wound care
The patient was instructed in ulcer peptic in take care of the incision line and dressing changes. The patient was instructed to take only approved antacids. The patient was reviewed to evade aspirin-containing drugs, ibuprofen, and steroids.
Skilled nurse instructed patient/care giver in Hyperbaric oxygen therapy is a treatment in which the patient breathes 100 percent oxygen inside a pressurized chamber for approximately two hours. The therapy quickly delivers high concentrations of oxygen to the bloodstream, accelerating the healing rate of wounds and is effective in fighting certain types of infections. It also stimulates the growth of new blood vessels, improving circulation, and helping to prevent future problems.
Instructed caregiver about checklist for care your skin and catheter: Wash your hands to prevent
infections,check the skin around your catheter.
Instructed patient about your Foley catheter daily Care: Keep your skin and catheter
clean. Clean the skin around your catheter at least once each day. Clean your skin area and
catheter after every bowel movement. Always keep your urine bag below the level of your bladder.
Keeping the bag below this level will prevent urine from flowing back into your bladder from
the tubing and urine bag. Back flow of urine can cause an infection. These will help prevent a
bladder or kidney infection and will keep you more.
Skilled nurse assess patient for S/S of complication related to diagnostic.
Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter
clean. Clean the skin around your catheter at least once each day. Clean the skin area and
catheter after every bowel movement. Call the patient MD if: you cannot get the catheter to
drain urine into the bag, the catheter comes out or it is leaking, the urine is thick and
cloudy. Your urine has mucus, red specks, or blood in it. Urine with blood in it may appear
pink or red. the urine has a strong (bad) smell, No urine has drained from the catheter in 6 to
8 hours, have pain or burning in your urethra, bladder, abdomen, or lower back, have shaking
chills or your temperature is over 101° F (38.3° C).
Instructed caregiver how to prevent Pressure Ulcers for Bed bound patients: Take care of the Skin
Inspect the skin at least once every day. Pay attention to any red areas that remain even after
changing position.
Partient is unable for diabetic care due to multiples functional limitation such as poor vision, poor eyes/ hand coordination. No caregiver available at this time.
Instructed patient caregiver knowledge of maintenance and care of PICC lines insures long term use. Problems, detected early, greatly decrease any complications that might be associated with this line.
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
Instructed caregiver clean patient's skin daily: Clean the patient's skin around your tube 1 to 2 times each day.