wound
Patient was instructed on eliminate or minimize pain of wound. Address the cause (remove the source if external, treat the infection or medicate based on physiological stimulus), pharmacological strategies
Patient was instructed on factors that contribute in chronic wounds as repeated trauma. Repeated physical trauma plays a role in chronic wound formation by continually initiating the inflammatory cascade. The trauma occurs by accident, for example when a leg is repeatedly bumped against a wheelchair rest, or it may be due to intentional acts.
SN instructed patient to eat a balanced diet and drink fluids, increase protein and take vitamins to promote wound healing.
Instruct the patient in care of the incisional wound, reviewing signs of wound infection and thrombus formation in the implant replacement of the aortic valve.
The patient was instructed in diverticulosis and diverticulitis obtaining appropriate supplies, such as sterile dressings or ostomy devices. The patient was taught in proper wound care or stoma management and dressing changes, procedure, frequency, and wound stoma or stoma inspection. The patient was advised to take hydrophilic colloid laxatives. The patient was instructed that baths or showers may be taken when drains or sutures are removed.
Instructed caregiver that treatment includes proper positioning, always avoid placing any weight
or pressure on the wound site.
Instructed patient about vacuum assisted closure ( VAC ) therapy as it promotes wound healing through negative pressure wound therapy.
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.
Instructed caregiver the key to successful wound healing is regular podiatric medical care to ensure the following “gold standard” of care: Lowering blood sugar, appropriate debridement of wounds, treating any infection, reducing friction and pressure, restoring adequate blood flow.
Instructed patient abour the V.A.C. therapy System is an Advanced Wound Therapy System consisting of a V.A.C. Therapy unit that delivers negative pressure and a sterile plastic tubing with SensaT.R.A.C, pressure sensing lumens that connect the therapy unit to the dressing Special foam dressings. KCI recommends the V.A.C. Dressings be changed every 48 to 72 hours, but no less than 3 times per week. Patient has the ability to move around depending on the condition, the wound location and type of therapy unit prescribed. The V.A.C. Therapy System may be disconnected so you can take a shower. Therapy may not be off any longer than two hours per day.