skin care
General
SN instructed Patient about intertrigo: It is usually a chronic with insidious onset of itching, burning, and stinging in skin folds. Intertrigo commonly is seasonal, associated with heat and humidity or strenuous activity in which chafing occurs. In addition to obesity and diabetes, hyperhidrosis may be a risk factor for intertrigo. Additional factors that predispose individuals to perineal intertrigo include urinary or fecal incontinence, vaginal discharge, or a draining wound.
SN instructed the reason it is important to help or use proper turning techniques to prevent friction and shearing of skin. Friction usually, but not always, accompanies shear. Friction is the force of rubbing two surfaces against one another. Shear is the result of gravity pushing down on the patient's body and the resistance between the patient and the chair or bed. When combined with gravity/force (pressure), friction causes shear, and the outcome can be more devastating than pressure alone.
Instructed patient Keep the dressing (or bandage) clean, dry, and secured to the skin. Do not put lotions or ointments under the dressing. Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg Fever of 100.4?F (38.0?C) or higher Chills Signs of infection at the catheter site (pain, redness, drainage, burning, or stinging)
Patient instructed on the importance of drinking 6-8 glasses of water per day. Hydration is important for wound healing, healthy skin, digestion, healthy kidneys, and electrolyte balance. Instructed on the increased risk for dehydration during the summer months.
SN completed patient cardiovascular and pulmonary assessment. Educated staff on monitoring patient for dizziness, syncope, cardiovascular status, anxiety, and agitation related to medication SEs. Staff to encourage patient to rise slowly to prevent syncope and dizziness. Staff instructed to monitor environmental hazards to prevent falls and injuries in addition to monitoring skin for breakdown due to episodes of bowel and bladder incontinence.
SN instructed the patient to keep oxygen away from any open flame to include smoking and also in-home pilot lights such as stove, furnace and water heater. Oxygen produced from concentrator and oxygen tanks is flammable. Call your company for a humidifier if causing nasal dryness or you may purchase lubricants made for oxygen use at your local pharmacy. Do not use Vaseline or petroleum based products as these can cause irritation and skin complications. Post no smoking / no Open Flame signs.
Instructed to take all medications at the times indicated. Instructed to read the label and follow your health-care provider's instructions.
Instructed to call your health-care provider inmediately if you have unpleasant or unusual reactions to a medication.
Instructed to don't stop taking your medication or change dosage without talking to your health-care provider, even if you're feeling better.
Instructed to don't transfer medications to others containers, unless your pharmacist ot health-care provider says it's ok.