skin care
The patient was instructed in ovarian cancer in the need to care for the incision with general hygiene and daily bathing. The patient was advised to evade constipation by taking mild laxatives and stool softeners. The patient was taught to care of the suprapubic catheter. The patient was reviewed that no interaction tampons, douching, or tub baths. The patient was explained that menstruation will no longer happen.
Patient was educated about Digoxin 0.125 mg 1 tablet oral daily, instruct to take medication exactly as directed, at the same time each day. Missed doses should be taken within 12 hr of scheduled dose or not taken at all. Do not double doses. Consult health care professional if doses for 2 or more days are missed. Do not discontinue medication without consulting health care professional.
Instructed patient consider nutritional supplementation/support for nutritionally
consistent with overall goals of care.
Instructed patient reposition bed-bound persons at least every two hours and chair-bound persons every hour consistent
with overall goals of care.
Instructed the patient/caregiver on important foot care: inspect feet daily, report any foot problems to MD or Podiatrist, wash feet daily with warm soap and water and pat dry especially between toes, clip nails straight across and gently file with an emery board, wear shoes that support and fit properly, wear socks that are clean and fit properly, avoid going barefooted, avoid exposure to extreme temperatures, and avoid tobacco
SN advised to patient / caregiver that blood glucose monitoring is the main tool you have to keep your diabetes under control. This check tells you your blood glucose level at any one time. Keeping a log of your results is vital. When you bring this record to your health care provider, he /she will have a good picture of your body's response to your diabetes care plan.
SN instructed patient to perform daily meticulous foot care, to be sure to dry feet completely after a bath, checking for any sores, cuts or scrapes and to report any wounds as soon as they appear to SN or MD. Also have a podiatrist cut toenails regularly to prevent ingrown toenails and other complications.
Fludrocortisone is a corticosteroid. It works by causing the kidneys to retain sodium and acting as a replacement for cortisone when the body does not produce enough.Carry an ID card at all times that says you take fludrocortisone. Tell your doctor or dentist that you take fludrocortisone before you receive any medical or dental care, emergency care, or surgery.Fludrocortisone may cause an increase in blood pressure, salt and water retention, and calcium and potassium loss. Talk with your doctor to see if you need to decrease the amount of salt in your diet or take a calcium or vitamin D supplement. Check with your doctor if any of these most common side effects persist or become bothersome:Difficulty sleeping; dizziness or lightheadedness; headache; increased appetite; increased sweating; indigestion; nervousness
Instructed caregiver inspect patient's feet every day—especially the sole and between the toes—for cuts, bruises, cracks, blisters, redness, ulcers, and any sign of abnormality. Each time you visit a health-care provider, remove your shoes and socks so your feet can be examined. Any problems that are discovered should be reported to patient's podiatrist as soon as possible; no matter how simple they may seem to you.
SN instructed patient about suprapubic catheter care, always wash your hands with soap and water before and after handling your catheter, make sure that the catheter tubing does not get twisted or kinked, and that urine is flowing out of the catheter into the urine collection bag, keep the urine collection bag below the level of your bladder, make sure that the urine collection bag does not drag and pull on the catheter, you can shower with your catheter and urine collection bag in place unless you have been told not to, clean the bag every day after removing it from the catheter. Use another container while you clean the bag. To clean the bag, fill it with 2 parts vinegar to 3 parts water and let it stand for 20 minutes. Then empty it out, and let it air-dry.