patient-unable
Instructed caregiver to call patient's doctor if patient have: fever or chills, redness, swelling, or pain that is getting worse. Bleeding or drainage from the hole.
Instructed patient classic barriers to spontaneous closure include distal obstruction, mucocutaneous continuity (ie, a short or epithelialized tract), and infection or malignancy in the tract. Comprehensive and effective management of the patient with fistula requires attention to fluid and electrolyte replacement, per fistula, skin, protection, infection control.
Instructed patient through the use of negative pressure wound therapy, a standard surgical drain, and optimized nutrition, fistula drainage was redirected and the abdominal wound healed, leaving a drain controlled enterocutaneous fistula. Patient control of fistula drainage and protection of surrounding tissue and skin is a principle of early fistula management.
SN instructed patient on high risk medication, anticoagulant, warfarin. Use precautions such as, Tell care providers you take warfarin before you have any medical or dental procedures, Avoid situations that increase your risk of injury, Use safer hygiene and grooming products, Consider wearing a bracelet or carrying a card that says you take warfarin. Patient understanding.
SN to instruct patient on lifestyle and home remedies like stopping alcohol driving if applicable, avoiding medication that may cause liver damage, help prevent other from coming in contact with infected blood. SN to instruct patient and caregiver on emergency preparedness and when to notify the doctor with new symptoms and/or concerns.
Instructed patient/caregiver on no-added-salt or salt-controlled diet can help control high blood pressure. Even if you are taking medication, it's important to follow a salt-controlled diet to help the medication work more effectively. Use a limited amount of salt in cooking. Don't add salt to your food at the table, either at home or when dining out. Most restaurants add salt when preparing food. Use fresh or dried herbs, spices, and lemon juice to season foods. Avoid ham, bacon, salt pork, and cheese, because these are made with salt. Patient/caregiver verbalized understanding.
Instructed patient It can take a few weeks for your body to get used to this change, and you may experience bloating, diarrhea, and gas after eating fatty foods during this time. Instructed patient if you feel ready and are not nauseated, you can slowly begin introducing solid foods back into your diet as you start feeling better. But you may need to avoid certain types of foods for a while.
Instructed patient It can take a few weeks for your body to get used to this change, and you may experience bloating, diarrhea, and gas after eating fatty foods during this time. Instructed patient it's important to carefully follow your doctor's instructions about your diet after gallbladder surgery.when you're recovering at home, you'll need to introduce foods slowly, and consume mainly clear liquids, like broth.
Instructed patient you may need to detach the drainage bag from the nephrostomy tube to clean it. If so, attach a new drainage bag tightly to the nephrostomy tube. Instructed patient change bandages, skin barriers, and attachment devices as directed. This helps to prevent infection. Throw away or clean your drainage bag as directed by your caregiver.
Instructed patient Wipe the connecting ends of the drainage bag with alcohol or iodine before you reconnect the bag to the tube. This helps prevent infection. Instructed patient check the catheter to be sure it is in place after you change your clothes or do other activities. Do not wear tight clothing over the tube. Place the tubing over your thigh rather than under it when you are sitting down. Be sure that nothing is pulling on the nephrostomy tube when you move around.