Procedures

Gallbladder surgery Teaching 1785

Instructed patient when to call your doctor although it's common to have some food-related symptoms after surgery, it is important to contact your surgeon if you experience the following symptoms, since they may be symptoms of a serious complication: Persistent, worsening, or severe abdominal pain, severe nausea or vomiting, yellowing of your skin, called jaundice.

Valve Replacement Teaching 1533

The patient was instructed in valve repair replacement in the need of good care of the incision site. The patient was advised in the stress of lifelong anticoagulant therapy to stop emboli and block of the valve. The patient was instructed in other methods for dealing with pain. The patient was recommended to evade heavy lifting (10 pounds), pushing, pulling, and exercises for 6 weeks. The patient was recommended to evade driving for the first 4 to 6 weeks. The patient was recommended to evade sitting or driving for extended times. The patient was recommended to evade abrupt position variations from sitting and standing.

Thoracentesis Teaching 1535

The patient was instructed in thoracentesis in the need that movement or coughing during the process is prohibited to prevent unintentional needle injury to the lung or pleura. The patient was advised that if coughing is inavoidable the physician can remove the needle a little to prevent hole. The patient was reviewed to evade persons with upper respiratory tract infections.

Exercises Teaching 804

Instructed in the importance of exercise. This avoids phlebitis, decubitus ulcer, pneumonia, fractures, depression, urinary complications, muscle weakness and atrophy and constipation.

Hurricane Teaching 809

Instructed patient and caregiver about the procedures followed in the case of a hurricane. Should such event occur the Home Health Agency will be on call assisting any patient who has an emergency. Keep Agency phone number at hand.

Hurricane Teaching 814

Instructed patient that during a hurricane she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to her house. In the event that the patient has no family or friends she should go to the closest shelter for proper assistance.

Personal hygiene Teaching 716

Patient was instructed on personal hygiene. Hygiene and good habits are commonly understood as prevention methods against infection. Hygiene is the maintenance of health and healthy living. Hygiene involves healthy diet, cleanliness, and mental health.

Personal hygiene Teaching 717

Patient was instructed on personal hygiene. Personal hygiene includes health practices such as washing the hair at least once a week, bathing every day, brushing the teeth after every meal and at bed time, and cleaning the clothes.

VAC Teaching 1268

SN put on non-sterile gloves. Remove old dressing. Remove gloves and place them in the trash bag, Wash hands and put on a clean pair of gloves. SN cleaned wound with NS solution using gauze pads, checked wound for signs of infection. Then opened new foam sponge dressing, cut it to size, and place it in the wound. Open the drape package. Cut the drape to the size needed. Place the drape over the wound site. Smooth the drape as you stick it around the wound to prevent any wrinkle that may leak. Connect the tubing to the sponge dressing and the tubing to the pump unit. Open the clamp on the tubing. Turn on the VAC pump. Listen and watch for leaks.

Exercises Teaching 555

Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.