diverticulosis-and-diverticulitis
Procedures
The patient was instructed in valve repair replacement in the need of good care of the incision site. The patient was advised in the stress of lifelong anticoagulant therapy to stop emboli and block of the valve. The patient was instructed in other methods for dealing with pain. The patient was recommended to evade heavy lifting (10 pounds), pushing, pulling, and exercises for 6 weeks. The patient was recommended to evade driving for the first 4 to 6 weeks. The patient was recommended to evade sitting or driving for extended times. The patient was recommended to evade abrupt position variations from sitting and standing.
Skilled nurse assess patient for S/S of complication related to diagnostic. Instructed caregiver about your Foley catheter daily Care: Keep the skin and catheter clean. Clean the skin around your catheter at least once each day. Clean the skin area and catheter after every bowel movement. Call the patient MD if: you cannot get the catheter to drain urine into the bag, the catheter comes out or it is leaking, the urine is thick and cloudy. Your urine has mucus, red specks, or blood in it. Urine with blood in it may appear pink or red. the urine has a strong (bad) smell, No urine has drained from the catheter in 6 to 8 hours, have pain or burning in your urethra, bladder, abdomen, or lower back, have shaking chills or your temperature is over 101° F (38.3° C).
Patient instructed to restrict vigorous activity or lifting heavy objects for a week or two. The incision site is usually completely healed after two or three weeks. During this initial period you should watch for signs of bleeding or infection, such as swelling, increased redness or worsening pain, and let your doctor know if any of these signs occur. You will need to have your pacemaker checked periodically to see whether it is functioning normally and to make sure its battery has plenty of energy. Usually, these pacemaker checks are done by telephone every month or two (using a special device your doctor will give you for telephone follow-up), and by visits to your doctor's office once or twice a year.
One of these complications is infiltration, or fluid leaks into the tissue surrounding the vein. This may be accompanied by swelling, burning, and discomfort. Extravasation occurs when a vesicant drug, such as those used in chemotherapy, leaks into the surrounding tissue, with similar signs and symptoms to infiltration. In this case, however, the vesicant may destroy the surrounding tissue making it extremely important to catch and treat this early.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
Medication profile reviewed and reconciled. SN reviewed and instructed patient on medication regimen of spirivia. Instructed patient that medication is used for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD). Spiriva HandiHaler is indicated to reduce exacerbations in COPD patients. Instructed patient that, with administration of Spiriva HandiHaler, a Spiriva capsule is placed into the center chamber of the HandiHaler device. The capsule is pierced by pressing and releasing the green piercing button on the side of the HandiHaler device. The tiotropium formulation is dispersed into the air stream when its inhaled through the mouthpiece. Instructed to inhale once or twice to get al medication inhaled. Instructed patient that dry mouth or constipation may occur. Instructed to notify MD/SN right away if any serious side effects, including: vision changes (such as blurred vision, seeing halos), eye pain, difficult/painful urination, fast heartbeat.
Skilled nurse teaching how patient performed colostomy care , washed the stoma itself and the skin around the stoma with soft paper towels, mild soap and water. Measured the stoma, cut out the opening, removed the paper back and set it aside. Finally hold the punch with the sticky side toward your body. Center the opening on the stoma , then press firmly abdomen for 30 seconds.
SN completed assessment done on all body systems and noted patient with elevated blood pressure during visit. SN completed treatment during visit and noted no drainage on old tx, wound callused and new area found to left medial top of foot remains intact with no drainage noted. SN noted patient complaint of pain to bilateral lower extremities with +2 edema noted. SN educated primary caregiver on the importance of elevation of bilateral lower extremities as well as pain management for patient.
Instructed patient while your body adjusts, it's a good idea to avoid high-fat foods for a few weeks after having gallbladder surgery.High-fat foods include: foods that are fried, like French fries and potato chips, high-fat meats, such as bacon, bologna, sausage, ground beef, and ribs high-fat dairy products, such as cheese, ice cream, cream, whole milk, and sour cream.
Instructed patient It can take a few weeks for your body to get used to this change, and you may experience bloating, diarrhea, and gas after eating fatty foods during this time. Instructed patient if you feel ready and are not nauseated, you can slowly begin introducing solid foods back into your diet as you start feeling better. But you may need to avoid certain types of foods for a while.