leg edema
Procedures
The patient was instructed in torn knee cartilage/meniscectomy in the need to take shower with bactericidal soap. The patient was instructed that knee restoration is typically done on an outpatient basis but that more extensive repair may require a 1- to 2 day hospital stay. The patient was reviewed in the use of a hinged knee brace or knee immobilizer. The patient was recommended in the importance of the bandage applied to the knee and high support hose. The patient was encouraged in the importance of elevating the operational leg and applying ice bags to the working site to relieve inflammation.
Instructed patient a secure, clean and intact dressing is essential to prevent catheter migration and infection. Never pull on the catheter. Protect the lumen so they do not inadvertently get caught or tugged on. Call your nurse right away if you have any of the following: Pain in your shoulder, chest, back, arm, or leg, fever of 100.4°F or higher, chills.
Instructed patient When to seek medical care: Call your provider right away if you have any of the following: Pain or burning in your shoulder, chest, back, arm, or leg, Fever of 100.4°F (38.0°C) or higher, chills, signs of infection at the catheter site (pain, redness, drainage, burning, or stinging), Coughing, wheezing, or shortness of breath.
SN instructed patient / caregiver that urine drainage bag of the catheter should always be suspended below the level of the pubic bone, including during walking or sitting. Cleaning the groin and buttock areas regularly will decrease contamination of the catheter and the risk of infection. Anchoring the catheter to the leg with the provided strap prevents tugging injuries of the urethra.
Patient was instructed to help your ulcer heal more quickly, follow the advice below: try to keep active by walking regularly, whenever you're sitting or lying down, keep your affected leg elevated with your toes level with your eyes.
The patient was instructed in herniorrhaphy to apply scrotal provision or ice packs to reduction scrotal edema and distress. The patient was reviewed to get proper supplies like sterile dressings. The patient was instructed to evade coughing, straining, stretching, constipation, heavy lifting, energetic exercises. The patient was advised to immobilizing incision manually or with a pillow during coughing, sneezing, or hiccups.
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 you should contact your doctor immediately if you believe your catheter is infected. Redness (erythema), warmth to touch, swelling (edema), fever or drainage from around the catheter site may indicate your catheter is infected. Some redness after insertion is expected but should not persist.