skin breakdown
The patient was instructed in muscular dystrophy in locating correct devices like aids for ambulation and self-care activities. The patient was advised to recognize variations in the home location like bed trapezes, handrails, railed toilet seats, and ramps for wheelchairs. The patient was taught in the good skin care and placing using a bed or a wheelchair. The patient was reviewed in pain controlling methods to deal with chronic pain.
The patient was instructed in spinal cord injury to use a mirror to check skin for break. The patient was instructed on perineal care after removal. The patient was taught in intermittent self-catheterization. The patient was taught in the attention of the indwelling urinary catheter. The patient was taught in the need to use anesthetic jelly abundantly for urinary catheterization and insertion of suppository or enema. The patient was advised in the importance of following the prescribed rehabilitation program.
The patient was instructed in pancreatic cancer to use frequent baths, lotions, and ointments to calm skin and reduce itching. The patient was taught in other methods of pain administration. The patient was taught in the self-administration of insulin.
The patient was instructed in hepatitis viral to wash hands meticulously after toileting. The families of the patient were reviewed to wear gloves if interaction with feces. The patient was instructed not to make food for others during the symptomatic time of the illness. The patient was recommended not to share stuffs, like eating utensils, razors, toothbrushes, toys, needles. The patient was advised to use an electric razor and soft-bristled toothbrush to help prevent bleeding. The families of the patient were reviewed for injection of gamma globulin. The patient was taught to exercise blood and body fluid protections until is free of the disease. The patient was advised to handle scratches and slashes carefully. The patient was encouraged to provide separate bed and bathroom. The patient was advised to evade using alkaline soaps and to use mild soaps. The patient was advised to save the skin moist with soothing ointments.
SN advised patient and caregiver to report the development of a late skin rash with symptoms of fever, fatique, and sore throat. Caregiver verbalized understanding of instructions given.
SN advised patient to report the development of a late skin rash with symptoms of fever, fatigue, and sore throat while on ampicillin therapy.
The patient was instructed in ulcerative colitis (Crohn’s Disease, Inflammatory Bowel Disease in the need for perianal care daily and after each bowel movement. The patient was taught perianal and perianeal skin care. The patient was encouraged a diet is bland, low in residue, fiber, and fat, but high in protein, calories, carbohydrates, and vitamins. The patient was recommended to evade seasoned foods, raw fruits and vegetables, foods containing rough cereals, bran, seeds or nuts, milk, fatty or fried foods, caffeine, alcohol and carbonated beverages.
The patient was instructed in thrombolytic therapy in the need that bed rest will be continued during the process and for 12 hours after an intracoronary infusion. The patient was advised that common blood sampling will be done to monitor coagulation times and that signs and symptoms of successful myocardial reperfusion, coronary reocclusion and bleeding will be checking. The patient was reviewed that signs of bleeding below the skin are probable and will clear with time.
Patient was instructed on Lorazepam a benzodiazepines a medication used to treat anxiety disorder. Patient was instructed to take medication exactly as indicated by physician and to avoid the consumption of alcohol. Patient was instructed on side effects such as: •drowsiness, dizziness, tiredness;blurred vision;sleep problems (insomnia);muscle weakness, lack of balance or coordination;amnesia or forgetfulness, trouble concentrating;nausea, vomiting,constipation;appetite changes; or skin rash. If side effect become persistent or worsen contact physician immediately.
Caregiver A.L.F's staff was instructed in Hypothyroidism disease; on how symptoms differ among individuals, depending on the severity of the case: sensitivity to cold temperature, dry skin, constipation, forgetfulness, chronic fatigue, decreased heart rate, depression, hair loss, weight gain, muscle stiffness and cramping, lack of facial expression, enlarged tongue.