bedbound-patient
SN instructed patient and caregiver on the Coronavirus (COVID-19) virus that causes respiratory illness (like the flu) with symptoms such as a cough, fever and in more severe cases, pneumonia. Patient and caregiver verbalized understanding.
SN instructed patient any change in the appearance of the fluid should be reported to your doctor. Patient verbalized understanding.
SN instructed the patient on good diabetic foot care and assessment as follows: using a handheld mirror if needed assess feet daily to include in between toes. Never cut toenails or file down calluses. Only a podiatrist should do this. Report any blisters, cracks, wounds or any other concerns to your podiatrist immediately. Wash and lotion feet very well daily. Do not lotion between toes as this may cause maceration and cause skin breakdown. Recommended wearing diabetic socks. Always wear good fitting shoes. Preferably tailor-made for the patient. Never walk around barefoot.
SN instructed patient and caregiver on preventing skin tears. In terms of prevention, protective arm sleeves are helpful. The use of paper or gentle release tapes is also a better alternative to nylon tape, when it comes to sensitive or aging skin. In addition, it is important to routinely moisturize dry skin with an appropriate moisturize barrier. As we age, hydrating dry skin helps to replenish missing skin and keep skin healthy and intact. Oral hydration is important as well. Patient and caregiver verbalize understanding instructions given.
SN to educate patient concerning the use of gabapentin is to increased pain relief affects by using the CNS to decrease symptoms of pain and assist Tramadol or other prescribed pain medications, even Tylenol ER in ultimate pain relief. SN to advise patient to not allow pain level to linger for long periods of time; try taking either drug 30mins or so apart, only when due at prescribed times.
SN instructed patient and caregiver about how to implement fall prevention program. Check the lighting in your apartment, consider installing a grab bar, replace scatter rugs with rubber backed rugs, make sure the light near the bed is easy to reach, move the phone within arm’s reach of your bed, easy access to the things you use the most. Patient and caregiver verbalized understanding.
Instructed patient fresh fruits and vegetables eaten daily will also supply your body with other nutrients essential to wound healing such as vitamin A, copper and zinc. It may help to supplement your diet with extra vitamin C. Keep your wound dressed. Wounds heal faster if they are kept warm. 2- Instructed patient getting more sleep can help wounds heal faster eat your vegetables, stay active, don't smoke, keep the wound clean and dressed.
SN teach the patient to perform a daily self-test to ensure the LVAD is working properly. When the patient presses and holds the battery button on the system controller, the screen displays "Self Test" If the panel is working properly, the audio alarm will sound and control panel alarms will light up. These alarms include power and battery alarms, a red heart (hazard) alarm, and a wrench (advisory) alarm.
SN explained to patient that Lovenox is to be administered as one pre-filled syringe by deep subcutaneous injection in the abdominal fat. Only one shot is administered in the morning and one shot is administered at night for physician ordered specific number of days. SN instructed patient on technique and importance of rotating injection sites around abdomen.
Instructed in measures to prevent foot problem; always wear properly fitted shoes and examine the feet every day for sores and signs of infections. Diabetes, and aging are also contributors to foot problems. Keep feet clean and dry. Visit your doctor for regular foot exams. Before and after physical activity stretch the foot thoroughly and wear supportive shoes. Patient verbalized understanding.