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Amputation Teaching 1361

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.

Aortic Aneurysm Teaching 1373

Instruct the patient in care of the incisional wound, reviewing signs of wound infection and thrombus formation in the implant replacement of the aortic valve.

Catheter Teaching 1412

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.

Carotid Endarterectomy Teaching 1413

The patient was instructed in carotid endarterectomy about daily care of the surgical incision and dressing changes. The patient was advised the atherosclerotic process and explain the importance of risk factor modification to reduce the chance of future plaque buildup in the carotid and other arteries. The patient was encouraged to avoid bending from the waist or lifting and straining.

Carpal Tunnel Teaching 1414

The patient was instructed in carpal tunnel release on care of the hands and dressings, to keep the arm and hand elevated above heart level to reduce swelling and healing. The patient was reviewed to check the dressing daily for signs of bleeding or drainage, when bathing are permitted the patient should be shower with the dressing covered by a plastic bag. The patient was recommended to follow prescribed exercises to maintain circulation and improve range of motion such as sponge squeezing.

Enucleation Teaching 1437

The patient was instructed in enucleation explaining the importance of not rubbing, touching, or bounding the orbit or wearing eye makeup. The patient was taught in cleaning the lid and shows how to remove drainage by gently sweeping the cotton ball from the inner to the outer. The patient was instructed in the care of the eye socket how insert and remove if used. The patient was advised to wear an eye protection or patch to keep the socket clean until the prosthesis is fixed. The patient was instructed the need to protect the vision in the lasting eye. The patient was advised in the importance of good handwashing before managing ophthalmic medications. The patient was advised that with the loss of one eye, the field of vision is limited and profundity perception changes need to overstress head movements to achieve a full visual field. The patient was advised using caution during activities until patient adjusts to the loss.

Fixator Devices Teaching 1438

The patient was instructed in fixator devices external fixator on pin and fixator care, wash fixator with sterile water and cover each pin head with plug or rubber tip to prevent injury. The patient who has gone through external fixation was reviewed in stress the need to increase movements and weight manner slowly to reduce tenderness and to permit muscles to recover strength. The patient was advised do not use the external fixator as a handle or support for the extremity but to support the extremity with pillows, two hands, or a sling to prevent excessive stress on the pins. The patient was advised to elevate the extremity when sitting or lying down. The patient was recommended of not changing or adjusting the fixator’s bars, since this can cause misalignment. The patient was explained that showering is permitted but that swimming should be evaded because chlorine and salt can corrode metal.

Internal Fixator Teaching 1439

The patient was instructed in fixator devices internal fixator positions a risk for refracture and analysis preventive actions, care in support walking, and no weight manner in anticipation of well-ordered by the doctor. The patient was advised that some nails or large plates may be removed in a year.

Fractures Teaching 1440

The patient was instructed in fractures in stress the importance of turning and moving frequently to evade skin breakdown. The patient was advised to handle hurt tissues softly by supporting the joint above and below the location. The patient was explained in how to wound care. The patient was recommended to elevate the extremity and apply ice bags. The patient was instructed in the use of ambulatory aids, crutch walking, cane, and walker. The patient was explained in the importance of range-of-motion exercises to maintain function of natural joints. The patient was taught in exercises to maintain strength and facilitate resolve of inflammation.

Grastostomy Teaching 1444

The patient was instructed in gastrostomy indicating the training and management of tube feedings, including quantity and regularity. The patient was advised to sit upright during feeding and for 1 hour after feeding to prevent reflux into the esophagus or backflow into the gastrostomy tube. The patient was explained to take care of the gastrostomy tube. The patient was taught that the tube may eventually be removed and inserted only for feeding. The patient was taught to protect the stoma with a small gauze pad.