foot care
Diseases Process
Instructed caregiver about checklist for care your skin and catheter: Wash your hands to prevent
infections,check the skin around your catheter.
Instructed patient about your Foley catheter daily Care: Keep your skin and catheter
clean. Clean the skin around your catheter at least once each day. Clean your skin area and
catheter after every bowel movement. Always keep your urine bag below the level of your bladder.
Keeping the bag below this level will prevent urine from flowing back into your bladder from
the tubing and urine bag. Back flow of urine can cause an infection. These will help prevent a
bladder or kidney infection and will keep you more.
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 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
Instructed patient about the signs and symptoms to call 9-1-1 with regard to diagnosis Congestive Heart Failure (CHF), or congestive heart failure, that may point to the condition being worsened and needing immediate medical attention by 9-1-1, call MD to report to MD: crackling noise that can be audibly heard as patient exhales, pink, frothy sputum that patient coughs out, patient has markedly increased shortness of breath that is not relieved even after 15 minutes of rest, may also be non-productive but incessant cough that includes crackling sound, rapid heart rate that may last more than 30 minutes (with or without dizziness), weight gain of more than 2-3 pounds in one day, or 5-7 pounds in seven days, lower extremity swelling which may or may not include fluid seeping through the skin. With regard to increased/increasing shortness of breath that is not relieved, however, told PCG and patient to remain calm and call 9-1-1 and not wait/call MD as it needs to be taken care of right away, because the patient needs oxygen in the body immediately - a medical emergency.
SN instructed patient on high risk medication, anticoagulant, warfarin. Use precautions such as, Tell care providers you take warfarin before you have any medical or dental procedures, Avoid situations that increase your risk of injury, Use safer hygiene and grooming products, Consider wearing a bracelet or carrying a card that says you take warfarin. Patient understanding.
Instructed patient drink 2 to 3 liters of liquid each day unless you were told to limit liquids because of another condition. Instructed patient when should I seek immediate care or call 911? The nephrostomy tube comes out completely. There is blood, pus, or a bad smell coming from the place where the tube enters your skin. Urine is leaking around the tube 10 days after the tube was placed.
Instructed patient when should you contact your caregiver: you have little or no urine draining from the nephrostomy tube, you have nausea and are vomiting, the black mark on your tube has moved or is longer than when it was put in ,you have questions or concerns about your condition or care.
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.