Instructed in storage and disposal of equipment: check expiration date, keep spare bottle in refrigerator, do not change brand, match syringe type.
Instructed in the depression's symptoms such as constant feelings of sadness, irritability or tension, decreased interest or pleasure in usual activities or hobbies,loss of energy, feeling tired despite lack of activity, a change in appetite with significant weight loss or weight gain, difficulty sleeping, early morning awakening or sleeping too much, restlessness or feeling slowed down decreased ability to make decisions or concentrate, feelings of worthlessness, hopelessness or guilt, thoughts of suicide or death.
Instructed to contact your doctor or go to your local hospital or emergency room, if you are in an immediate serious despression crisis.
Instructed that depression may surface with other mood disorders such as seasonal major depression, postpartum depression and bipolar disorder.
Instructed to contact physician inmediately if uncontrolled bleeding or excruciating pain occurs at wound site.
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 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 management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Instructed in management and control of wound through activity such as frequent rest periods, no overexertion, no lifting, bending or stooping. Passive and active exercises to increase vascular tone. Elevate affected extremity to promote venous return. Give pain medication, if prescribed, 30 minutes prior to any activity.
Instructed in factors that contribute to poor skin integrity such as immobilization, poor circulation, moisture, heat, anemia, shearing forces, poor nutritional status.