bedbound-patients
Diseases Process
SN taught patient on sleeping with LVAD, and it was explained that many LVAD patients actually find that they’re able to sleep more comfortably with their LVAD than they did before because they’re feeling better and breathing more easily. There are, however, two major ways that having an LVAD affects your sleep routine: You may not be able to sleep on your stomach. Stomach sleeping can compress or pull on the driveline. Sleeping on your back is the best option, although some LVAD patients find it comfortable to sleep on their sides. You’ll also need to make sure that the driveline doesn’t get tangled in clothing or blankets. At first, sleeping with the LVAD may feel awkward, but most patients get used to it after a few days. Understanding was verbalized.
Instructed in measures that are beneficial to patients with Alzheimer's disease: explanation in a slow and simple language, maintaining familiar routine and approaching in a calm and slow manner.
Instructed patient on the reason why patients with an internal pacemaker must avoid extraneous activities.
Instructed patient about the most common types of infection in diabetic patients, for example: skin, subcutaneous tissue, and renal and pulmonary infections.
Instructed patients on important routines regarding diabetic foot care, such as: always wear shoes which offer good foot support and fit properly, wear clean socks which also fit properly and avoid going barefooted.
Patient was instructed on treating painful wounds. Persistent pain associated with non-healing wounds is caused by tissue or nerve damage and is influenced by dressing changes and chronic inflammation. Chronic wounds take long time to heal and patients can suffer from chronic wounds for many years.
Patient was instructed on Hyperglycemia. The basic defect in all patients with diabetes is the decreased ability of insulin to induce cells of the body to remove glucose (sugar) from the blood.
Advised hypertensive patients to keep blood pressure under control and alleviate excessive pressure on the vessels, including the site of repair the aortic aneurysm.
SN instructed that Janumet is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Instructed that common side effects include, nausea, vomiting, stomach upset, diarrhea, headache, weakness, or a metallic taste in the mouth may occur.
SN instructed patient and caregiver about Lymphedema disease. Lymphedema may be inherited ( primary ) or caused by injury to the lymphatic vessels ( secondary ). It is most frequently seen after lymph node dissection, surgery and/or radiation therapy, in which damage to the lymphatic system is caused during the treatment of cancer, most notably breast cancer. In many patients with cancer, this condition does not develop until months or even years, after therapy has concluded. Lymphedema may also be associated with accidents or certain diseases or problems that may inhibit the lymphatic system from functioning properly. In tropical areas of the world, a common cause of secondary lymphedema is filariasis, a parasitic infection. It can also be caused by a compromising of the lymphatic system resulting from cellulitis. Patient verbalized understanding the teaching.