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Instructed in wound care as ordered by MD such as proper storage of dressing supplies, proper handwashing technique and removal of dressing, proper storage of dressing supplies, cleansing of wound as specifically ordered by MD, proper application of ointments, powders, solutions, etc, if ordered by MD, proper application of specific dressing change if ordered by MD, return demonstration of complete dressing change technique; more than one teaching may be needed.
Instructed in the importance of decreased fluid intake and emphasize the removal of accumulated fluids should be implemented when applicable and adherence to therapeutic diet to prevent cardiac overload. Tracking your fluid intake and following the fluid intake guidelines from your doctor will also help.
Instructed patient to store insulin properly and to check expiration date. Advised not to use insulin that changed color or use any other brand other than the one ordered by MD.
SN stressed importance of daily foot care such as wearing shoes or slippers at all time to prevent foot injury.
SN instructed patient to try eating the main dinner meal at noon and a smaller meal in the evening. This helps to reduce the stool output at night.
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 helps draw wound edges together, remove infectious materials and actively promote granulation.
SN to instruct patient on lifestyle and home remedies like stopping alcohol driving if applicable, avoiding medication that may cause liver damage, help prevent other from coming in contact with infected blood. SN to instruct patient and caregiver on emergency preparedness and when to notify the doctor with new symptoms and/or concerns.
Instructed patient Lifting: You should not put too much strain on your sternum while it is healing. Avoid lifting, pushing, or pulling anything heavier than 10 pounds for six weeks after surgery. This includes carrying children, groceries,suitcases, mowing the grass, vacuuming, and moving furniture. Don’t hold your breath during any activity, especially when lifting anything or when using the rest
SN instructed that check the access for signs of infection or problems with blood flow before each hemodialysis treatment, even if the patient is inserting the needles. Keeping the access clean at all times. Using the access site only for dialysis. Being careful not to bump or cut the access. Checking the thrill in the access every day. The thrill is the rhythmic vibration a person can feel over the vascular access. Watching for and reporting signs of infection, including redness, tenderness, or pus. Not letting anyone put a blood pressure cuff on the access arm. Not wearing jewelry or tight clothes over the access site. Not sleeping with the access arm under the head or body. Not lifting heavy objects or putting pressure on the access arm.