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Instructed in signs and symptoms of complications and/or deterioration of wound status such as temperature above 100 grade, increase redness, drainage, edema, increase pain, increase size of wound.
Instructed in home ambulation with cane, clear pathways, falls precautions, good lighting, non skid shoes, etc.
Instructed patient on S/S of high blood pressure, such as, fatigue, palpitations, dizziness, headaches, nosebleeds, blurring of vision.
Patient was instructed on another leading type of chronic wounds is pressure ulcers. That occurs when pressure on the tissue is grater than the pressure in capillaries, and thus restricts blood flow into the area. Muscle tissues, which needs more oxygen and nutrients than skin does, show the worst effects from prolonged pressure. As in other chronic ulcers, reperfusion injury damage tissue.
Patient was instructed on hypoglycemia. Normally, blood glucose levels increase slightly after you eat a meal. When blood sugar rises, cells in the pancreas release insulin, causing the body to absorb glucose from the blood and lowering the blood sugar level to normal.
Instructed on some measures aimed to controlling/managing depression, such as: encourage patient to become involved in prior interests and activities, among others.
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.
Patient was educated about potassium 10 meq 1 tablet oral daily this medication is given for treatment/ prevention of potassium depletion.
Instructed patient If you do put tape around the skin barrier edges do not remove the tape after water activities. Removing the tape may cause the skin barrier to loosen. It is helpful to hold your skin smooth as you put your pouching system on to avoid wrinkles that may lead to leakage.
SN instructed patient and caregiver about Fentanyl Patch. This medication is used to help relieve severe ongoing pain. Fentanyl belongs to a class of drugs known as narcotic ( opiate ) analgesics. It works in the brain to change how your body feels and responds to pain. Use this medication on a regular schedule as directed by your doctor, not as needed for sudden ( breakthrough) pain. Apply this medication to the skin as directed by your doctor. Do not apply on burns, cuts, irritated skin, or skin that has been exposed to radiation ( x-ray treatment ). Select a dry, non - hairy area on a flat part of your body, such as the chest, sides, back, or upper arms. To avoid irritation, apply to a different area each time. Be sure to remove the old patch before applying a new patch. The used patch still contains enough fentanyl to cause serious harm, even kill a child or pet, so fold it in half with the sticky sides together and discard properly. Some side effects are nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Mild irritation, itching, or redness at the application site may also occur. Some of these side effects may decrease after you have been using this medication for a while. If any of these effects persist or worsen, tell your doctor. To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise. Ask your pharmacist for help in selecting a laxative ( such as a stimulant type with stool softener ).