diverticulosis-and-diverticulitis
Others
SN instructed patient on Lobectomy Care. The deep breathing and coughing will decrease your risk for a lung infection. Take a deep breath and hold it for as long as you can. Let the air out and then cough strongly. Deep breaths help open your airway. You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece in your mouth and take a slow, deep breath. Then let the air out and cough. Repeat these steps 10 times every hour.
SN educated patient and caregiver on the importance of always using assistive device with ambulation and transfers to avoid falls or injuries. Nurse instructed patient and caregiver on the importance of home safety such as proper lighting, and to keep walkways free of debris and clutter. Patient was instructed to contact PCP or home health agency if they fall or if current health status declines. Patient was instructed to not walk unassisted when not feeling steady . Patient verbalized understanding
Patient was educated on how to wear ordered arm sling, Gently pull the sling over your arm and elbow. It should fit snugly around the elbow, reach around your neck and grab the strap behind your elbow and tighten the straps so your hand and forearm are elevated above the level of your elbow. Orders were to maintain sling at 90 degree angle and to avoid any activities with the arm. Patient verbalized understanding
Patient was instructed on relieving and preventing leg edema. The first line of defense is: leg elevation. Elevate legs above the level of the heart which puts minimal pressure on the back of the knees and thighs and lower back. Other help to decrease swelling is limiting salt intake, drink plenty of water, avoid sitting with the feet dependent. Do not abuse diuretics and laxatives.
Patient was instructed on a healthy mouth. Tooth damage. An invisible film of bacteria, saliva and food particles (dental plaque) normally cover teeth. The bacteria feed on the sugars and starches in the foods and beverages consumed and produce acids that damage the hard enamel coating the teeth. Damage from this acid increases the risk of tooth decay (cavities).
Patient was instructed on oral hygiene tips for seniors. Daily brushing and flossing of the natural teeth is essential to keep them in good health. Plaque can build up quickly on the teeth of older adults, especially if oral hygiene is neglected, and lead to tooth decay and gum disease. Brush at least twice a day with fluoride containing toothpaste. Floss at least once a day. Visit the dentist regularly for cleaning and examination.
Patient was instructed on strategies that can significantly help decrease the risk of a fall such as: Good lighting throughout the home, especially in stairwells and hallways, Non-slip floors and rugs, Hand rails on stairs, next to the toilet and in the shower and bathtub.
Patient was instructed about the skin damage: the skin may be dry and cracked because of high glucose levels, and cracked skin means it's easier for bacteria to get under the skin and harder for infections to heal. Use a small amount of skin lotion daily, to be sure the feet feel dry - not damp or sticky - afterwards. Try not to get the lotion in between the toes. Keep the toenails trimmed and filed smooth to avoid ingrown toenails. Further teaching is needed.
Patient was instructed on skin care. Keep the skin clean and dry. When bathing or showering, use warm water and a mild, moisture-containing soap. After washing, make sure to rinse and dry the body well. (Pat the skin dry, do not rub). Check places where water can collect such as under the arms, between the legs and between the toes.
Instructed patient to get a flu shot each year and decrease the exposure to the flu. Avoiding the flu is especially important for people who have or are at risk for heart disease. This highly contagious infection causes symptoms similar to the common cold, only more severe, other symptoms include debilitating muscle or body aches, vomiting and diarrhea, and fever. Having a serious infection puts extra stress on your heart, which increases your heart's need for oxygen. Coughing and congestion can make breathing more difficult. As a result, your heart may not get sufficient oxygen. Patient verbalized understanding.