Instructed caregiver vacuum-assisted closure (VAC) therapy is intended to manage the environment of surgical incisions that continue to drain following sutured or stapled closure by maintaining a closed environment and removing exudates via the application of negative pressure wound therapy
Instructed caregiver to call patient's doctor if patient have: fever or chills, redness, swelling, or pain that is getting worse. Bleeding or drainage from the hole.
The patient was instructed in laryngectomy to evade voice stress and to murmur or use alternative methods of communication when the voice needs rest. The patient was instructed in pain administration using minor analgesics.
Instructed caregiver include ensuring that the tracheotomy tube is securely in place and is patent.
Instructed caregiver about adequate hydration is necessary to keep secretions thin and mobile. Humidified tracheostomy collars provide some moisture but are not a source of hydration.
The patient was instructed in liver biopsy providing him/her pain controlling. The patient was encouraged to use minor painkillers. The patient was advised to evade taking no steroidal anti-inflammatory medications and hepatotoxic medications.
The patient was instructed in mitral stenosis viewing the position of the affected valve and explains its part in the arterial circulation. The patient was advised to follow on anticoagulation therapy. The patient was recommended to follow procedures for dealing with pain.
The patient was instructed in myelogram to lower the bed to the horizontal position to dismiss a headache. The patient was advised to take mild analgesics for insistent pain. The patient was recommended not to take phenothiazines for nausea and vomiting because these agents can increase symptoms of toxicity. The patient was recommended in the need to increase fluid drinking to improve defecation of the dye and to substitute cerebrospinal fluid.
The patient was instructed in nephrectomy on caring for the incision and changing dressing. The patient was advised to wash hands, examine the incision, clean the part with Betadine, cover the incision with sterile gauze, if there are not drainage leave the place open to the air. The patient was taught how to care for nephrostomy tube.
The patient was instructed in orchiectomy the importance of caring the surgical wound and dressing changes, dressing can be located over the incision and seized by the scrotal support.