including damage eyes retinopathy which can lead blindness damage nerves neuropathy
The patient was instructed in frostbite indicating the application of dry, sterile dressings to small, open areas. The patient was advised the importance of protecting the extremity from temperature extremes and rapid changes in temperature because the tissue is delicate to temperature changes and refreezing causes tissue damage. The patient was explained to elude fitted, constrictive clothing or pressure to an area that might cut circulation. The patient was recommended defensive procedures to avoid future incidents or reinjury of the frostbitten part, protective, multilayered, warm, nonconstrictive clothing avoiding of cold temperatures, exhaustion, and malnutrition. The patient was advised that there may be long-term remaining effects, increased sensitivity to cold, burning and itchy, and increasing sweating. The patient was explained that lower extremities are affected, to avoid weight bearing and offer instruction in the use of ambulatory aids. The patient was taught in the importance of elevating the affected extremity. The patient was advised in range-of-motion exercises to prevent contractures.
Patient was instructed on some potential complications of hypertension, such as: retinal damage , cerebrovascular accident (CVA) or stroke and kidney failure. Also the patient was instructed on some measures aimed to managing/controlling hypertension, such as: exercise regularly and have regular check-ups, achieve and/or maintain ideal weight, and decrease sodium intake to decrease retention of fluid and the workload of the heart as directed by MD. Patient understood instructions given.
Instructed patient call your nurse right away if you have any of the following: Signs of infection at the catheter site (pain, redness, drainage, burning, or stinging) Coughing, wheezing, or shortness of breath, a racing or irregular heartbeat. Call your nurse right away if you have any of the following: Muscle stiffness or trouble moving, gurgling noises coming from the catheter, the catheter falls out, breaks, cracks, leaks, or has other damage.
SN to instruct patient on lifestyle and home remedies like stopping alcohol driving if applicable, avoiding medication that may cause liver damage, help prevent other from coming in contact with infected blood. SN to instruct patient and caregiver on emergency preparedness and when to notify the doctor with new symptoms and/or concerns.
Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your health care provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it or call your health care team right away.
SN instructed patient about the risks of having a Jackson Pratt drain. The JP drain site may be painful. You may have trouble lying on the side with your JP drain. Your JP drain site may leak. The JP drain may be pulled out by accident. The tubing may get blocked, crack, or break. The tubing may damage your tissue. You may have a scar. The JP drain site may get infected. This infection could spread inside your body.
SN instructed patient regarding medication Lipitor. SN informed patient / caregiver that Lipitor is a medication that reduces levels of bad cholesterol ( LDL ) and triglyceride in the blood while increasing the level of good cholesterol ( HDL ). SN explained that this medication is used to treat high cholesterol and to lower risk of stroke, heart attack or other heart complication in people with type 2 diabetes. SN informed patient / caregiver that patient should eat low cholesterol diet and avoid drinking alcoholic beverages when taking lipitor because it increase risk of liver damage. SN explained to patient / caregiver that side effects to watch out for are unexplained muscle pain, fever and dark colored urine, swelling urinating less than usual and weight gain. SN instructed patient / caregiver to report any persistence or worsening of side effects.
SN instructed patient on wound care. Keep a clean dressing on your wound, dressings keep out germs and protect the wound from injury.
They also help absorb fluid that drains from the wound and could damage the skin around it. Try to drink six to eight cups of water daily. Hydration is essential for healthy skin.
SN instructed in therapies normally used with medicine to help control pain. Heat: Heat helps decrease pain and muscle spasms. Apply heat to the area for 20 to 30 minutes every 2 hours for as many days as directed. Ice: Ice helps decrease swelling and pain. Ice may also help prevent tissue damage. Use an ice pack or put crushed ice in a plastic bag. Cover it with a towel and place it on the area for 15 to 20 minutes every hour as directed. Massage therapy: This may help relax tight muscles and decrease pain. Physical therapy: This teaches you exercises to help improve movement and strength, and to decrease pain.
Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your healthcare provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it (if you have been instructed to) or call your healthcare team right away.