BACK PAIN
SN explained that the Chronic venous insufficiency ( CVI ) can’t be cured, but you can control leg swelling to reduce the likelihood of ulcers ( sores ). Recognizing the symptoms Be aware of the following: If you stand or sit with your feet down for long periods, your legs may ache or feel heavy. Swollen ankles are possibly the most common symptom of Chronic venous insufficiency ( CVI ). As swelling increases, the skin over your ankles may show red spots or a brownish tinge. The skin may feel leathery or scaly, and may start to itch. If swelling is not controlled, an ulcer ( open wound ) may form. What you can do Reduce your risk of developing ulcers by doing the following: Increase blood flow back to your heart by elevating your legs, exercising daily, and wearing elastic stockings. Boost blood flow in your legs by losing excess weight. If you must stand or sit in one place for a period of time, keep your blood moving by wiggling your toes, shifting your body position, and rising up on the balls of your feet. Pt verbalizes understanding.
Sn instructed patient on ways to prevent Urinary tract infection ( UTI ). If the patient is elderly be careful with cleaning, be sure that the perineal area is being cleansed properly. Women should always wipe themselves from the front to the back. If you are tending to perineal care, take steps to ensure that you always wipe your starting in front of the urethra and wiping towards the anus. Before wiping the area again, fold the rag to a clean section. The idea is that residue from the anus should never be dragged toward or against the urethra. Patients that wear adult diapers, or briefs, should be changed on a regular basis. They should be checked every two hours or so and they should never be allowed to sit in dirty briefs for prolonged periods. You should also wiped and cleansed after every brief change and bowel movement. Douches should never be used. The right drinks - what you drink can make a difference. Caffeinated drinks and alcohol can irritate the bladder and should be avoided as much as possible. Patient and caregiver verbalized understanding.
Instructed patient for the first 4-6 weeks after placement of a new PEG, bath water should not be so deep that the tube is
under the water. Shower water should fall on your back only. For a balloon, low profile, or older PEG tube you can take a
bath or shower as you normally do. Instructed patient call nurse or doctor if your body changes: your skin around tube has signs of infection: redness, warm to touch, firm to touch , tender.
Instructed patient what are some of the benefits of the care wear PICC line cover. The unique mesh window provides an
innovative way to allow patients and caretakers to view the site and check for infection and leakage. The innovative designs .
and colors allow for patients to get back to living their lives. Skilled nurse instructed care giver in medication management review and update medication schedule, specially new or changed medications (action side effects, adverse reactions) and complications.
SN instructed patient about the heart is a muscle that pumps oxygen-rich blood to all parts of the body. When you have heart failure, the heart is not able to pump as well as it should. Blood and fluid may back up into the lungs (congestive heart failure), and some parts of the body don’t get enough oxygen-rich blood to work normally. These problems lead to the symptoms of heart failure. Follow a heart healthy diet. And make sure to limit the salt (sodium) in your diet. Salt causes your body to hold water. This makes your heart work harder as there is more fluid for the heart to pump.
SN taught patient on sleeping with LVAD, and it was explained that many LVAD patients actually find that they’re able to sleep more comfortably with their LVAD than they did before because they’re feeling better and breathing more easily. There are, however, two major ways that having an LVAD affects your sleep routine: You may not be able to sleep on your stomach. Stomach sleeping can compress or pull on the driveline. Sleeping on your back is the best option, although some LVAD patients find it comfortable to sleep on their sides. You’ll also need to make sure that the driveline doesn’t get tangled in clothing or blankets. At first, sleeping with the LVAD may feel awkward, but most patients get used to it after a few days. Understanding was verbalized.
SN instructed pt on ways to lower blood pressure urge at home. Exercising 30 to 60 minutes a day is an important part of healthy living.Along with helping lower blood pressure, regular physical activity benefits your mood, strength, and balance. It decreases your risk of other types of heart disease. Diet changes such as eating fruits, vegetables, and whole grains eating low-fat dairy products, lean meats, fish, and nuts, eliminating foods that are high in saturated fats, such as processed foods, full-fat dairy products, and fatty meats. It also helps to cut back on desserts and sweetened beverages, such as soda and juice. Keeping your sodium intake to a minimum can be vital for lowering blood pressure. don't smoke.
UTI Instructed patient you can take these steps to reduce your risk of urinary tract infections:rink cranberry juice, Wipe from front to back, change diaper frequently.
SN instructed patient and caregiver to monitor circulation r/t Unna boots. Report if dressing is tight and constricting esp. in back of leg. Check color of feet and report if bluish or purple in color. Report any c/o numbness or tingling. Dressing should be removed immediately if any s/s occur. and notify physician or nurse.
Instructed caregiver you can take these steps to reduce patient's risks of urinary tract infections: wipe from front to back. Doing so after urinating and after a patient's bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra. Caregiver verbalized.