foot care
Diseases Process
Skilled nurse educated patient and caregiver on HTN disease process. HTN also known as high blood pressure is a chronic condition where the blood pressure in the arteries is elevated. It is important to seek medical attention for uncontrolled HTN and develop a plan of care with your PCP. It is recommended to check your blood pressure and pulse daily before taking blood pressure medications and logging in a journal. If your blood pressure is elevated wait 1-2 hours and recheck. Contact your doctor or home health agency if problems with blood pressure continue . Patient and caregiver verbalized understanding.
SN instructed patient/ caregiver that Bradycardia can be a serious problem if the heart doesn't pump enough oxygen-rich blood to the body. For some people, however, bradycardia doesn't cause symptoms or complications.SN explained that If you have bradycardia, your brain and other organs might not get enough oxygen, possibly causing these symptoms: Near-fainting or fainting (syncope) Dizziness or lightheadedness, Fatigue, Shortness of breath, Chest pains, Confusion or memory problems, Easily tiring during physical activity.If you faint, have difficulty breathing or have chest pain lasting more than a few minutes, get emergency care or call 911 or your local emergency number.
SN educated patient about Neutropenia. Neutropenia is an abnormally low count of neutrophils, which is a type of white blood cell. Neutrophils are made in the bone marrow, so anything that inhibits or disrupts that process can result in neutropenia. Instructed patient to prevent infection; Promote oral care, Promote hygiene, Prevent skin breakdown, Promote nutrition and ensure food is prepared and stored appropriately. Educated on signs and symptoms of infection; which include fever, Red, swollen, warm, or painful skin areas or wounds, An area of orange, bumpy skin with blisters, Cough, chest pain, or trouble breathing, Burning feeling while you urinate. Patient verbalized understanding.
SN instructed patient to eat a balanced diet and drink fluids, eat protein like red and white meat, eggs, beans and take vitamins from vegetables/fruits , to promote wound healing.
Instructed patient about breathing tips for people with COPD take your medicine follow the treatment plan your doctor gives you. Take your medicine exactly as prescribed and listen to any other advice she has on how to take care of your COPD. If you have any questions, be sure to ask, get good sleep sleep problems are common with COPD. It's partly due to breathing symptoms, but the medications you take can also play a role. Make sure you get enough good sleep so you stay healthy. Talk to your doctor about treatments you can get. Some drugs that can help you sleep might make your breathing worse.
SN instructed patient on how can you care for yourself at home. Do not smoke or allow others to smoke around you. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. Patient verbalized understanding.
Instructed patient how do I care for my skin around my trach tube. Clean your skin at least once each day. You may need to clean it more often if you cough up a lot of thick mucus. You may need someone to help you clean your skin. Wash your hands and put on gloves. This will prevent infection. Suction the area around your stoma. This will help remove mucus .Clean your skin around the stoma, clean the tube flanges, change wet or dirty trach ties., place a gauze between your skin and the flanges and check your skin every day for signs of infection. Look for redness or swelling of the skin around your tube. Also look for pus, bleeding, or a rash.
Instructed what can you do to manage shortness of breath (SOB) make lifestyle changes take your medications as prescribed there are some medications that can help shortness of breath. You may need oxygen if your oxygen level is low. Your health care team will test your levels if you are having shortness of breath. Pace yourself break your activities down into smaller steps. Plan your activities so that you have time to do them slowly and comfortably. Keep things that you use often close by and within easy reach.
Instructed patient about diabetic ulcer keep your blood sugar under control. In addition to reducing your risk of ulcers, tight blood sugar control helps your body heal existing ulcers
Patient was instructed on leg wound's use direct pressure and elevation to control bleeding and swelling. When wrapping the wound, always use a sterile dressing or bandage. Very minor wounds may heal without a bandage.