Instructed patient diet: Your doctor will probably recommend that you follow a low fat, no added-salt diet after discharge. This may reduce your risk of a heart attack in the future and your risk for requiring angioplasty or surgery again. You should try to have less than 30 percent of your calories from fat. Try to control your weight and eat less saturated fat and cholesterol.
Instructed patient Lifting: You should not put too much strain on your sternum while it is healing. Avoid lifting, pushing, or pulling anything heavier than 10 pounds for six weeks after surgery. This includes carrying children, groceries,suitcases, mowing the grass, vacuuming, and moving furniture. Don’t hold your breath during any activity, especially when lifting anything or when using the rest
Instructed patient when to resume usual activities, light housekeeping (dusting, setting the table, washing dishes, folding clothes) light gardening (potting plants, trimming flowers) needlework, reading, cooking meals, climbing stairs, Small mechanical jobs, shopping, attending sports events, church, movies, and restaurants, passenger in car, Walking, treadmill, stationary bike, shampooing hair and playing cards/games.
Instructed caregiver to keep patient's ulcer from becoming infected, it is important to: keep blood glucose levels under tight control; keep the ulcer clean and bandaged; cleanse the wound daily, using a wound dressing or bandage; and avoid walking barefoot.
Instructed caregiver the patient are at high risk if the patient have or do the following: Neuropathy, Poor circulation, A foot deformity (e.g., bunion, hammer toe), Wear inappropriate shoes, Uncontrolled blood sugar, History of a previous foot ulceration.
Instructed caregiver inspect patient's feet every day—especially the sole and between the toes—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health-care provider, remove your shoes and socks so your feet can be examined. Any problems that are discovered should be reported to patient's podiatrist as soon as possible; no matter how simple they may seem to you.
Instructed caregiver learning how to check patient's feet is crucial so that you can find a potential problem as early as possible.
Instructed caregiver the key to successful wound healing is regular podiatric medical care to ensure the following “gold standard” of care: Lowering blood sugar, appropriate debridement of wounds, treating any infection, reducing friction and pressure, restoring adequate blood flow.
Instructed patient about Midline activities to avoid do not lift heavy items or do very hard exercise, such as shoveling. Do not use sharp objects near the catheter to avoid cutting or damaging it. Remind caregivers not to check your blood pressure or give needles in the arm where the catheter is placed.
Instructed patient in medications Vancomycin and Cefepime treats bacterial infections. Instructed patient about Midline activities to avoid Bathing: Caregivers may tell you to take showers rather than baths to help prevent infection. When bathing, keep the area where the catheter is inserted covered and sealed with plastic wrap. This will keep the area of skin and the bandage dry, and help prevent an infection.
