wound care
SN instructed patient to always assess wound dry sterile dressing when removed for any symptoms / signs of infection, such as increase drainage amount, any odor, drainage color, etc . Check your temperature once or twice a day. Report any fever or increase pain.
SN teaching the patient / caregiver on S / S ( signs / symptoms) of wound infection to report to physician, such as increased temp >100.5, chills, increase in drainage, foul odor, redness, or unrelieved pain.
SN instructed patient to eat a balanced diet and drink fluids, eat protein like red and white meat, eggs, beans and take vitamins from vegetables/fruits , to promote wound healing.
The patient was instructed in cervical cancer explaining of type of cancer and the therapeutic or surgical procedures to be performed.
Patient Undergoing Surgery, the patient was reviewed avoid coitus and douching for 2 to 6 weeks after surgery, avoid heavy lifting and vigorous activities.
Patient Undergoing Cryosurgery/Laser Therapy , the patient was taught that perineal drainage is clear and watery initially progressing to a foul-smelling discharge that contains dead cells, reviewed perineal care and hygiene, recommended need for regular Papanicolaou and pelvic examinations.
Patient Undergoing Pelvic Exenteration, the patient was instructed to obtain appropriate supplies for ostomy care, the patient was taught on perineal care explaining the drainage may continue for several month, the patient was reviewed in wound irrigation procedures and application of sanitary pads, avoid prolonged sitting.
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 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.
SN instructed patient and caregiver to eat a healthy diet, as it can boost your immune system and speed up wound recovery. Five nutrients that are essential for wound healing: Protein, Vitamin C, Zinc, Carbohydrates, Vitamin A
SN instructed patient on nutrients required for wound healing. To promote wound healing with good nutrition, plan healthy, balanced meals and snacks that include the right amount of foods from 5 food groups: protein, fruits, vegetables, dairy and grains. Fats and oils should be used sparingly. Choose vegetables and fruits rich in vitamin c, such as strawberries or spinach. For adequate zinc, choose whole grains and consume protein, such as eggs, meat, dairy or seafood. Some wounds may require a higher intake of certain vitamins and minerals to support healing. Include adequate protein throughout the day. Include a source of protein at each meal or snack. Stay well-hydrated with water or other unsweetened beverages. For people with diabetes, monitor, and control blood sugar levels to help prevent new wounds from developing and to support healing and recovery. Patient verbalized understanding.
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.