catheter-teaching-guide
Procedures
SN instructed patient that to reduce diarrhea, omit fiber and bulk from your meals and eat foods that thicken your stools, such as white rice, applesauce, bananas, creamy peanut butter, yogurt, pasta, and bread. Continued diarrhea can cause dehydration, so increase the amount of fluids in your diet.
SN instructed patient to should eat three or more times a day. Small frequent meals may be better tolerated and produce less gas.
SN instructed patient that too much of any food can cause problems; eat moderate amounts and slowly to allow proper chewing and digestion. If a new food seems to give problems, don’t eat it for a few weeks, but try it again later.
Instructed patient how to change the dressings and how to care for the tubes and drains. Recommend to splint the abdomen when coughing or sneezing.
Taught the patience not to wear tight clothing (belts) over the incision. Encourage the importance of not discontinuing the steroid medication that can precipitate adrenal crisis.
Advised the patient receives complete instructions in the care of the prosthesis. Instructed patient how to apply the elastic sleeve or wrap the stump for molding and shaping. Encouraged patient that the stump should not be wrapped too strongly, since this will prejudice circulation. Encouraged the importance of daily hygiene to prevent infection and skin breakdown.
The patient was instructed to stop any anticoagulant or antiplatelet medications 1 week before the arterial revascularization surgery. The patient was advised to use antiembolic stockings. The patient with axillofemoral bypass graft was advised to evade strong use of the affected side, not to wear close-fitting or obstructive clothes (belts, suspenders) over graft site.
The patient was encouraged importance of keeping the extremity elevated above heart level on firm pillows and the need for applying ice bags to the surgical arthroscopy to control swelling and relieve pain. The patient was advised not to apply the ice pack directly to the skin, but to wrap the ice in a small towel. The patient was instructed avoid bathing until able to stand for 10 to 15 minutes, then showering with the extremity covered by a plastic bag may be permitted. The patient was instructed the use of hot tubs, whirlpool baths, and heating pads should be avoided. The patient was encouraged of moving extremities to improve circulation and prevent blood clots. The patient was instructed physical therapy exercises needed for a gradual increase in strength and mobility.
Instruct the patient to note the time of the first bowel movement after anorectal abscess, fistula, and fissure surgery if no bowel movement occurs or if constipation advances. Advised the patient to shave the perianal area weekly to keep hair out of the affected area. Advised the patient to sit on thick foam pillows or pads and to avoid air or rubber donuts because they spread the buttocks apart.
Instruct the patient in care of the incisional wound, reviewing signs of wound infection and thrombus formation in the implant replacement of the aortic valve.