skin care
Colostomy Care Instructed patient caregiver check the stoma and skin around the stoma to make sure there are no problems.
Ostomy care Instructed patient Always dry your skin well before putting on your new pouching system.
Ostomy care Instructed patient If you are using paste, it may be easier to remove the paste before you wet the area. Some people may
use adhesive remover. Do not worry if a little bit of paste is left on your skin.
Instructed patient Call 911 anytime you think you may need emergency care. For example, call if: You passed out (lost consciousness). You have signs of severe bleeding, such as: A severe headache that is different from past headaches. Vomiting blood or what looks like coffee grounds. Passing maroon or very bloody stools. Call your doctor or nurse call line now or seek immediate medical care if: You have unexpected bleeding, including: Blood in stools or black stools that look like tar. Blood in your urine. Bruises or blood spots under the skin. You feel dizzy or light-headed.
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.
Instructed in refusal to observe wound care or participate with care if they feel unable/uncomfortable with this procedure.
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.
Patient is unable to perform wound care due to complexity of wound, location, size of wound, poor manual dexterity, forgetful (dementia), and knowledge deficit. No skilled/willing caregiver to perform wound care.
Instructed caregiver the key to successful wound healing is regular podiatric medical care to ensure the following “gold standard” of care: Lowering blood sugar, appropriate debridement of wounds, treating any infection, reducing friction and pressure, restoring adequate blood flow.
Tracheostomy care Instructed patient patients with a tracheostomy have altered upper airway function and may have increased oral care
requirements. Mouth care should assessed by the nurse caring for the patient.