Instructed patient to get a flu shot each year and decrease the exposure to the flu. Avoiding the flu is especially important for people who have or are at risk for heart disease. This highly contagious infection causes symptoms similar to the common cold, only more severe, other symptoms include debilitating muscle or body aches, vomiting and diarrhea, and fever. Having a serious infection puts extra stress on your heart, which increases your heart's need for oxygen. Coughing and congestion can make breathing more difficult. As a result, your heart may not get sufficient oxygen. Patient verbalized understanding.
Patient was educated on how to wear ordered arm sling, Gently pull the sling over your arm and elbow. It should fit snugly around the elbow, reach around your neck and grab the strap behind your elbow and tighten the straps so your hand and forearm are elevated above the level of your elbow. Orders were to maintain sling at 90 degree angle and to avoid any activities with the arm. Patient verbalized understanding
SN completed all education for this SNV, and reminded patient on the importance of going to all medical appointments, bringing blood pressure log and all of his/her medications. Patient/Caregiver verbalized understanding.
SN educated patient and caregiver on the importance of always using assistive device with ambulation and transfers to avoid falls or injuries. Nurse instructed patient and caregiver on the importance of home safety such as proper lighting, and to keep walkways free of debris and clutter. Patient was instructed to contact PCP or home health agency if they fall or if current health status declines. Patient was instructed to not walk unassisted when not feeling steady . Patient verbalized understanding
SN instructed patient that diabetes may lead to skin problems that range from itching to infections that are hard to control. To reduce your chances for getting skin problems, take good care of your skin every day: Bathe daily with mild soap and lukewarm water. Apply a small amount of moisturizing lotion while your skin is moist. Avoid scratches, punctures, and other injuries.
Wheel char Fall precautions Avoid leaning forward and tipping yourself out of the wheelchair, Move footrests out of the way to avoid tripping on them during transfer, Lock the brakes before getting out of the wheelchair, Don’t over reach for an object, Avoid sliding or positioning yourself too far forward on the seat. Keeping your wheelchair in top condition is essential to its dependability and longevity.
Skilled received patient sitting on the chair, noted difficulty when patient was trying to get up with the crutches, patient is at risk for fall. SN instructed pt to avoid sitting on low chair or chair without a hand rest for support in order to prevent fall.
Instructed patient/CG the importance of increasing consumption of foods high in Probiotics while on antibotic therapy.
Instructed patient assess bowel sounds in all 4 quadrants, assess effluent from ostomy. Empty pouch when 1/3-1/2 full, assess abdomen, report any abnormal findings immediately.
Instructed patient about the skin around your stoma should look like it did before surgery. The best way to protect their skin is by: using a bag or pouch with the correct size opening, so waste does not leak, taking good care of the skin around your stoma.