Wound care assessment
SN instructed patient about Jackson Pratt care. The JP drain removes fluids by creating suction in the tube. The bulb is squeezed
flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid. SN instructed patient use soap and water or saline ( saltwater ) solution to clean your JP drain site. Dip a cotton swab or
gauze pad in the solution and gently clean your skin.
SN instructed patient about Jackson Pratt Care. Seek immediate help if : Your JP drain breaks or comes out. You have cloudy yellow or brown drainage
from your JP drain site, or the drainage smells bad.
SN instructed patient about Jackson Pratt care. Call your caregiver if: You drain less than 30 milliliters ( 2 tablespoons ) in 24 hours. This may mean your
drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than
101.5°F ( 38.6°C ).
SN instructed patient / parent to ensure the drain is below the site of insertion but not pulling on the patient. Instructed the patient / parent that there is a risk of dislodgment, requiring increased care when moving. Patient should be aware that moving whilst drain is in situ will cause some pain, but this can be minimised with regular analgesia and the patient should be encouraged to mobilise with supervision when appropriate.
SN instructed patient / caregiver regarding Metoprolol Tartrate, which is in a group of drugs called beta - blockers. That is affect the heart and circulation ( blood flow through arteries and veins ). Metoprolol is used to treat angina ( chest pain ) and hypertension ( high blood pressure ). It is also used to treat or prevent heart attack. Call your doctor at once if you have any of these serious side effects: chest pain, pounding heartbeats or fluttering in your chest, feeling light - headed, fainting; feeling short of breath, even with mild exertion, swelling of your hands or feet, nausea, upper stomach pain, itching, loss of appetite, dark urine, clay - colored stools, jaundice ( yellowing of the skin or eyes ), easy bruising, unusual bleeding ( nose, mouth, vagina, or rectum ), purple or red pinpoint spots under your skin, wheezing, trouble breathing. Less serious side effects may include: dry mouth, constipation, heartburn, vomiting, diarrhea, headache, drowsiness, tired feeling, sleep problems ( insomnia ), or anxiety, nervousness. Do not suddenly stop taking metoprolol tartrate. Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop metoprolol tartrate. The risk may be greater if you have certain types of heart disease. Tell your doctor or dentist that you take metoprolol tartrate before you receive any medical or dental care, emergency care or surgery.
SN instructed about Care of teeth. Brush twice daily. After getting up from bed and before going to the bed. Rinse mouth after taking food. Once in year dental check up. Clean the tongue with tongue cleaner after brushing. Neem stick, salt or charcoal can be used for brushing.
Ostomy care Instructed patient limit foods such as broccoli, cabbage, onions, fish, and garlic in your diet to help reduce odor.
Ostomy care Instructed patient the materials you use to wash your stoma and the skin around it should be clean, but they do not need
to be sterile.
Ostomy care It is not necessary to use soap to clean around your stoma. But if you prefer to use soap, use a very mild soap. Avoid using soaps and cleansers with oils, per - fumes, or deodorants since these can sometimes cause skin problems or keep your skin barrier from sticking.
Ostomy care Rinse the soap off the skin around your stoma very well because the residue may keep your skin barrier from sticking and may also cause skin irritation.