bleeding-precautions!
Others
SN instructed patient that bleeding is frequently associated with any non-tunneled catheter insertion. More frequent dressing changes and/or a mild pressure dressing may be required. Excessive bleeding or bleeding that persists for more than 24 hours is not normal. Excessive bleeding may be caused by coagulation disorders, vigorous physical activity, or a traumatic insertion procedure.
SN instructed patient and caregiver on how to stop a nosebleed. Make a thumbs up with hand on same side as nose bleed. Press side of nose that is bleeding closed and tilt head slightly down to prevent blood from going down into throat. Stay still for 5-10 minutes then gently release. Refrain from blowing nose or putting a tissue in nose x 24 hours. If bleeding does not stop seek medical attention.
Wheel char Fall precautions Avoid leaning forward and tipping yourself out of the wheelchair, Move footrests out of the way to avoid tripping on them during transfer, Lock the brakes before getting out of the wheelchair, Don’t over reach for an object, Avoid sliding or positioning yourself too far forward on the seat. Keeping your wheelchair in top condition is essential to its dependability and longevity.
SN advised patient to take temperature once a day before bedtime, check for bleeding, pus, hardness, swelling, odor and any color change. If any of these are present, please let your nurse or doctor know as soon as possible. Patient verbalized understanding of instructions given.
SN advised patient to call doctor immediately if any of the following happen: The cast gets wet, damaged, or breaks, skin or nails on the toes below the cast become discolored, such as blue or gray, skin, or toes below the cast are numb, tingling, or cold, the swelling is more than before the cast was put on, bleeding, drainage, or bad smells come from the cast, and severe or new pain occurs. Patient verbalized understanding of instructions given.
Instructed instructed call your doctor if you notice if around your stoma any redness, swelling, irritation, bleeding, green discharge or food.
Patient was instructed on other reasons Why Older People Fall such as: Impaired vision & for example, needing new glasses or having cataracts, Excess use of alcohol or sedatives.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Skid-proof mats or strips in the shower and bathtub, Removal of furniture that can slip away if grabbed accidentally for support, supportive non-slip footwear and not walking in stocking feet.
Patient was instructed on balance. With age, a combination of factors decreases balance. The nerve endings in our feet don't detect impulses as readily and the balance control centers in our brain and our ears operate more slowly. Age-related changes in vision and hearing, even when subtle, also contribute to the decline in balance.
Patient instructed to breathe deeply five or six times after experiencing a fall. In the event of any injuries do not try to get up, call a family member immediately for assistance.