skin care
Diseases Process
Instructed patient classic barriers to spontaneous closure include distal obstruction, mucocutaneous continuity (ie, a short or epithelialized tract), and infection or malignancy in the tract. Comprehensive and effective management of the patient with fistula requires attention to fluid and electrolyte replacement, per fistula, skin, protection, infection control.
Instructed patient through the use of negative pressure wound therapy, a standard surgical drain, and optimized nutrition, fistula drainage was redirected and the abdominal wound healed, leaving a drain controlled enterocutaneous fistula. Patient control of fistula drainage and protection of surrounding tissue and skin is a principle of early fistula management.
Instructed patient you may need to detach the drainage bag from the nephrostomy tube to clean it. If so, attach a new drainage bag tightly to the nephrostomy tube. Instructed patient change bandages, skin barriers, and attachment devices as directed. This helps to prevent infection. Throw away or clean your drainage bag as directed by your caregiver.
Instructed patient when should you contact your caregiver?, The skin around the nephrostomy 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 smells, a large amount of urine is draining into the drainage bag over a short period of time.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Seeing mucus in the opening of the trach tube or hearing mucus in the airway Increased respiratory rate or effort Retractions (which is seen when the skin between the ribs pulls in while breathing.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Nasal flaring (which is seen when the nostril flares out when a person breaths in) Change in skin color from normal to pale or blue Changes in activity, such as if a child is upset or inconsolable, or appears to be sleepy Increased coughing.
Why is it important to do active ROM exercises? ROM exercises are very important if you have been ill, injured, or must stay in bed or in a wheelchair. Active ROM exercises help build up or keep your muscles as strong as possible. They help keep your joints flexible ( bending and moving in the right way ). Doing ROM exercises will help keep good blood flow going to the joint area that is being exercised. They may help prevent blood clots. Exercising is natural and needed for the body to stay well. Your heart pumps stronger and easier when you exercise regularly. You also breathe quicker and more often while exercising. This helps prevent infections that happen if you do not breathe or cough deeply enough. With your heart and lungs working stronger, more blood gets to the muscles, bones, and skin. Increasing blood flow brings more oxygen and other good things to your body tissues and organs. Walking and other exercises help make your BMs and urine more regular. Exercising can also make you feel better, more relaxed, and happier.
SN instructed patient about Lymphedema disease. Lymphedema is the buildup of fluid in soft body tissues when the lymph system is damaged or blocked. When the lymph system is working as it should, lymph flows through the body and is returned to the bloodstream. Other conditions may cause the same symptoms. A doctor should be consulted if any of the following problems occur: Swelling of an arm or leg; which may include fingers and toes; a full or heavy feeling in an arm or leg; a tight feeling in the skin. Patient verbalized understanding the teaching.
SN instructed patient and caregiver about Lymphedema disease, also known as lymphatic obstruction. Is a condition of localized fluid retention and tissue swelling caused by a compromised lymphatic system, which normally 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 treatments, and by parasitic infections. Though incurable and progressive, a number of treatments can ameliorate symptoms. Tissues with lymphedema are at high risk of infection. Symptoms may include a feeling of heaviness or fullness, edema and ( occasionally ) aching pain in the affected area. In advanced lymphedema, there may be the presence of skin changes such as discoloration, verrucous ( wart-like ) hyperplasia, hyperkeratosis, and papillomatosis; and eventually deformity ( elephantiasis ). Patient verbalized understanding the teaching.
RN instructed patient about medication Famotidine that is used to treat gastroesophageal reflux disease, a condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus. RN instructed patient to swallow the tablets and capsules with a full glass of water. RN also explained about side effects of treatment such as: hives, skin rash, itching, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs. RN instructed to call Physician immediately if any of these signs or symptoms appear. Patient and caregiver voiced understanding of all instructions given.