diverticulosis-and-diverticulitis
Procedures
Patient/CG were instructed on: Treatment for cervicalgia ( neck pain ) are usually conservative and include methods of relieving inflammation . Applying ice to the area is a good way of relieving pain and swelling and is often advised where a muscle tear is suspected. Heat is contraindicated in such a situation as this is likely to make the problem worse by increasing blood flow to the area. If the cervicalgia is due to muscle tension rather than an injury then thermotherapy can be effective in aiding relaxation of the muscle and relieving neck pain. Adequate rest and the temporary use of a supportive neck collar is also helpful in some cases of cervicalgia ( neck pain ) although it is inadvisable to use a collar long-term as this may itself lead to muscle weakness in the neck. Many patients also make use of anti-inflammatory medications, including prescribed drugs, and natural supplements to lower inflammation and pain. Physical therapy, including neck stretches and strengthening exercises, is a good idea for anyone who suffers from chronic neck pain, and intractable cases may require more invasive surgical intervention to address some causes of cervicalgia
The patient was instructed in cervical cancer explaining of type of cancer and the therapeutic or surgical procedures to be performed. Patient Undergoing Surgery, the patient was reviewed avoid coitus and douching for 2 to 6 weeks after surgery, avoid heavy lifting and vigorous activities. Patient Undergoing Cryosurgery/Laser Therapy , the patient was taught that perineal drainage is clear and watery initially progressing to a foul-smelling discharge that contains dead cells, reviewed perineal care and hygiene, recommended need for regular Papanicolaou and pelvic examinations. Patient Undergoing Pelvic Exenteration, the patient was instructed to obtain appropriate supplies for ostomy care, the patient was taught on perineal care explaining the drainage may continue for several month, the patient was reviewed in wound irrigation procedures and application of sanitary pads, avoid prolonged sitting.
The patient was instructed in craniotomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
The patient was instructed in craniectomy in proper wound management and dressing changes, procedure, frequency of dressing change, and inspection of incision with each dressing change. The patient was advised to avoid scratching sutures and to keep the incision dry. The patient was advised that hair may be shampooed when the sutures are removed but to avoid scrubbing around the suture line. The patient was recommended to avoid using hair dryer until the hair grows back. The patient was taught to avoid extreme hot and cold temperatures of the lower extremities because of possible sensory nerve loss. The patient was instructed to avoid straining during defecation and to avoid constipation through the use of prescribed stool softeners and laxatives. The patient was advised to avoid coughing, sneezing, and nose blowing; if inevitable they must be done with an open mouth to control intracranial pressure.
Instructed patient to eat healthy food, as people with diabetes do not need special foods. The foods on your diabetes eating plan are the same foods that are good for everyone in your family. Try to eat foods that are low in fat, salt, and sugar and high in fiber such as beans, fruits and vegetables, and grains. Eating right will help you reach and stay at a weight that is good for your body, keep your blood sugar in a good range and prevent heart and blood vessel disease.
SN instructed patient about suprapubic catheter care, always wash your hands with soap and water before and after handling your catheter, make sure that the catheter tubing does not get twisted or kinked, and that urine is flowing out of the catheter into the urine collection bag, keep the urine collection bag below the level of your bladder, make sure that the urine collection bag does not drag and pull on the catheter, you can shower with your catheter and urine collection bag in place unless you have been told not to, clean the bag every day after removing it from the catheter. Use another container while you clean the bag. To clean the bag, fill it with 2 parts vinegar to 3 parts water and let it stand for 20 minutes. Then empty it out, and let it air-dry.
RN performed supervision with HHA present and reviewed that the HHA Care Plan is followed as ordered. Patient is satisfied with rendered services. RN instructed patient and caregiver 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. RN also explained that side effects of most medications taking can cause dizziness and advised to immediately report the occurrence of dizziness so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.
SN Instructed to the urostomy care: How to change the Urostomy bag: Prepare the new bag. Gather everything you need in the bathroom: plastic bags, toilet paper, paper towels or a soft washcloth, a clean cloth wipe, an additional skin barrier in the form of a paper towel (if desired) and a new bag.If the bag you use does not come with a skin barrier already made, take the measurements and now form the opening with scissors. Slowly remove the skin barrier lining. Put aside the skin barrier. Empty the used bag before removing it. To empty the bag, sit on the toilet or stand in front of it: Remove the used bag. To remove the used bag, sit on the toilet or stand in front of it. Carefully separate the skin from the skin barrier with one hand. To do this, start at the top edge of the skin barrier. With the other hand, slowly release the skin barrier from top to bottom. Seal the used bag tightly inside a plastic bag and dispose of it in the trash: Clean the area around the stoma. Use toilet paper to clean urine and mucus in the stoma or the skin around it. Clean the skin with warm water and a soft cloth wipe or a paper towel. Clean up to the stoma border. You can also do this while showering. Dry the skin without rubbing, using a clean towel; and Place the new bag. Use a folded paper towel or a piece of gauze to keep the stoma dry while placing the new pouch. Once you have changed the bag, wash your hands.
SN instructed patient about stents help keep coronary arteries open and reduce the chance of a heart attack. Stents help keep coronary arteries open and reduce the chance of a heart attack. A stent is inserted into the clogged artery with a balloon catheter. The balloon is inflated and the stent expands and locks in place. Then the balloon is removed and stent stays in place. This holds the artery open and allows blood to flow more freely.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.