Procedures

Patient instructed to restrict vigorous activity or lifting heavy objects for a week or two.
The incision site is usually completely healed after two or three weeks.
During this initial period you should watch for signs of bleeding or infection, such as swelling, increased redness or worsening pain, and let your doctor know if any of these signs occur.
You will need to have your pacemaker checked periodically to see whether it is functioning normally and to make sure its battery has plenty of energy. Usually, these pacemaker checks are done by telephone every month or two (using a special device your doctor will give you for telephone follow-up), and by visits to your doctor's office once or twice a year.

Instructed patient assess PICC line site, line note any leakage from catheter or around the site. 
Note any redness, drainage or pain at the site.

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).

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.

The patient was instructed in valve repair replacement in the need of good care of the incision site. The patient was advised in the stress of lifelong anticoagulant therapy to stop emboli and block of the valve. The patient was instructed in other methods for dealing with pain. The patient was recommended to evade heavy lifting (10 pounds), pushing, pulling, and exercises for 6 weeks. The patient was recommended to evade driving for the first 4 to 6 weeks. The patient was recommended to evade sitting or driving for extended times. The patient was recommended to evade abrupt position variations from sitting and standing.