pain m
Diseases Process
Patient also instructed on Clostridium
difficile colitis (C. diff) and the increase risk due to the m
ultiple ABT. Patient instructed that the m
ost com
m
on sym
ptom
s of Clostridium
difficile colitis (C. diff) infection include: watery diarrhea, fever, loss of appetite, nausea, belly pain
and tenderness. Instructed to clean their hands with soap and water or an alcohol-based hand rub often and every after going to the restroom
.
SN instructed patient and caregiver about what angina pectoris is. Angina pectoris is chest pain
that is caused by insufficient oxygen to m
eet dem
ands of the heart. Lack of oxygen occurs when insufficient blood flows through the coronary arteries. Stable angina usually has a precipitating cause while unstable angina can occur at rest.
Instructed patient about external fistulas cause discharge through the skin. They are accom
panied by other sym
ptom
s, including: abdom
inal pain
, pain
ful bowel obstruction, fever, elevated white blood cell count. Prevent skin m
aceration and breakdown from
corrosive effluent and wound infection. Patient com
fort, accurate m
easurem
ent of effluents, patient m
obility protect skin from
dam
age from
effluent, containm
ent of effluent, odor control.
Instructed patient when should you contact your caregiver?, The skin around the nephrostom
y tube is red, swollen, itches, or has a rash, you have a fever, you have lower back or hip pain
, There are changes in how your urine looks or sm
ells, a large am
ount of urine is draining into the drainage bag over a short period of tim
e.
SN instructed patient to always assess wound dry sterile dressing when rem
oved for any sym
ptom
s / signs of infection, such as increase drainage am
ount, any odor, drainage color, etc . Check your tem
perature once or twice a day. Report any fever or increase pain
.
SN instructed patient and caregiver about Lym
phedem
a disease, also known as lym
phatic obstruction. Is a condition of localized fluid retention and tissue swelling caused by a com
prom
ised lym
phatic system
, which norm
ally returns interstitial fluid to the thoracic duct and then the bloodstream
. The condition can be inherited or can be caused by a birth defect, though it is frequently caused by cancer treatm
ents, and by parasitic infections. Though incurable and progressive, a num
ber of treatm
ents can am
eliorate sym
ptom
s. Tissues with lym
phedem
a are at high risk of infection. Sym
ptom
s m
ay include a feeling of heaviness or fullness, edem
a and ( occasionally ) aching pain
in the affected area. In advanced lym
phedem
a, there m
ay be the presence of skin changes such as discoloration, verrucous ( wart-like ) hyperplasia, hyperkeratosis, and papillom
atosis; and eventually deform
ity ( elephantiasis ). Patient verbalized understanding the teaching.
SN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and that experiencing hypertensive urgency m
ay or m
ay not experience one or m
ore of these sym
ptom
s: severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain
, num
bness or severe weakness, change in vision or difficulty speaking. Patient and caregiver were advised to seek im
m
ediately m
edical assistance and/or call 9-1-1 if any of these signs or sym
ptom
s appear. Patient and caregiver verbalized understanding. Fam
ily is independent with hypertension process.
RN instructed patient and caregiver on hypertensive urgency which is a situation where the blood pressure is severely elevated and m
ay or m
ay not experience one or m
ore of these sym
ptom
s: Severe headache, shortness of breath, nosebleeds, and severe anxiety, chest or back pain
, num
bness or weakness of extrem
ities, change in vision and difficulty speaking and im
m
ediately ask for m
edical assistance calling 9-1-1. RN instructed patient and caregiver on no-added-salt or salt-controlled diet that can help control high blood pressure. Both patient and caregiver verbalized understanding.
SN instructed patient on Colostom
y Care. You contact your healthcare provider if: You have a fever, you have a foul odor com
ing from
your colostom
y bag or stom
ach that lasts longer than a week, your skin around the stom
ach becom
es red and irritated, you have nausea, vom
iting, pain
, cram
ping, or bloating, you do not have regular bowel m
ovem
ents through your stom
ach, the size of your stom
ach changes, you have questions or concerns about your condition.
SN instructed patient / caregiver that Atrial fibrillation is an irregular and often rapid heart rate that can increase your risk of stroke, heart failure and other heart-related com
plications. It m
ay lead to com
plications. Atrial fibrillation can lead to blood clots form
ing in the heart that m
ay circulate to other organs and lead to blocked blood flow ( ischem
ia ). Treatm
ents for this m
ay include m
edications and other interventions to try to alter the heart's electrical system
. Signs and sym
ptom
s ( S / S ) such as: Palpitations, which are sensations of a racing, uncom
fortable, irregular heartbeat or a flip - flopping in your chest, weakness, fatigue, lightheadedness, dizziness, chest pain
.