Wound care assessment
Procedures
The patient was instructed in gastrectomy indicating good wound management, dressing changes, process, regularity, and check of skin. The patient was advised in obtaining appropriate devices, such as ostomy appliances, sterile dressings, and tube feedings and feeding pump. The patient was explained in characteristic relief of abandoning syndrome. The patient was advised to plan a low-carbohydrate, high-fat, high-protein diet. The patient was taught to eat small, frequent meals and to avoid taking liquids with meals. The patient was recommended to adopt a reclining position after meals.
The patient was instructed in orchiectomy the importance of caring the surgical wound and dressing changes, dressing can be located over the incision and seized by the scrotal support.
The patient was instructed in percutaneous transluminal coronary angioplasty (PTCA), intracoronaru stenting that a band-aid over the wound site may be changed and may not be needed after a day or two. The patient was taught that if bleeding does occur at the groin site compression should be applied immediately.
Instructed patient about vacuum assisted closure ( VAC ) therapy helps draw wound edges together, remove infectious materials and actively promote granulation.
Instructed caregiver vacuum-assisted closure (VAC) therapy is intended to manage the environment of surgical incisions that continue to drain following sutured or stapled closure by maintaining a closed environment and removing exudates via the application of negative pressure wound therapy
Instructed patient about vacuum assisted closure ( VAC ) therapy Therapy, promotes wound healing and how its unique mechanisms of action differentiate it from other NPWT devices.
The patient was instructed in cholecystectomy specific care of the surgical incision and dressing changes. The patient was taught how to care for the T-tube and drainage bag.
Laparoscopy, the patient was encouraged to increase mobility to reduce abdominal distention.
Open Cholecystectomy, the patient was instructed avoid lifting > 10 pounds for the first 4 to 6 weeks.
The patient was instructed in electrophysiology study cardiac mapping on care of the puncture site. The patient was advised that bruising of and around the insertion site is normal. The patient was instructed in the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
The patient was instructed in hysterectomy radical to care for the incision with general hygiene and daily bathing. The patient was advised to evade constipation by taking mild laxatives and stool softeners. The patient was taught to care of the suprapubic catheter. The patient was reviewed that no interaction tampons, douching, or tub baths. The patient was explained that menstruation will no longer happen.
SN instructed patient to perform daily meticulous foot care, to be sure to dry feet completely after a bath, checking for any sores, cuts or scrapes and to report any wounds as soon as they appear to SN or MD. Also have a podiatrist cut toenails regularly to prevent ingrown toenails and other complications.