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Instructed in S/S of complications which require need for medical intervention, including redness, increase or change in drainage, heat at the wound site, fever, bleedind or increased pain.
Patient was instructed on chronic wound healing. That may be compromised by coexisting underlying conditions, such as, venous valve backflow, peripheral vascular disease, uncontrolled edema and diabetes mellitus. It is important to remember that increased wound pain may be an indicator of wound complications that need treatment, and therefore practitioners may be constantly reassess the wound as well as the associated pain.
Patient instructed that if after a fall he or she does not feel injured it is advisable to crawl to the nearest chair or strong piece of furniture to try to get up and call for help.
Patient was instructed on measures to prevent outdoor falls. Use a cane or walker as needed. Walk on grass when the sidewalks are slippery. Wear well fitting shoes. Wear glasses as prescribed.
Instructed on the importance/need of keeping her medical appointments.
Instructed on some measures aimed to managing/controlling hypertension, such as: decrease cholesterol intake to avoid atherosclerosis, among others.
The patient was instructed in hip replacement to get self-help devices to limit hip bending, elevated toilet seat, bath seat, and long-handled grippers. The patient was reviewed to evade putting extra weight on the hip and should use a walker, then crutched and then a cane until totally recuperated. The patient was instructed the importance of joining in physical therapy to recover muscle strength and guarantee adequate upper extremity strength for ambulating with a walker, crutches, or cane. The patient was advised to limit activities to evade loosening or displacing the prosthesis.
Patient assessment done with special attention on neuro-musculoskeletal and general status. Vital signs monitored.
Instructed patient the arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it avoid any activities that cause discomfort in your arm. Talk to your health care team if you have concerns about pain or range of motion.Don’t lift anything heavier than 10 pounds with the affected arm. Drink plenty of water. Staying hydrated helps keep clots from forming.
RN instructed patient and caregiver on balance in order to avoid fall that can produce complications in musculoskeletal system. RN explained that with age, a combination of factors decreases balance and the nerve endings in our feet don't detect impulses as readily and the balance control centers in our brain and our ears operate more slowly so age - related changes in vision and hearing, even when subtle, also contribute to the decline in balance and could increase the risk of falls. Patient and caregiver voiced understanding of all instructions given.