skin integrity
SN educated patient about Neutropenia. Neutropenia is an abnormally low count of neutrophils, which is a type of white blood cell. Neutrophils are made in the bone marrow, so anything that inhibits or disrupts that process can result in neutropenia. Instructed patient to prevent infection; Promote oral care, Promote hygiene, Prevent skin breakdown, Promote nutrition and ensure food is prepared and stored appropriately. Educated on signs and symptoms of infection; which include fever, Red, swollen, warm, or painful skin areas or wounds, An area of orange, bumpy skin with blisters, Cough, chest pain, or trouble breathing, Burning feeling while you urinate. Patient verbalized understanding.
SN instructed patient and caregiver that Diabetes can dry out your skin. That means you could get injured more easily, be more likely to get an infection, and take longer to heal. When you bathe or shower, use warm water, and a mild, moisturizing soap. After washing and drying off, use a mild lotion to prevent dry skin. Avoid scratching dry skin, apply moisturizer instead.
SN instructed patient and caregiver on importance good hydration, drinking plenty of water; apply skin lotion after bath and after wash hands , to keep skin hydrated/moisturized.
SN educated patient and caregiver on Lidocaine patches. These patches are used to relieve the pain of post-herpetic neuralgia (PHN; the burning, stabbing pains, or aches that may last for months or years after a shingles infection). It works by stopping nerves from sending pain signals. To apply the patches, follow these steps: 1. Look at the skin that you plan to cover with a lidocaine patch. If the skin is broken or blistered, do not apply a patch to that area. 2. Use scissors to remove the outer seal from the package. Then pull apart the zipper seal. 3. Remove up to three patches from the package and press the zipper seal tightly together. The remaining patches may dry out if the zipper seal is not tightly closed. 4. Cut patch(es) to the size and shape that will cover your most painful area. 5. Peel the transparent liner off the back of the patch(es). 6. Press the patch(es) firmly onto your skin. If you are applying a patch to your face, be careful not to let it touch your eyes. If you do get lidocaine in your eye, wash it with plenty of water or saline solution. 7. Wash your hands after handling lidocaine patches. 8. Do not reuse lidocaine patches.
Instructed in that collection devices help when treatments to management incontinence fails. There are many types: liners, drips collectors, condoms, pads, guards, undergarments, briefs and bed pads. Device should be comfortable and discreet and should keep skin, clothes and furniture dry. Overpadding damages skin and reduces leakage awareness.
Instructed in complication of diarrhea such as dehydration, electrolyte imbalance or anal excoriation. Dehydration is indicated by dry mouth, poor skin tugor, dry, flushed skin, decreased urine output, sunken eyes and weak, rapid pulse.
Instructed patient about the collection devices which help when treatments to manage incontinence fail. There are many types: liners, drips collectors, condoms, pads, guards, undergarments, briefs and bed pads. Devices should be comfortable and discreet, and keep skin, clothes and furniture dry. Overpadding damages skin and reduces leakage awareness.
Instructed patient about dehydration. Common symptoms are: dry mouth, poor skin tugor, dry, flushed skin, decreased urine output, sunken eyes and weak, rapid pulse.
Instructed patient about skin infection signs, such as redness, skin breakdown, discharge, and blisters with purulent exudates. Contact MD immediately if any of these symptoms appear.
Patient was instructed on skin care. Keep the diabetes under control. Follow the doctor and nurse