Wound care assessment
Procedures
Ostomy care Instructed patient Always dry your skin well before putting on your new pouching system.
Ostomy care Instructed patient If you are using paste, it may be easier to remove the paste before you wet the area. Some people may
use adhesive remover. Do not worry if a little bit of paste is left on your skin.
Instructed patient To care for your skin:Wash your skin with warm water and dry it well before you attach the pouch.
Avoid skin care products that contain alcohol. These can make your skin too dry.
SN instructed patient and care giver to call 911 anytime you think you may need emergency care. For example, call if: Patient passed out (lost consciousness). patient have signs of severe bleeding, such as: A severe headache that is different from past headaches.
Instructed caregiver about care Plan for patient with mental Retardation Education on Parents,Each stage of child development for ages. Support parental involvement in child care. Anticipatory guidance and management face a difficult child behavior. Inform existing educational facilities and groups. Caregiver verbalized.
Instructed patient Call your doctor or nurse call line now or seek immediate medical care if: You are vomiting.You have new or worse belly pain.You have a fever. You cannot pass stools or gas.
Patient was instructed on tips for a good personal hygiene such as, Keep the skin clean. People who live in warm climates or tend to sweat need to take extra care. Do not re-wear the clothes without washing them.
Instructed patient how to change the dressings and how to care for the tubes and drains. Recommend to splint the abdomen when coughing or sneezing.
Advised the patient receives complete instructions in the care of the prosthesis. Instructed patient how to apply the elastic sleeve or wrap the stump for molding and shaping. Encouraged patient that the stump should not be wrapped too strongly, since this will prejudice circulation. Encouraged the importance of daily hygiene to prevent infection and skin breakdown.
The patient was instructed in cardiac catheterization on care of the puncture site. The patient was advised that bruising of and around the insertion site is normal.