Wound care assessment
SN did head to toe assessment and vital signs monitoring done. SN instructed patient on medication Losartan, it is used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. It works by relaxing blood vessels so that blood can flow more easily. Dizziness, lightheadedness, or upset stomach may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
SN did head to toe assessment and vital signs monitoring done. Received patient sitting on the chair with elevated blood pressure. SN instructed patient on the disease process, and management of CHF. Heart failure occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath. Certain heart conditions gradually leave the heart too weak or stiff to fill and pump blood properly. SN instructed patient to have a healthy lifestyle. Try to lose weight, exercise, use less salt and manage stress. SN will continue to assess and instruct the patient.
Neuropathy assessment and teaching on management, medication, and alternative therapies to alleviate pain.
The patient was instructed in osteomyelitis in the necessity of woundcare using aseptic method for dressing changes. The patient was advised to care of a casted extremity. The patient was reviewed to care for external fixator device. The patient was recommended how to use and care for the Hickman catheter for home antibiotic therapy. The patient was encouraged in the importance of immobilizing the affected part to reduction the spread of infected material.
Instructed to contact physician inmediately if uncontrolled bleeding or excruciating pain occurs at wound site.
Instructed in management and control of wound through activity such as frequent rest periods, no overexertion, no lifting, bending or stooping. Passive and active exercises to increase vascular tone. Elevate affected extremity to promote venous return. Give pain medication, if prescribed, 30 minutes prior to any activity.
Instructed to keep pressure off wound area to promote circulation which is essential to healing.
Instructed in need for proper nutrition to promote wound healing, including foods high in Vitamin C and protein.
Instructed in S/S of complications which require need for medical intervention, including redness, increase or change in drainage, heat at the wound site, fever, bleedind or increased pain.
Patient was instructed on adequate nutrition and hydration to minimize wound development. Encourage protein, calorie-dense foods and fluids (unless contraindicated), monitor intake, weight and skin turgor, assess and address impairments in dentition and swallowing.