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Instructed to keep dressing clean and dry to prevent growth of bacteria.
Instructed patient about hypotensive drugs and how they usually produce orthostatic hypotension.
Instructed patient on the possible side effects of NTG, including headache, dizziness with position changes, weakness, flushing, palpitations, fainting, nausea and vomiting. Instructed patient to notify MD if any side effects occur.
Instructed patient to avoid the use of electrical appliances with non-insulated wiring.
Patient was instructed on appropriate nutrition. Choose non fat dairy product such as skim milk, non fat yogurt and non fat cheese. Choose water and calorie free
SN instructed patient and caregiver that Plavix is used to prevent heart attacks and strokes in persons with heart disease. Avoid alcohol as very serious interactions can occur. To take this medication regularly with or without food. Patient and caregiver verbalized understanding.
Instructed on the importance/need of using good body mechanics when either exercising or moving around.
Instructed caregiver vacuum-assisted closure (VAC) therapy is intended to manage the environment of surgical incisions that continue to drain following sutured or stapled closure by maintaining a closed environment and removing exudates via the application of negative pressure wound therapy
Instructed patient to check your skin and the back of your skin barrier each time you change your pouching system. You can use a mirror to check your skin under the stoma. Look for any places where stool or urine may have leaked under the skin barrier and onto your skin. When you apply your next pouching system these areas may need some extra reinforcement with skin barrier strips, rings or paste.
SN instructed that keeping your regular cast dry is very important! There are no devices that are 100% effective in keeping any cast dry. Sponge baths are the safest way to keep the cast dry. If you have to take a bath or shower, please follow these instructions: place a towel or washcloth around the upper portion of the cast. Cover the entire cast with 2 plastic bags ( use two in case one has a leak, secure the bag at the top with tape or a rubber band, if the cast gets moist, dry the top or bottom of the cast using a blow dryer. Use only the cool or low setting, if the cast is soaked all the way through, it needs to be changed ( call doctor office )