Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
Instructed caregiver that treatment includes proper positioning, always avoid placing any weight or pressure on the wound site.
Instructed patient all bed-bound and chair-bound persons, or those whose ability to reposition is impaired, to be at risk for pressure ulcers.
Instructed patient consider nutritional supplementation/support for nutritionally consistent with overall goals of care.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent with overall goals of care.
Instructed caregiver reduce friction by making sure when lifting a patient in bed that they are lifted, not dragged during repositioning, prevent ulcers from occurring and can also help them from getting worse .
Make sure the skin remains clean and dry. Examine the skin daily. Inspect pressure areas gently. Make sure the bed linens remain dry and free of wrinkles. Pat the skin dry, do not rub
SN instructed patient to always assess wound dry sterile dressing when removed for any symptoms / signs of infection, such as increase drainage amount, any odor, drainage color, etc . Check your temperature once or twice a day. Report any fever or increase pain.
SN instructed patient on wound care. The patient should be sure to have a well-balanced diet. This include protein, vitamins and iron. Note: using a blender or chopping food does not change the nutritional value of the food.
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.