discharge
Patient and caregiver taught on discharge planning, to follow up with PCP with any new changes, to continue with care as instructed and/or taught by nurse.
Discharge planning initiated on today's visit. Reviewed with patient /PCG s/s of disease exacerbation that need to be reported to health care providers including steps on what to do in an event of an emergency. Medication pill box set up checked and emphasized the importance of timely refill of medications to prevent missing or skipping doses, pain management, continue following prescribed diet regimen. Re-instructed on infection control measures and practicing standard precautions, most importantly, frequent proper hand washing to prevent disease complications.
Patient recently discharge from acute hospital s/p intracranial hemorrhage and SN educated patient on s/s such as Weakness., Tingling, weakness, or paralysis (loss of movement) on one side of the body. Difficulty speaking, disorientation and confusion, loss of or change in vision, difficulty swallowing, change in level of consciousness (alertness) and advised patient and caregiver to contact medical professional if any noted.
Instructed in new medication Pred Forte to manage inflammation of palpebral and bulbar conjunctiva, cornea and anterior segment of globe. In addition, warned of possible S/E, such as, increased intraocular pressure, thinning of cornea, interference with corneal wound healing, increased susceptibility to viral or fungal corneal infections, corneal ulceration, discharge, discomfort, foreign body sensation, glaucoma exacerbation, cataracts, visual acuity and visual field defects, optic nerve damage with excessive or long-term use, systemic effects, and adrenal suppression with excessive or long-term use. Instructed to wash hands before and after installation and warned not to touch tip of dropper to eye or surrounding area. Apply light finger pressure on lacrimal sac for 1 minute after installation. On long-term therapy, have frequent tests of intraocular pressure. Instructed not to share drug, washcloths, or towels with family members, and notify MD if anyone develops same signs or symptoms. Stress importance of compliance with recommended therapy. Notify MD if improvement does not occur within several days or if pain, itching, or swelling of eye occurs. Instructed not to use leftover drug for new eye inflammation because serious problems may occur.
Instructed in D/C planning. Instructed to keep MD appointments, take medication exactly as MD ordered and report any S/E and/or S/S to avoid further complications.
Instructed patient about pacemaker, which is an electronic device that causes the heart to beat by releasing a small electrical discharge.
Instructed patient about skin infection signs, such as redness, skin breakdown, discharge, and blisters with purulent exudates. Contact MD immediately if any of these symptoms appear.
Skilled Nurse to educate on S/S of wound deterioration or infection such as: increase pain on wound site, swelling, temperature, and discharge.
The patient was instructed in cervical cancer explaining of type of cancer and the therapeutic or surgical procedures to be performed.
Patient Undergoing Surgery, the patient was reviewed avoid coitus and douching for 2 to 6 weeks after surgery, avoid heavy lifting and vigorous activities.
Patient Undergoing Cryosurgery/Laser Therapy , the patient was taught that perineal drainage is clear and watery initially progressing to a foul-smelling discharge that contains dead cells, reviewed perineal care and hygiene, recommended need for regular Papanicolaou and pelvic examinations.
Patient Undergoing Pelvic Exenteration, the patient was instructed to obtain appropriate supplies for ostomy care, the patient was taught on perineal care explaining the drainage may continue for several month, the patient was reviewed in wound irrigation procedures and application of sanitary pads, avoid prolonged sitting.
The patient was instructed in hemorrhoidectomy the necessity to use rectal packing or perianal dressings. The patient was instructed to get appropriate supplies like dressings and perineal pads to protect clothing from post-operative discharge. The patient was advised to sit on thick foam pillows or pads. The patient was encouraged the importance of perianal hygiene at all times. The patient was encouraged that proper hygiene helps prevent infection. The patient was instructed to wipe moderately after a bowel movement.
