SN instructed patient that Thrombocytopenia is a condition in which you have a low blood platelet count. Platelets (thrombocytes) are colorless blood cells that help blood clot. Platelets stop bleeding by clumping and forming plugs in blood vessel injuries. Thrombocytopenia often occurs as a result of a separate disorder, such as leukemia or an immune system problem. Or it can be a side effect of taking certain medications.
Instructed patient caregiver some foods can produce odor: eggs, cabbage, cheese, cucumber, onion, garlic, fish, dairy foods, and coffee are among them. If you find that certain foods bother you, avoid them. Use an odor-resistant pouch. Check to see that the skin barrier is stuck securely to your skin, empty the pouch often. Place special deodorant liquids and/or tablets in the pouch.
Instructed patient caregiver Eating regularly will help prevent gas, Eat smaller amounts of food 4 to 5 times a day. Do not skip meals to avoid gas or output.
Instructed patient caregiver certain foods may cause gas, such as eggs, cabbage, broccoli, onions, fish, beans, milk, cheese, carbonated drinks, and alcohol.
Instructed patient caregiver water will not hurt your ostomy. Normal exposure to air or contact with soap and water won’t harm the stoma. Water will not flow into the stoma. Soap will not irritate it, but soap may interfere with the skin barrier sticking to the skin. It’s best to only use water while cleaning the skin around your stoma. If you do use soap, be sure to rinse your skin well.
Instructed patient caregiver Change the pouching system regularly to avoid leaks and skin irritation. It's important to have a regular schedule for changing your pouch. Don't wait for leaks or other signs of problems, such as itching and burning.
Patient instructed on medication Abilify. Abilify is used to treat the symptoms of psychotic conditions such as schizophrenia and bipolar I disorder (manic depression). It is also used together with other medicines to treat major depressive disorder in adults. Notify prescriber if unusual or bothersome side effects occur.
Patient is called prior to SN visit to ask if any of their relatives have symptoms associated with COVID 19, such as fever or dry cough.
Instructed patient fresh fruits and vegetables eaten daily will also supply your body with other nutrients essential to wound healing such as vitamin A, copper and zinc. It may help to supplement your diet with extra vitamin C. Keep your wound dressed. Wounds heal faster if they are kept warm. 2- Instructed patient getting more sleep can help wounds heal faster eat your vegetables, stay active, don't smoke, keep the wound clean and dressed.
Patient recently discharge from acute hospital s/p intracranial hemorrhage and SN educated patient on s/s such as Weakness., Tingling, weakness, or paralysis (loss of movement) on one side of the body. Difficulty speaking, disorientation and confusion, loss of or change in vision, difficulty swallowing, change in level of consciousness (alertness) and advised patient and caregiver to contact medical professional if any noted.