Instructed patient be careful not to touch the trach cannula while changing the tube. You do not want to contaminate the cannula. Other times to suction include before eating, or before and after sleeping. Be aware that every sound you hear does not mean they need to be suctioned.
SN instructed patient / caregiver on service authorization, advance directives, rights and responsibilities, rights of the elderly and obtained necessary signatures. Instructed patient / caregiver on 24 hour nurse availability and provided / posted the agency telephone number. Also instructed that after hours, weekends and holidays an answering service will reach the nurse and he / she will return the patient / caregiver call and answer any questions or make a visit if needed. Patient and caregiver stated understanding. Patient and caregiver educated on diabetic diet, diabetic foot care, symptoms / signs ( s / s ) of depression, managing pain with medications, healthy skin, and pressure ulcer prevention. Leaflets left in home.
Instructed patient in emergency care These pages will cover prevention of an emergency situation, and what to do if: Your loved one has trouble breathing or stops breathing You cannot insert a trach tube The trach falls out.
Sn explain that the joint pain can affect one or more joints. The joint pain can be caused by many types of injuries or conditions. It may be linked to arthritis, bursitis, and muscle pain. No matter what causes it, this can be very bothersome. Some things that can cause joint pain are: Autoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Crystals in the joint: Gout ( especially found in the big toe ) and Calcium pyrophosphate deposition (CPPD ) ( pseudo gout ) Infections caused by a virusInjury, such as a fracture Osteoarthritis Osteomyelitis ( bone infection ), Septic arthritis ( joint infection ) Tendinitis Unusual exertion or overuse, including strains or sprains.
SN instructed patient instructed patient caregiver how to do Ostomy Care, as follow: Preparing, Applying, and Removing an Ostomy System to make the process easier and more effective, here are several easy steps you and your patients can follow when applying and removing an ostomy system: Remove Use an Adhesive Remover Wipe, Clean Clean & Dry Clean peristomal skin with non-moisturizing or non-oily soap, rinse well with clean water and pat dry, Measure Measure Stoma Place the stoma measuring guide over the stoma, measuring the stoma at the base., Protect use an Adhesive Remover Wipe, Apply New Pouching System/Skin Barrier. Make sure to have a good seal around the stoma.
SN instructed caregiver that a confused person should not be left alone. To help a confused person: always introduce yourself, no matter how well the person once knew you, often remind the person of his or her location, place a calendar and clock near the person, talk about current events and plans for the day, try to keep the surroundings calm, quiet, and peaceful.
SN instructed patient with Diabetes mellitus ( DM )about the importance of avoiding getting sick. Seasonal viruses such as common cold, flu and other illnesses may cause diabetes mellitus ( DM ) episodes to increase in frequency and severity. SN instructed patient on how to identify the first signs of flu, bronchitis and others respiratory infections, which could decompensated your diabetes.
Instructed on emergency preparedness. Planning ahead to ensure adequate care in case of severe weather or natural disaster is imperative. Here are a few key tips that warrant consideration in any elderly person’s disaster plan: Create an emergency contact card listing all of the emergency contact numbers and family information, including a list of doctors and relatives or friends who should be notified in case of injury. Discuss what to do in case of an emergency. Create a “disaster kit” that includes: Water for three days, Non-perishable food for three days (examples include protein and fruit bars, dried fruit, nuts, peanut butter, crackers, canned juices and canned food), plus a manual can opener Battery-operated radio with extra batteries, Flashlight with plenty of extra batteries Change of clothes, plus extra blankets First aid supplies, Prescription medicine list, plus copies of prescriptions Extra eyeglasses and hearing-aid batteries, Copies of medical insurance and Medicare cards, Some cash on hand, as a bank or ATM machine may be inaccessible Extra warm clothing
Sn instructed that reducing sodium intake lowers blood pressure and prevent the collection of fluid in the lower legs or abdomen. People with chronic kidney disease must control sodium intake to prevent volume overload, which increases blood pressure and causes swelling. Food to eat any fresh or frozen beef, lamb, pork, poultry and fish. Eggs and egg substitutes. Low-sodium peanut butter. Dry peas and beans (not canned) drained, water or oil packed canned fish or poultry foods to avoid canned food canned vegetables processed meats salted snacks such as, salted peanuts, salted almonds etc.
SN instructed patient on signs of central catheter problems. The signs of catheter infection and problems are similar for all types of central venous catheters. If you have any sign of infection or catheter problem, call your doctor immediately. In addition signs of infection, clotting, or other problems include: Redness, tenderness, drainage, warmth, or odor around the catheter site Fever of 100.5F (38 C) or greater, or chills, swelling of the face, neck, chest, or arm on the side where your catheter is inserted, leakage of blood or fluid at the catheter site or the cap, inability to flush the catheter, or resistance to flushing the catheter, displacement or lengthening of the catheter. Patient verbalized understanding