Wound care assessment
Instructed patient take care of your health. Eat healthy foods. Getting the right nutrition will help you heal. Lose excess weight.Get plenty of sleep. Ask your provider if it's OK to do gentle stretches or light exercises. This can help improve circulation.
Instructed in management and control such as diet as prescribed by MD, adequate hydration 1000-2000cc 24 hours if not contraindicated, importance of high protein (meat, legumes, eggs, daily), iron and vitamin supplements if indicated.
Instructed in factors that contribute to poor skin integrity such as immobilization, poor circulation, moisture, heat, anemia, shearing forces, poor nutritional status.
Instructed in new medication Bactroban to manage woundcare. In addition, warned of possible S/E such as headache, rhinitis, pharyngitis, burning or stinging with intranasal use, taste perversion, upper respiratory tract congestion, cough with intranasal use, burning pruritis, stinging, rash, pain, and erythema with topical use. Instructed to notify prescriber immediately if no improvement occurs in 3 to 5 days or if condition worsens. Advised not to use other nasal products with Bactroban. Warned patient about local adverse reactions related to drug use. Advised not to use cosmetics or other skin products on treated area.
Instructed in factors that affect healing, such as, age, disease, nutrition, and infection.
Instructed in proper disposal of soiled dressing materials in biohazardous waste container provided.
Instructed to keep dressing clean and dry to prevent growth of bacteria.
Patient was instructed on traumatic wounds. Open wounds may be left heal
Patient was instructed on traumatic wounds. Abrasions are superficial epithelial wounds cause by frictional scarping forces. When extensive, they may be associated with fluid loss. Such wounds should be cleansed to minimize the risk of infection, and superficial foreign bodies should be removed to avoid unsightly
Patient was instructed on another leading type of chronic wounds is pressure ulcers. That occurs when pressure on the tissue is grater than the pressure in capillaries, and thus restricts blood flow into the area. Muscle tissues, which needs more oxygen and nutrients than skin does, show the worst effects from prolonged pressure. As in other chronic ulcers, reperfusion injury damage tissue.