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Instructed patient about diabetes complications such as frequent infections.
Patient was instructed on proper nutrition, such as avoid eating fatty meats, bacon, corned beef, luncheon meats, spiced meat, gravy, sardines, salmon, tuna, duck, goose, and organ meats.
Patient was instructed on Osteoporosis. As you make changes, continue with your food diary. Set a weekly goal as you add or change what you are eating. For example, this week make it your goal to order a salad instead of french fries, add vegetables to your pizza, or bring a yogurt to work every day.
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.
Taught that most people with high cholesterol or triglycerides do not feel sick.
Taught that balancing exercise with rest, as directed by MD, is a measure aimed to controlling/managing Rheumatoid Arthritis.
Instructed on the importance of never attempting to restrain a person that is experiencing a seizure episode.
The patient was instructed in gastrectomy indicating good wound management, dressing changes, process, regularity, and check of skin. The patient was advised in obtaining appropriate devices, such as ostomy appliances, sterile dressings, and tube feedings and feeding pump. The patient was explained in characteristic relief of abandoning syndrome. The patient was advised to plan a low-carbohydrate, high-fat, high-protein diet. The patient was taught to eat small, frequent meals and to avoid taking liquids with meals. The patient was recommended to adopt a reclining position after meals.
Empty your pouch when one-third to one-half full. Change your skin barrier every 3-7 days. You should not experience frequent leakage of your pouch seal. If you do, consult a WOC Nurse. Usually soap is not needed to clean the peristomal skin. If you use soap, make sure it does not contain any oils or lotions that can interfere with adhesives. Always rinse your skin and dry completely before you adhere the new pouch. After you apply your skin barrier, hold it in place against your skin for about one minute. This will help to activate the adhesive. You can shower, bathe, or swim with your ostomy after you are cleared by your physician. If you are using a bedside collection bag, clean it daily with a recommended solution to help minimize odor, crystal formation, and bacteria.
SN instructed patient to perform daily meticulous foot care, to be sure to dry feet completely after a bath, checking for any sores, cuts or scrapes and to report any wounds as soon as they appear to SN or MD. Also have a podiatrist cut toenails regularly to prevent ingrown toenails and other complications.