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Wound Care Teaching 551

Patient was instructed on adequate nutrition and hydration to minimize wound development. Encourage protein, calorie-dense foods and fluids (unless contraindicated), monitor intake, weight and skin turgor, assess and address impairments in dentition and swallowing.

Wound Care Teaching 552

Patient was instructed on eliminate or minimize pain of wound. Address the cause (remove the source if external, treat the infection or medicate based on physiological stimulus), pharmacological strategies

Wound Care Teaching 553

Patient was instructed on pain caused by pressure ulcers. Pain can be classified as acute or chronic. Cyclic acute pain, which is periodic and corresponds to the pain experienced during repeated management, such as dressing changes or patient repositioning and non-cyclic acute pain, which is accidental, including pain experienced during occasional procedures such as debridement or drain removal.

Wound Care Teaching 554

Patient was instructed on traumatic wounds. Contusions are caused by more extensive tissue trauma after severe blunt or blast trauma. The overlying skin may seem to be intact but later become non-viable. Extensive contusion may lead to infection.

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.

Exercises Teaching 556

Patient was instructed on Passive exercises or ROM exercises. All exercises are done smoothly and gently. Never force, jerk or over-stretch a muscle. This can hurt the muscle or joint instead of helping. Move the joint slowly. This is especially important when having muscle spasms. ROM exercises should never cause pain or go beyond the normal movement of the joint. Stop them if the person feels pain.

Leg edema Teaching 557

Patient was instructed on leg edema. The body needs the right amount of blood flow to keep the heart pumping, the legs moving and the brain functioning. Blood circulation, the movement of blood throughout the body, is clearly crucial to the existence, and poor leg circulation can cause many problems, such as leg edema or leg swelling.

Leg edema Teaching 558

Patient was instructed on leg edema. Swollen feet and legs, referred to medically as leg edema, occur when fluid is retained in the spaces between body cells. As leg edema typically affects the feet, ankles and lower legs, but can also impact any areas of the body, causing systemic symptoms.

Leg edema Teaching 559

Patient was instructed on what cause leg edema. It can be caused by a serious condition of the kidney, heart, liver or blood vessels, but many other factors can contribute to its onset, including: abusing drugs, sodium retention, varicose veins and history of phlebitis, allergic reactions, neuromuscular disorders, trauma.

Leg edema Teaching 560

Patient was instructed on symptoms of leg edema. If having leg edema feet and legs will initially appear swollen as the day progresses. After a period of time, however, the swelling will set in first thing in the morning and worsen throughout the day. Over time other symptoms will develop: High blood pressure, headaches, increased urination, palpitations, swollen hands and/or wrists, puffy eyes, weight gain.