Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent
with overall goals of care.
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.
Instructed to contact physician inmediately if uncontrolled bleeding or excruciating pain occurs at wound site.
Instructed in signs and symptoms of complications and/or deterioration of wound status such as temperature above 100 grade, increase redness, drainage, edema, increase pain, increase size of wound.
Instructed in management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Instructed in management and control of wound through activity such as frequent rest periods, no overexertion, no lifting, bending or stooping. Passive and active exercises to increase vascular tone. Elevate affected extremity to promote venous return. Give pain medication, if prescribed, 30 minutes prior to any activity.
Instructed to keep pressure off wound area to promote circulation which is essential to healing.
Instructed in factors that affect healing, such as, age, disease, nutrition, and infection.
Instructed in need for proper nutrition to promote wound healing, including foods high in Vitamin C and protein.
Instructed in proper disposal of soiled dressing materials in biohazardous waste container provided.