jackson-Pratt drain. The JP drain site may be painful. You may have trouble lying on the side with your JP drain. Your JP drain site may leak. The JP drain may be pulled out by accident. The tubing may get blocked, crack, or break. The tubing may damage your tissue. You may have a scar. The JP drain site may get infected. This infection could spread inside your body.
Instructed patient When should I contact my healthcare provider. You drain less than 30 milliliters (2 tablespoons) in 24 hours. This may mean your drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than 101.5°F (38.6°C). You have increased pain, redness, or swelling around the drain site. If you have questions about your JP drain care contact your physician.
Patient instructed on new medication Abilify. Abilify is used to treat the symptoms of psychotic conditions such as schizophrenia and bipolar I disorder (manic depression). It is also used together with other medicines to treat major depressive disorder in adults. May be taken with or without food, take at the same time daily. Do not stop abruptly or change dosage without consulting prescriber. Notify prescriber if unusual or bothersome side effects occur.