bedbound-patient
Diseases Process
Patient was instructed on Osteoporosis caused by a lack of bone strength or bone density. As aging the bones get thinner naturally caused by factors such as age, being a woman who has gone through menopause, family background, having a slender body frame.
Patient was instructed on Osteoporosis. There are risk factors causing this disease that can be changed such as, smoking, not exercising, drinking too much alcohol, not getting enough calcium or vitamin D.
Patient was instructed on Osteoporosis symptoms such as pain in the back, loss of height and stooped posture, a curved upper back, broken bones (fractures) that might occur with a minor injury, especially in the hip, spine and wrist.
Patient was instructed on Osteoporosis. Lifestyle changes to avoid fractures. Get enough calcium. This is one of the first steps in treating this disease. Calcium is found in many foods, including dairy products such as milk or yogurt. Calcium and vitamin D supplements are recommended. Eat a nutritious diet to keep your body healthy.
Patient was instructed on another leading type of chronic wounds is pressure ulcers. That occurs when pressure on the tissue is grater than the pressure in capillaries, and thus restricts blood flow into the area. Muscle tissues, which needs more oxygen and nutrients than skin does, show the worst effects from prolonged pressure. As in other chronic ulcers, reperfusion injury damage tissue.
Instructed patient to report to nurse or MD at the first sign or symptom of pressure ulcer formation, for example: redness that remains half an hour after pressure has been removed from area.
Patient was instructed on the risk and factors that contribute to the development of pressure ulcers, such as malnutrition, dehydration, impaired mobility, chronic conditions, impaired sensation, infection, advance age and pressure ulcer present.
Patient was instructed on how to prevent pressure ulcer. A proper skin care is crucial and involves inspecting skin daily and an individualized bathing schedule, using warm (not hot) water and mild soap. Avoid massage over bony prominences and use lubricants if skin is dry.
Patient was instructed on how to manage pressure that is necessary to avoid future complications. Provide appropriate support surface, repositioning every two hours in bed, off-load heel using pillows or positioning boot, use pillow between legs for side lying.
Patient was instructed on what to avoid in presence of ulcers. Friction and shear need to be reduced. Friction is the mechanical force exerted when skin is dragged against a coarse surface while shear is the mechanical force caused by the interplay of gravity and friction.