diverticulosis-and-diverticulitis
Procedures
Patient requires skilled intervention of physical therapy for exercises to increase strength and endurance, implementation of safety measures and evaluation for assistive devices due to impaired function or declining functional ability as demonstrated by increased weakness. Patient requires skilled intervention of physical therapy to teach and train patient/caregiver on exercises to increase strength and endurance, implementation of safety measures and use of assistive devices due to impaired function or declining functional ability to perform ADLs/IADLs. Patient with moderate pain interfering with functional status, thereby impacting activities of daily living.
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.
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.
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 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.
The patient was instructed in hip replacement to get self-help devices to limit hip bending, elevated toilet seat, bath seat, and long-handled grippers. The patient was reviewed to evade putting extra weight on the hip and should use a walker, then crutched and then a cane until totally recuperated. The patient was instructed the importance of joining in physical therapy to recover muscle strength and guarantee adequate upper extremity strength for ambulating with a walker, crutches, or cane. The patient was advised to limit activities to evade loosening or displacing the prosthesis.
The patient was instructed in renal transplant in the importance of all-time immunosuppressant management. The patient was taught in the wound care and dressing change. The patient was advised in the need of evade contact to multitudes and persons with known supposed infections. The patient was recommended in the need of recording daily weight at the same time, with the same clothing. The patient was reviewed in taking and recording temperature, pulse, and blood pressure.
The patient was instructed in saphenous vein ligation and stripping in the need to wear support stockings. The patient was advised to wear constrictive clothing and knee-high stockings. The patient was advised to take discomfort medications. The patient was advised to take recurrent relaxation periods during the day and raise the legs above the heart while sitting for at least 6 weeks. The patient was recommended to avoid long periods of sitting and standing.
SN instructed patient and family on how to change the colostomy bag. Patient also educated on to drink more water and fruit juices, up to six to eight glasses per day. Include fresh fruits and vegetables in your diet, as well as fibrous foods such as whole-grain breads and cereals to prevent constipation
SN instructed patient and caregiver on how to change the colostomy bag. SN instructed how to properly closes the bag and explains that there are different types; do not expect to see the same bag always. SN instructed that patient and caregiver have to wash their hands and always use gloves before working on the colostomy area.