patient-unable
Procedures
Instructed patient that during a hurricane she should not be alone. Patient should go to a relative, family member or friend house until it is safe to return to her house. In the event that the patient has no family or friends she should go to the closest shelter for proper assistance.
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.
The patient was instructed to stop any anticoagulant or antiplatelet medications 1 week before the arterial revascularization surgery. The patient was advised to use antiembolic stockings. The patient with axillofemoral bypass graft was advised to evade strong use of the affected side, not to wear close-fitting or obstructive clothes (belts, suspenders) over graft site.
Instruct the patient to note the time of the first bowel movement after anorectal abscess, fistula, and fissure surgery if no bowel movement occurs or if constipation advances. Advised the patient to shave the perianal area weekly to keep hair out of the affected area. Advised the patient to sit on thick foam pillows or pads and to avoid air or rubber donuts because they spread the buttocks apart.
The patient was instructed in the bowel obstruction and resection with anastomosis in the proper wound management and dressing changes. The patient was advised where to obtain appropriate supplies such as sterile dressings. The patient was encouraged to drink plenty of fluids, avoid to drink carbonated beverages and gas producing foods
Taught the patient how to care of wound and dressing changes. The patient was instructed to care for drains if he/she was discharged with them. The patient was advised to avoid lifting anything over 10 pounds for the first 6 weeks.
The patient was instructed in bunionectomy in the importance of wearing an immobilization device cast, or bunion boot for 3 to 6 weeks after surgery. The patient was advised to rest frequently with feet elevated. The patient was recommended to wear flat, wide-toed shoes and sandals after the dressing or cast is removed.
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 liver biopsy providing him/her pain controlling. The patient was encouraged to use minor painkillers. The patient was advised to evade taking no steroidal anti-inflammatory medications and hepatotoxic medications.
The patient was instructed in mitral stenosis viewing the position of the affected valve and explains its part in the arterial circulation. The patient was advised to follow on anticoagulation therapy. The patient was recommended to follow procedures for dealing with pain.