SN instructed patient and caregiver to monitor circulation r/t Unna boots. Report if dressing is tight and constricting esp. in back of leg. Check color of feet and report if bluish or purple in color. Report any c/o numbness or tingling. Dressing should be removed immediately if any s/s occur. and notify physician or nurse.
Patient instructed on the importance of drinking 6-8 glasses of water per day. Hydration is important for wound healing, healthy skin, digestion, healthy kidneys, and electrolyte balance. Instructed on the increased risk for dehydration during the summer months.
UTI Instructed patient you can take these steps to reduce your risk of urinary tract infections:rink cranberry juice, Wipe from front to back, change diaper frequently.
SN instructed care giver that changing a patient's position in bed every 2 hours helps keep blood flowing. This helps the skin stay healthy and prevents bedsores.
SN instruction patient and care giver on fall prevention starts with creating a safe living space. Clean up clutter. Repair or remove tripping hazards. Avoid wearing loose clothing. Light it right. Wear shoes.
SN instructed on intermittent claudication which is a condition caused by narrowing of the arteries that supply the legs with blood. Intermittent claudication causes pain in your calves when walking, Patients with intermittent claudication develop pain when they walk because not enough oxygen-containing blood reaches the active leg muscles. There are two main ways to treat claudication: medication and a surgical treatment, called revascularization. Medication therapies are often used initially as they are non-invasive. Compression therapy can also be used as a noninvasive way to treat symptoms of claudication. Intermittent calf compression has been shown in studies to improve symptoms-free walking distance.
SN instructed on ways to help reduce Edema: to elevate lower extremities above the level of the heart approximately 8-12 inches for at least 30 minutes 3/4 times a day to improve circulation, promote venous drainage and reduce swelling.
SN Instructed on measures to detect and alleviate edema: Gently compress the soft tissue with your thumb over both shins for a few minutes and observe for indentation. If indention is noted, edema is present. Notify SN or Md if there is a deep indention. Reduce sodium (Na) in diet and exercise as tolerated to help reduce edema.
Instructed patient It recommended that you safety pin the drainage bottle to your clothing during the day and to your clothes during the night. Allow enough slack to Prevent the tube from being pulled do up or from pulling on the drain sutures.
Patient was explained that having a nephrostomy tube in for a long time increases the risk of getting an infection. Nephrostomy tube care focuses on preventing infection. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.. understanding was verbalized