patient-unable
The patient was instructed in craniectomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
The patient was instructed in emphysemathe importance of avoiding bronchopulmonary irritants such as cigarettes smoking, industrial air pollutants, dust, powders, perfumes, aerosol sprays. The patient was encouraged to use of bronchodilator nebulizers. The patient was taught in adaptive breathing techniques such as deep-breathing exercises, coughing techniques, pursed-lip breathing, and abdominal breathing. The patient was reviewed to avoid persons with infections, especially upper respiratory tract infections. The patient was advised the importance of taking vaccines for influenza and pneumococcal pneumonia. The patient was recommended on cleaning of all home respiratory equipment. The patient was taught in the importance of environmental control, avoid dry air, avoid going out in cold temperatures.
The patient was instructed in electrophysiology study cardiac mapping on care of the puncture site. The patient was advised that bruising of and around the insertion site is normal. The patient was instructed in the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
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 pneumonia and pneumonitis in the importance of evading spread of disease, rotating head away when coughing, and cover mouth with tissue. The patient was reviewed to evade persons with infections. The patient was taught in the importance of postural drainage and profound breathing exercises. The patient was reviewed in the need to use a vaporizer or humidifier at home. The patient was instructed on procedures of clearing secretions like coughing, positioning, splinting chest wall, or suctioning. The patient was instructed on adaptive breathing methods to decline work of breathing. The patient was recommended to stop smoking.
The patient was instructed in valve repair replacement in the need of good care of the incision site. The patient was advised in the stress of lifelong anticoagulant therapy to stop emboli and block of the valve. The patient was instructed in other methods for dealing with pain. The patient was recommended to evade heavy lifting (10 pounds), pushing, pulling, and exercises for 6 weeks. The patient was recommended to evade driving for the first 4 to 6 weeks. The patient was recommended to evade sitting or driving for extended times. The patient was recommended to evade abrupt position variations from sitting and standing.
The patient was advised in pain management in arthritis applying heat or cold to a painful joint for temporary relief avoiding temperatures extremes. The patient was recommended to maintain a regular exercise program that provides stretching and joint mobility. The patient was encouraged to coordinate pain medication with activities. The patient was recommended to use assistive and/or protective devices, as needed, to support affected joints. The patient was advised in the importance of maintaining a safe home environment to prevent falls (removal of small rugs, handrails in showers, tubs, or toilets etc. The patient was encouraged that eating well-balanced diet.
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 was instructed in cystic fibrosis the importance of breathing exercises, percussion and postural drainage techniques. The patient was taught to use the home nebulizer, metered-dose nebulizer, and other respiratory equipment necessary to release secretions and dilate the bronchi. The patient was reviewed the need to avoid known respiratory irritants such as smoke and air pollutants and persons with upper respiratory infections. The patient was taught on methods of clearing secretions, such as coughing, positioning, or suctioning. The patient was instructed on adaptive breathing techniques to decrease work of breathing. The patient was encouraged to participate in a program of aerobic exercise; swimming helps strengthen the muscles of respiration and promotes good breathing habits.
The patient was instructed in diabetes mellitus ketoacidosis discussing blood sugar monitoring, when the test will take place, the technique, the necessary blood sugar range, how to read test results, what to do for abnormal results, the cleaning of equipment. The patient was taught when she or he is sick monitoring is increased to every 4 hours because illness or injury increases glucose demand. The patient was advised to maintain meticulous dental hygiene to prevent infection, wear shoes all the time to prevent foot injury. The patient was advised to monitor for vaginal infections. The patient was instructed the need to carry fast-acting sugar livesavers, sugar packets for treatment of hypoglycemia. The patient was advised to obtain appropriate items, equipment, and assistive devices for various diabetic needs, glucose monitor, medialert bracelet.